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Learning Objective
Upon completion of this training program, a student
will be able to
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SKILL Objective
Correctly demonstrate how to perform external
chest compressions for adults, children, and
infants.
Correctly demonstrate how to perform rescue
breaths using a CPR mask.
Correctly demonstrate how to perform rescue
breaths using a bag-mask device.
Correctly perform a primary assessment for an
unresponsive patient.
Correctly demonstrate CPR as a single provider
for adults, children, and infants.
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prevention
Early CPR
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EMS
Rapid PALS
Intergrated
Post-cardiac
Arrest care
Not SICK
SICK
Stable
Stable
potential
potential unstable.
unstable.
UnStable
UnStable Level 1
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Level 2
Level 3
Level 4
Level 5
Resuscitative
Emergent
Urgent
Less urgent
Non-urgent
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Loss
of time
!!!
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Symptoms of cardiac
arrest
Absence of pulse on central
arteries
a pathognomonic symptom
Respiration arrest
may be in 30 seconds after
cardiac arrest
Enlargement of pupils
may be in 90 seconds after
cardiac arrest
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all cases
accompanied with
hypoxia
EXTRA CARDIAC
CARDIAC
Primary lesion of cardiac muscle leading to the
progressive decline of contractility, conductivity
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disorders, mechanical factors
CPR
A technique combining artificial
ventilation and chest compressions
designed to perfuse vital organs or
restore circulation in cardiac
standstill.
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CPR Indications
should be performed immediately on
any person who has become
unconscious and is found to be
pulseless
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Technique
ABC ?? or
CAB ??
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(CAB),
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performed by
healthcare
providers and
not by
rescuers
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Preparation
1. Position a child on a hard
surface.
2. Position a neonate or infant on a
hard surface or on the forearm of
the rescuer with the hand
supporting the head.
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Determine Responsiveness
Gently tap on shoulder and speak
loudly.
If responsive, place in position of
comfort
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Circulation 2000;102:253I--290Isil
Copyright 2000 American Heart Association
Circulation 2000;102:253I--290I-
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Copyright 2000 American Heart Association
Circulation, Circulation,
Circulation
Push hard
Push fast
INFANT CPR
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Infant CPR
Place infant on firm
surface and maintain
airway.
Place two fingers in the
middle of the sternum.
Use two fingers to
compress the chest
about 1" at a rate of
least 100/min
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CPR Infant
Compression depth:
1/3 of the depth of the chest
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Finger/Thumb
position:
lower 1/2 of the sternum
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CHILD
CPR
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Circulation 2000;102:253I--290Isil
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Minimize interruptions in
compressions
Avoid excessive ventilation
Rotate compressor every 2 minutes
If no advanced airway, 15:2
compressionventilation ratio.
If advanced airway, 8 -10 breaths
per minute with continuous chest
compressions
Drug Therapy
Epinephrine IO/IV Dose:
0.01 mg/kg (0.1 mL/kg of 1:10,000
concentration). Repeat every 2- 3
minutes.
If no IO/IV access, may give
endotracheal dose: 0.1 mg/kg (0.1
mL/kg of 1:1,000 concentration).
Amiodarone IO/IV Dose:
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Advanced Airway
Endotracheal intubation or
supraglottic advanced airway
Waveform capnography or
capnometry to confirm and monitor
ET tube placement.
Once advanced airway in place give
1 breath every 3- 6 seconds (10 -20
breaths per minute)
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AIRWAY
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Infants
Neutral head position
with chin lift
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Smaller children
Sniffing position
with chin lift
Older children/adults
Backward head tilt
with pistol grip
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Jaw thrust
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Jaw thrust
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cpr
Any question ?
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