RESSUSCITAÇÃO

CARDIOPULMON
AR

Ivo Queiroz Costa Neto

INTRODUÇÃO
INTRODUÇÃO
O que é uma Parada Cardiorrespiratória(PCR) ?

O que é Ressuscitação Cardiopulmonar(RCP) ?

Como Identificar uma PCR ?
Sem Respiração
ou Inconsciente
“Gasping”

Ausência de Pulso*

1º  2º 3º

Verificar consciência Verificar Respiração Verificar Pulso*

RESSUSCITAÇÃO
CARDIOPULMONAR
ADULTA
 BASIC LIFE SUPPORT(BLS)
1º- Garantir segurança
do local
2º-Checar
responsividade
3º-Chamar
ajuda/emergência
4º-Buscar o DAE

5°-Se sinais de PCR estão

presentes, então inicie RCP.
ADVANCED CARDIAC LIFE
SUPPORT(ACLS)
 O ACLS da PCR se
baseia em 5 pilares:
 RCP

 Desfibrilação

 Drogas vasoativas e não

vasoativas

 Tratamento de causas
reversíveis

 Monitorizção
 ABRINDO A VIA AÉREA
Recommendations for Opening the Airway

COR LOE Recommendations

1. A healthcare
provider should use
 Utilizar manobra head tilt-chin the head tilt–chin lift
maneuver to open
lift 1 C-EO
the airway of a
patient when no
cervical spine injury
 Em pacientes com trauma de is suspected.

pescoço e/ou cabeça deve-se 2. The trained lay

utilizar manobra Jaw thrust rescuer who feels
confident in
sem extenção da cabeça performing both
compressions and
ventilation should
1 C-EO
open the airway
using a head tilt–
chin lift maneuver
when no cervical
spine injury is
suspected.
 PADRÕES DE QUALIDADE PARA RCP Recommendations for Positioning and Location for CPR
COR LOE Recommendations
1. When providing
chest
 Mãos sobrepostas no centro compressions, the
rescuer should
do peito e na região inferior place the heel of
one hand on the

do esterno 1 C-LD
center (middle) of
the victim’s chest
(the lower half of
the sternum) and
the heel of the
other hand on top
of the first so that
the hands are
overlapped.
2. Resuscitation
should generally
be conducted
where the victim is
found, as long as
1 C-EO
high-quality CPR
can be
administered safely
and effectively in
that location.
 PADRÕES DE QUALIDADE PARA RCP

 Pausa pré e pós choque o mais curta possível

 Não mais que 10 segundos para aferir pulso

 Trocar o salvador a cada 2 min de RCP

 2 Ventilações a cada 30 compressões

 5 cm de profundidade para cada compressão do peito até 6 cm

 Padrão de compressões igual 100 ou 120 por min

PADRÕES DE QUALIDADE PARA RCP

 Não se apoiar no peito da vítima

 Tempo de rebote e compressão devem ser

aproximadamente iguais

 Ventilação boca a boca ou por máscara

Ambu caso não haja via aérea avançada.
 SITUAÇÕES HIPOTÉTICAS

 Vítima de PCR em posição prona com

impossibilidade de correção

 Vítima de PCR com região oral inacessível

 Paciente com Traqueostoma em PCR

SITUAÇÕES HIPOTÉTICAS
COR LOE Recommendations

1. It is reasonable
4. When the for a rescuer to use
victim cannot be mouth-to-nose
placed in the ventilation if
supine position, 2a C-LD
ventilation through
it may be the victim’s mouth
reasonable for is impossible or
rescuers to impractical.
provide CPR
2b C-LD
with the victim in
the prone
2. For a victim with
position, a tracheal stoma
particularly in who requires
hospitalized rescue breathing,
patients with an either mouth-to-
advanced airway 2b C-EO
stoma or face mask
in place. (pediatric
preferred)– to–
stoma ventilation
may be reasonable.
RESSUSCITAÇÃO
CARDIOPULMONAR
PEDIÁTRICA
 ESPECIFICIDADES DA RCP
 Profundidade das compressões = 4 cm em
infantes e 5 cm em crianças

 Razão de compressão/respiração razão de 2

ventilações à cada 15 compressões*

 Se possível ventilar com

oxigênio à 100%
 ESPECIFICIDADES DA RCP

 Técnina das compressões

 Comprimir o esterno
com 2 dedos ou com
dois polegares abaixo
da linha intermamilar
REFERÊNCIAS

● https://cpr.heart.org/en/resuscitation-science/cpr-
and-ecc-guidelines/adult-basic-and-advanced-
life-support

● https://cpr.heart.org/en/resuscitation-science/cpr-
and-ecc-guidelines/pediatric-basic-and-advanced-
life-support
EXPANSION
First Stage
Mercury is the closest
planet to the Sun

Second Stage
Despite being red, Mars is
actually cold

Third Stage
Neptune is the farthest
planet from the Sun
DISCUSSION

“Mercury is the closest “Despite being red, Mars “Venus has a beautiful
planet to the Sun and is actually a cold place name and is the second
the smallest” full of iron oxide dust” planet from the Sun”

—Dr. Doe —Dr. Smith —Dr. Jones

DISCUSSION SUMMARY

Venus has a beautiful name and is the

second planet from the Sun. It’s terribly
hot—even hotter than Mercury
COMPARISON

Jupiter Venus Mars

No Yes Yes

Yes No No

No No Yes
DIAGNOSIS

Mercury is the closest Venus has a beautiful Despite being red, Mars
planet to the Sun name, but it’s hot is actually a cold place

Earth is the beautiful Jupiter is the biggest Neptune is the farthest

planet we all live on planet of them all planet from the Sun
TREATMENT

Mercury
Mercury is the closest
planet to the Sun

Mars Neptune
Despite being red, Mars Neptune is the farthest
is actually a cold place planet from the Sun
PATIENT MONITORING
Week 2
Week 1
Mercury is the closest planet to the Sun

Week 3
Week 2
Week 1
Despite being red, Mars is actually cold

Week 3
It is the farthest planet from the Sun
To modify this graph, follow the link,
change the data and paste the new graph
here
AWESOME
WORDS
CONTRAINDICATIONS &
INDICATIONS
● Here you can describe a reason
to stop the treatment
● Here you can describe a reason
to stop the treatment
● Here you can describe a reason
to stop the treatment
● Here you can describe a reason
to stop the treatment
● Here you can describe a reason
to start the treatment
● Here you can describe a reason
to start the treatment
● Here you can describe a reason
to start the treatment
● Here you can describe a reason
to start the treatment
PROTOTYPE

You can replace the image on the

screen with your own work. Right-click
on it and then choose “Replace image”
so you can add yours
POST-PREVENTION

Mercury
Mercury is the closest planet to the Sun

Mars
Despite being red, Mars is actually a cold place

Neptune
Neptune is the farthest planet from the Sun
CASE TIMELINE
Week 1 Week 3
Mercury is the closest Despite being red,
planet to the Sun Mars is actually cold

Week 2 Week 4
Neptune is the farthest Jupiter is the biggest
planet from the Sun planet of them all
 35,000,000
Big numbers may help you catch your audience’s attention
CONCLUSIONS

Venus has a beautiful name and is the

second planet from the Sun. It’s terribly hot—
even hotter than Mercury

● Here you can describe what each of your conclusions are

● Here you can describe what each of your conclusions are
● Here you can describe what each of your conclusions are
● Here you can describe what each of your conclusions are
● Here you can describe what each of your conclusions are
“Venus has a beautiful name and is the
second planet from the Sun. It’s terribly
hot—even hotter than Mercury”

—SOMEONE FAMOUS
OUR TEAM

Jane Doe Nick Smith

Here you could describe Here you could describe
your team member your team member
THANKS!
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