mpa mg i c3.pdf
TRANSCRIPT
MASURI DE
PRIM AJUTOR
CURS 3.
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
APPROACH SAFELY!
Scena
Salvator
Victima
Martori
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
CHECK RESPONSE
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
Scutura umerii cu
blandete
Intreaba: “va simtiti
bine?”
Daca raspunde:
• Lasati-l asa cum l-ati
gasit.
• aflati ce s-a intamplat.
• Reevaluati periodic.
CHECK RESPONSE
SHOUT FOR HELP
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
OPEN AIRWAY
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
OPEN AIRWAY
Head tilt and chin lift-
extensia capului si ridicarea mandibulei
- salvatori “laici” - salvatori fara legatura cu
sectorul medical
Nu trebuie curatata cavitatea bucala decat daca sunt vizibile materiale solide in calea aeriana
OPEN AIRWAY
Head tilt, chin lift + jaw thrust – extensia
capului, ridicarea mandibulei si
subluxatia mandibulei - pentru
personalul medical
ELIBERAREA CAILOR AERIENE
PRIN EXTENSIA GATULUI
“NECK EXTENSION”
Cam
pbell
CHECK BREATHING
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
CHECK BREATHING- verificati
respiratiile
Cauta:
privind,
ascultand si
simtind prezenta respiratiilor normale
Nu confundati respiratiile agonice cu cele normale
Respiratii agonice
Apar la scurt timp dupa oprirea cordului in aproximativ 40% din stopurile cardiace
Descrise ca respiratii “grele”, dificile, zgomotoase, “gasping”
Recunoscute ca semn de stop cardiac
Erroneous information can result in withholding CPR from cardiac arrest victim
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
Obstructia cailor aeriene cu corp
starin (FBAO)
Approximativ 16 000 adulti si copii sunt tratati annual in UK pentru obstruictie de cai aeriene cu corpi straini
SEMNE OBSTRUCIE MODERATA
OBSTRUCIE SEVERA
“Te ineci?” “Da” Incapabil sa vorbeasca, poate incuviinta
Alte semne Poate tusi, respira, vorbeste
Nu poate respira/ respiratie cu Wheezing/silentiu/incearca sa tuseasca/ inconstienta
ADULT FBAO TREATMENT
ABDOMINAL THRUSTS- compresii abdominale
30 CHEST COMPRESSIONS
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
PlaSATI PODUL PALMEI IN CENTRUL TORACELUI
PLASATI DEASUPRA CEALALTA MANA
INTREPATRUNDETI DEGETELE
Comprimati toracele cu:
Feecventa de 100 min-1
amplitudine 4-5 cm
Raport egal compresie : relaxare
Daca e posibi, schimbati la 3 minute cu alt salvator
CHEST COMPRESSIONS-
COMPRESII TORACICE
• Cea mai eficienta frecventa pentru compresiile sternale este de 100 compresii per minut– acelai ritm ca cel al melodiei trupei BeeGee’: “Stayin’ Alive.” http://www.dailymotion.com/video/x1afd7_bee-gees-staying-alive_music
RESCUE BREATHS
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
RESCUE BREATHS
Pensati nasul
Insuflati normal
Puneti gura la gura victimei
Suflati pana cand se ridica pieptul
Asteptati aproximativ o secunda
Lasati toracele sa coboare
Repetati
RESCUE BREATHS- respiratiile artificiale
RECOMANDARI:
- Tidal volum
500 – 600 ml
- Frecventa respiratorie
administrati ficare insuflatie in decurs de 1 s, cu volum suficient pentru a produce ridicarea cutiei toracice
- Chest-compression-only
continuu, cu frecventa de 100/min
CONTINUE CPR
30 2
“Hands-only” CPR
“chest compression-only CPR”poate fi aplicat in urmatoarele situatii:
Daca sunteti incapabil sa efectuati respiratii artificiale sau nu doriti sa le efectuati masaj, asigurati doar masajul cardiac.
In aceasta situatie, masajul cardiac trebuie efectuat continuu, cu un ritm de 100/min.
Opriti-va doar pentru a verifica daca victima si-a reluat respiratiile normale- nu opriti pentru nici un alt motiv resuscitarea!!
DACA PACIENTUL INCEPE SA RESPIRE
NORMAL, PLASATI-L IN
POZITIA LATERALA DE SIGURANTA.
CONTINUATI RESUSCITAREA:
Pana ajunge la dumneavoastra ajutorul calificat si puteti preda pacientul
Pana cand pacientul isi reia respiratiile normale
Pana ce salvatorul devine epuizat.