Tuesday, April 3, 2012

CPR (Cardiopulmonary Resuscitation)

CPR( Cardiopulmonary Resuscitation

Summary:
(1.) Look for safety
(2.) Check for response
(3.) Call for help
(4.) Airway
(5.)Breathing
(6.) Check Carotid Pulse
(7.) Chest Compression
(8.) Defibrillation
(9.) Medication

-chest compression:The low half of the victim’s sternum
Depress the sternum 1/2 to 2 inches ( 4to 5 cm )
Allow the chest to return to its  normal position
Compression and chest recoil/relaxation times should be approximately equal
To limit interruptions to no longer than 10 seconds
-If the patient is adult the ratio should be 30:2 .It means that you have to give the victim 2 complete breathings and 30 chest compressions.
 -If the victim is Children and infants, the ration should be: 15:2
-Every 30 compressions should be followed by 2 complete breathings .
-You should check if there is carotid pulse after 2-3 cycles.
- You should keep on repeating the cycle until carotid pulse is seen.

-defribrillator:Sophisticated, reliable computerized devices
Use voice and visual prompts to guide lay rescuers and healthcare provider to safely defibrillate VF SCA
AEDs are of no value for arrest not caused by VF/pulseless VT, and they are not effective for treatment of nonshockable rhythms
-Drugs used in CPR:
Atropine – can be injected bolus, max 3 mg to block vagal tone, which plays significant role in some cases of cardiac arrest
Adrenaline – large doses have been withdrawn from the algorithm.  The recommended dose is 1 mg in each 3-5 min.
Vasopresine – in some cases 40 U can replace adrenaline
Amiodarone  - should be included in algorithm
Lidocaine – should be used only in ventricular fibrillation




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