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Cardiopulmonary Resuscitation

Cardiopulmonary Resuscitation. Introduction. Cardiopulmonary Resuscitation is a simple, effective method of Getting O 2 into the lungs of a person who has stopped breathing, and Maintaining blood circulation for a person whose heart has stopped. What we will cover.

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Cardiopulmonary Resuscitation

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  1. Cardiopulmonary Resuscitation

  2. Introduction • Cardiopulmonary Resuscitation is a simple, effective method of • Getting O2 into the lungs of a person who has stopped breathing, and • Maintaining blood circulation for a person whose heart has stopped

  3. What we will cover • Revision of respiratory and circulatory systems • Establishing unresponsiveness and activating the Emergency Medical Services. • Opening the Airway A • Checking for Breathing B • Circulation C • Defibrillation D

  4. What we will cover • One Operator / Two Operators • Complications • Recovery • Summary

  5. Epiglottis Revision of Respiratory & Circulatory System • Mouth/nose • Airway/lungs • Location of heart • Location of sternum • Diaphragm Trachea Bronchus Bronchiole Pleural Cavity Heart Sternum Diaphragm

  6. 999/112 CPR Technique • Check Scene is safe • Establish unresponsiveness and activate the Emergency Medical Services Are you O.K.

  7. A Opening the Airway Head tilt / Chin lift

  8. Check for Breathing B Look/Listen/Feel Yes - Place in recovery position if unconscious No - Give 2 breaths . 1 second each

  9. Circulation C Start compressions, push hard push fast 30 compressions –at a rate of about 100/minute

  10. Compressions • Locate centre of chest between the nipples. • Place heel of hand, taking care to keep the fingers raised.

  11. 11/2-2 inches Circulation

  12. Circulation • Push Hard. Push Fast. • Rate 30 compressions – 2 breaths • After each compression allow chest to return to normal position • Continue until trained help arrives

  13. D Defibrillation • Attach defibrillator after 5 cycles 2mins of CPR (if unwitnessed collapse) • Switch AED on • Stop CPR • Position Pads on Casualty as per diagram • Follow audible prompts from AED

  14. CPR Rates • At a RATE of 100 compressions per min. • One Operator 30:2 • Two Operators 30:2 • “One ,Two ,Three …………….” • Stop CPR if Casualty shows signs of movement or spontaneous breathing • Continue CPR until trained help arrives

  15. CPR Rates • If Casualty starts to move and normal breathing not present commence ventilations 1 breath every 6-7 s (10-12 breaths /min) • If normal breathing present • Recovery Position • Monitor airway and breathing

  16. ComplicationsBlocked Airway • Cause - Tongue • Action - Head tilt/chin lift • Cause - Foreign Body • Action - Finger sweep if visible/Chest compressions

  17. ComplicationsBlocked Airway

  18. Complications Mouth to Nose • Reason • Used in preference to Mouth to Mouth when • Mouth is contaminated by blood or vomit • Mouth is damaged due to injury

  19. ComplicationsMouth to Nose • Close the mouth • Blow through the nose

  20. ComplicationsAir in Stomach • Cause • Over pressurisation • Action • Modify technique – less air/less forcefully • Allow 1 second for breath and chest to rise in each rescue breath

  21. ComplicationsVomiting • Action • Turn Casualty on side away from rescuer and clean out mouth. • Assess breathing • Restart CPR

  22. Recovery • Monitor rate of ventilations • Supplement if less than 10 breaths per minute • Recovery position • Give 100% O2 if available • Treat for shock - Reassure and keep warm • Watch Casualty at all times • Ensure early transportation to hospital

  23. Recovery Recovery Position

  24. Summary • Speed of response vital • Correct assessment of Casualty • Establish ABC • Recognition / correction of complications • Recognition of signs of recovery • Correct recovery techniques • Early transportation to hospital

  25. Questions?

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