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Cardio Pulmonary Resuscitation

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Cardiopulmonary Resuscitation (CPR) consists of mouth-to-mouth respiration and ... 2) Use the heel of one hand as for adults for chest compressions ... – PowerPoint PPT presentation

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Title: Cardio Pulmonary Resuscitation


1
Cardio Pulmonary Resuscitation
  • Cardiopulmonary Resuscitation (CPR) consists of
    mouth-to-mouth respiration and chest compression.
    CPR allows oxygenated blood to circulate to vital
    organs such as the brain and heart. CPR can keep
    a person alive until more advanced procedures
    (such as defibrillation - an electric shock to
    the chest) can treat the cardiac arrest. CPR
    started by a bystander doubles the likelihood of
    survival for victims of cardiac arrest.

2
Facts about CPR
  • Facts about CPR
  • Sudden cardiac arrest is the leading cause of
    death in adults. Most arrests occur in persons
    with underlying heart disease.
  • CPR doubles a person's chance of survival from
    sudden cardiac arrest
  • 75 of all cardiac arrests happen in people's
    homes.

3
Facts about CPR
  • Cardiac arrest occurs twice as frequently in men
    compared to women.
  • In sudden cardiac arrest the heart goes from a
    normal heartbeat to a quivering rhythm called
    ventricular fibrillation (VF). This happens in
    approximately 2/3rds of all cardiac arrests. VF
    is fatal unless an electric shock, called
    defibrillation, can be given. CPR does not stop
    VF but CPR extends the window of time in which
    defibrillation can be effective.

4
Facts about CPR
  • CPR provides a trickle of oxygenated blood to the
    brain and heart and keeps these organs alive
    until defibrillation can shock the heart into a
    normal rhythm.
  • If CPR is started within 4 minutes of collapse
    and defibrillation provided within 10 minutes a
    person has a 40 chance of survival.

5
Infant CPR
  • Less than 1 year

6
Infant CPR

7
Infant CPR

8
Infant CPR
  • 3. Give 2 Gentle Breaths
  • If the baby is NOT breathing give 2 small gentle
    breaths. Cover the baby's mouth and nose with
    your mouth. Each breath should be 1 second long.
    You should see the baby's chest rise with each
    breath.

9
Infant CPR
  • 4. Give 30 Compressions Give 30 gentle chest
    compressions at the rate of 100 per minute. Use
    two or three fingers in the center of the chest
    just below the nipples. Press down approximately
    one-third the depth of the chest.

10
Infant CPR
  • 5. Repeat Repeat with 2 breath and 30
    compressions. After two minutes of repeated
    cycles call 911 and continue giving breaths and
    compressions

11
Infant CPR
  • Watch the video and than break into groups of two
    and practice for 15 minutes.
  • Movie will continue to play until you click on it
    again and then hit Esc to go back to the
    presentation.

12
Child CPR 1-8 years
  • CPR for children is similar to CPR for adults.
    The compression to ventilation ratio is 302.
    There are, however, 3 differences.
  • 1) If you are alone with the child give two
    minutes of CPR before calling 911
  • 2) Use the heel of one hand as for adults for
    chest compressions
  • 3) Press the sternum approximately one-third the
    depth of the chest

13
Child CPR
  • 1. CALL Check the victim for unresponsiveness. If
    there is no response, Call 911 and return to the
    victim. In most locations the emergency
    dispatcher can assist you with CPR instructions

14
Child CPR
  • 2. BLOW Tilt the head back and listen for
    breathing.  If not breathing normally, pinch nose
    and cover the mouth with yours and blow until you
    see the chest rise. Give 2 breaths.  Each breath
    should take 1 second.

15
Child CPR
  • 3. PUMP
  • If the victim is still not breathing normally,
    coughing or moving, begin chest compressions. 
    Push down on the chest 11/2 to 2 inches 30 times
    right between the nipples.  Pump at the rate of
    100/minute, faster than once per second.
  •  

16
Child CPR
  • Pushing on the Chest
  • In general the chest should be pushed down 11/2-2
    inches. Sometimes you may hear a cracking sound.
    Do not be alarmed. The sound is caused by
    cartilage or ribs cracking. Even if this occurs
    the damage is not serious. The risk of delaying
    CPR or not doing CPR is far greater than the risk
    of a broken rib.

17
Child CPR
  • CONTINUE WITH 2 BREATHS AND 30 PUMPS UNTIL HELP
    ARRIVES NOTE This ratio is the same for
    one-person two-person CPR.  In two-person CPR
    the person pumping the chest stops while the
    other gives mouth-to-mouth breathing.

18
Child CPR
  • Review this information from the first slide
  • CPR for children is similar to CPR for adults.
    The compression to ventilation ratio is 302.
    There are, however, 3 differences.
  • 1) If you are alone with the child give two
    minutes of CPR before calling 911
  • 2) Use the heel of one hand as for adults for
    chest compressions
  • 3) Press the sternum approximately one-third the
    depth of the chest

19
Child CPR
  • Watch the video and than break into groups of two
    and practice for 15 minutes.
  • Movie will continue to play until you click on it
    again and then hit Esc to go back to the
    presentation.

20
Adult CPR
  • 1. CALL Check the victim for unresponsiveness. If
    there is no response, Call 911 and return to the
    victim. In most locations the emergency
    dispatcher can assist you with CPR instructions

21
Adult CPR
  • 2. BLOW Tilt the head back and listen for
    breathing.  If not breathing normally, pinch nose
    and cover the mouth with yours and blow until you
    see the chest rise. Give 2 breaths.  Each breath
    should take 1 second.

22
Adult CPR
  • 3. PUMP
  • If the victim is still not breathing normally,
    coughing or moving, begin chest compressions. 
    Push down on the chest 11/2 to 2 inches 30 times
    right between the nipples.  Pump at the rate of
    100/minute, faster than once per second.
  •  

23
Adult CPR
  • Pushing on the Chest
  • In general the chest should be pushed down 11/2-2
    inches. Sometimes you may hear a cracking sound.
    Do not be alarmed. The sound is caused by
    cartilage or ribs cracking. Even if this occurs
    the damage is not serious. The risk of delaying
    CPR or not doing CPR is far greater than the risk
    of a broken rib.

24
Adult CPR
  • CONTINUE WITH 2 BREATHS AND 30 PUMPS UNTIL HELP
    ARRIVES NOTE This ratio is the same for
    one-person two-person CPR.  In two-person CPR
    the person pumping the chest stops while the
    other gives mouth-to-mouth breathing.

25
Adult CPR
  • Watch the video and than break into groups of two
    and practice for 15 minutes.
  • Movie will continue to play until you click on it
    again and then hit Esc to go back to the
    presentation.

26
Complications of CPR
  • Vomiting is the most frequently encountered
    complication of CPR. If the victim starts to
    vomit, turn the head to the side and try to sweep
    out or wipe off the vomit. Continue with CPR.
  • The spread of infection from the victim to the
    rescuer is exceedingly rare. Most cardiac arrests
    occur in people's homes - relatives or friends
    will be the ones needing to do CPR. Even CPR
    performed on strangers has an exceedingly rare
    risk of infection. There is NO documentation of
    HIV or AIDS ever being transmitted via CPR.

27
Checking The Pulse
  • The pulse check is no longer taught or expected
    of laypersons. Instead, if there is no response
    after two mouth-to-mouth breaths, begin to pump
    on the chest. Please note that the pulse check is
    still expected of health care providers.

28
Conscious Adult Choking
  • Step 1.Determine if the person can speak or
    cough.If not, proceed to the next step.

29
Conscious Adult Choking
  • Step 2.Perform an abdominal thrust (Heimlich
    Maneuver) repeatedly until the foreign body is
    expelled

30
Conscious Adult Choking
  • Step 3.A chest thrust may be used for markedly
    obese persons or in late stages of pregnancy.

31
Conscious Adult Choking
  • If the adult or child becomes unresponsive
    perform CPR.if you see an object in the throat
    or mouth, remove it.

32
Choking Conscious Child - (1-8 years old)
  • Step 1.Determine if the person can speak or
    cough.If not, proceed to the next step.

33
Choking Conscious Child - (1-8 years old)
  • Step 2.Perform an abdominal thrust (Heimlich
    Maneuver) repeatedly until the foreign body is
    expelled.

34
Choking Conscious Child - (1-8 years old)
  • Step 3.A chest thrust may be used for markedly
    obese persons or in late stages of pregnancy.

35
Choking Conscious Child - (1-8 years old)
  • If the adult or child becomes unresponsive
    perform CPR.if you see an object in the throat
    or mouth, remove it.

36
Choking Conscious Infant (lt1 years old)
  • Step 1 Determine if the infant can cry or cough.
    If not, proceed to next step

37
Choking Conscious Infant (lt1 years old)
  • Step 2 Give 5 back blows.

38
Choking Conscious Infant (lt1 years old)
  • Step 3 Give 5 chest thrusts.

39
Choking Conscious Infant (lt1 years old)
  • Step 4 Repeat steps 2 3 above until effective
    or the infant becomes unconscious. If the infant
    becomes unresponsive, perform CPR- if you see an
    object in the throat or mouth, remove it.

40
Choking Conscious Infant (lt1 years old)
41
CPR Quiz
  • Click on the link below and take the quiz as a
    class
  • http//depts.washington.edu/learncpr/userquiz.html
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