پاورپوینت
پزشکی و سلامتپرستاری و پیراپزشکی

پاورپوینت Basic Life Support - CPR

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asic Life Support 4 CPR

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las كن اي فا * ASU basketball game * Student: You saved my child’s life * Introduce Annie Introduction

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2 Training Precautions * Do not practice on a person * Clean faces properly after each use * Alcohol * Bleach wash

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2 Not Use A Manikin If: ¢Cold or sore throat *Known positive hepatitis BorcC *Infected by HIV or AIDS ¢You have an infection

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) :)+ ری ات وت رتیل اررن + ۰ ‏را‎ is no 0 and no pulse ¢ Provides O2 to the brain until ACLS arrives

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/® ow CPR Works * Effective CPR provides 1/4 to 1/3 normal blood flow ¢ Rescue breaths contain 16% oxygen (21%)

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۱ Immediately ¢ Better chance of ‏لیات‎ ‎damage BS] any ‏طز‎ 4-6 ۰8۵ damage is certain after 10 minutes without 06028

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A Do Not Move the Victim Until CPR is Given and Qualified Help Arrives... *unless the scene dictates 0۳۱۳ ‏ع5‎ ‎~ threat of fire or explosion * victim must be on a hard surface * Place victim level or head slightly lower than body

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للك ليللا !لاحفتسا ۸/۷ ‏اادعه نک‎ ۳۹ Most Won’t Survive ۱۷۷۱۲۵ ۸5 Support) * ACLS includes& defibrillation, oxygen, drug therapy

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۲ لزن نا الات 92 4 ‎«RRAP‏ Responsivenes 5 *Tap shoulder and shout “Are you ok?”

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روجع 2 + A - Activate EMS ( if unresponsive) * YOU - call 911 - come back and let me know what they said (another can stay by the phone) * You may have to make the call #۳7

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‎VN‏ نما ‎¢P - Position on back *All body parts rolled over at the same time *Always be aware of head and spinal cord injuries *Support neck and spinal column

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“*ABCD ¢ Airway * Breathing * Circulation - Bleeding * Disability (keep this in mind from the beginning) 1 ‏ل‎ sefeoLUTM ole Leno Lot-1 ade ‏عا مه )هام ,عوونه اه‎

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۱ Signs + em AWE NY + 0 ‏مصعم‎ the airway, *Head tilt chin lit

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2 - Check For Breathing ¢ Look, listen and feel for breathing » No longer than 10 seconds seconds

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las Se mite breathing, give two breaths (1 second or I er) ‏را ری‎ eam ‏5اناولا ای‎ ¢ If the first two don’t go in, re-tilt and give two more breaths (if breaths still do not go in, suspect choking) Breathing

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Braces Mouth To Nose (when to use) *Can’t open mouth *Can’t make a good seal Severely injured mouth *Stomach distension *Mouth to stoma لواف 111

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las ¢ After giving breaths... * Locate proper hand position for chest compressions » Place heel of one hand on center of chest between the nipples Compressions

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las * Using both hands, give 30 chest compressions bak Oo) 010 eee * Depth of compressions: 1.5 to 2 inches * ‏مغ كا بتمععلائطء ممع‎ 1/3 015 chest depth and use 1 or 2 hands (keep one hand on forehead if possible) Compressions

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7 ¢ After 30 chest compressions ۸ ¢2 slow breaths ¢ Continue until help arrives or victim recovers ۰۱۲ ۱۳۱6 ۷۱۵۲ ۵۲5 moving: check breathing

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/*When Can I Stop CPR? ۱۷۱6۱۳ ۲۵۷۱۷۵ Trained help arrives درا ت۱۰ 6 ۱۱۱5۵۲6 Physician directed (do not resuscitate orders) * Cardiac arrest of longer than 30 Pt} * (controversial) و و هو هو ‎٠‏

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72 to Stop CPR ¢ Victim revives * Replaced by another ‏وتو‎ ‎*Too exhausted ۳ 8 ae ۳۳ ‏سرهم‎ ‏7ب(‎ oer

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Two 2011-7 5 CPR ۶ ۳65۵06 1: * RAPAB ٠ ‏اعناعوع85‎ 2: * ‏ععقام‎ hands for compressions * Compression rate: 30:2 * Switch off when tired * Land 2.....4 and change

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2 for CPR Effectiveness * Does chest rise and fall with rescue breaths? * Have a second rescuer check pulse while you give compressions

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aati CPR May Fail * Delay in starting * Improper procedures (ex. Forget to pinch nose) * No ACLS follow-up and delay in defibrillation » Only 15% who receive CPR live to go home » Improper techniques * Terminal disease or unmanageable disease (massive heart attack)

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Injuries Related to CPR و۵۱۱۰ ¢Laceration related to the tip of the sternum Liver, lung, spleen

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۱2 ٩ 0 ‏ی وه‎ CPR *Vomiting * Aspiration * 2۱۵ ۷ ‏وه صن‎ ۱۵۴ 6 *Wipe vomit from mouth with fingers wrapped in a cloth *Reposition and resume CPR

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2 4 Distension «Air in the stomac * Creates pressure against the lungs ¢ Prevention of Stomach Pees) » Don’t blow too hard * Slow rescue breathing * Re-tilt the head to make sure the airway is open * Use mouth to nose method

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A an to Mouth Barrier Devices 4ت علي ف لته

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2 aid You Are Afraid to Perform CPR * Call EMS * Open the airway ¢ Give chest compressions

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/® choking * The tongue is the most common obstruction in the unconscious victim (head tilt- chin lift) * Vomit * Foreign body * Balloons * Foods * Swelling (allergic reactions/ irritants) * Spasm (water is inhaled suddenly)

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72 Choking * Can you hear breathing or coughing sounds? * High pitched breathing sounds? * Is the cough strong or Weel @ * Can't speak, breathe or cough ¢ Universal distress signal (clutches neck) ¢ Turning blue

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/*Recognizing Choking #2 oa ey laste hy obstruction with poor air exchange should be treated as if it were a complete airway blockage. *If victim is coughing strongly, do not intervene

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Conscious Choki NG (Adult Foreign Body * Give/SvabdOmitvalcticusts (Heimlich maneuver) » Place fist just above the umbilicus (normal size) » Give 5 upward and inward thrusts * Pregnant or obese? 5 chest thrus baa ‏ای تست‎ ۱ tere aen Tego PIC Vaart area om sR ۲ * Continue until successful or victim becomes unconscious

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۸۷۲ You Are Choking And You Are Alone ¢Use fist ¢Use corner of furniture Be creative

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If Victim Becomes “és Wieonee ole After Giving Thrusts ¢ Call 911 * Try to support victim with your knees while lowering victim to the floor در و ‎Begin CPR‏ * * After chest compressions, check for object before giving breaths breaths

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‎Enter An Empty‏ هم ‎oom And Find An‏ ‎Unconscious Victim‏ ‎On The Floor‏ ‎What do you do?‏ ¢ ‎Assess the victim (RAPABC)‏ * ‎Give CPR if needed‏ * ‎After giving compressions:‏ » ‎look for object in throat‏ * ‎then give breaths‏ *

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۸/۷ for Infants (Under 1 Year of Age) * Same procedures ۱۱3۱۵۱۰۱-2 ۹ ‏زره‎ * Seal nose and mouth or nose only * Give shallow “puffs” oa

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3 CPR: Infants « RAPAB * Give CPR * Press sternum 1/2 to 1/3 ‏عط 5ه طاأمرعك‎ ‏تزرت‎ ۲ 1 * Use middle and ring finger * 30 compressions to 2 ¢ If alone, resuscitate for 2 minutes then call 911

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۸/۷ ۵۰ Conscious ۷ ‏وم‎ [8 head downward ¢5 back blows (check for expelled object) ¢5 chest thrusts (check for expelled object) * Repeat

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:09 هزر ‎Unconscious‏ 2 ae Tale unconscious: 4 AVS} * When the first breaths don’t go in, check for object in throat then try 2 more (2 ۰ * If neither set of breaths goes in, suspect choking * Begin 30 compressions * Check for object in throat (no blind finger sweep) * Give 2 breaths

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توت ۰ 5000 06۲ ۲ « Affects more males than females * No know cause * No indication of problem ¢ Usually occurs during the sleep during first 6 months of life ¢ Place baby on back (now, side) ¢ Avoid “fluffy” blankets etc.

Basic Life Support CPR Introduction     Mr. K ASU basketball game Student: You saved my child’s life Introduce Annie CPR Training Precautions Do not practice on a person  Clean faces properly after each use   Alcohol  Bleach wash Do Not Use A Manikin If:  Cold or sore throat  Known positive hepatitis B or C  Infected by HIV or AIDS  You have an infection CPR   Combines rescue breathing and chest compressions Revives heart (cardio) and lung (pulmonary) functioning   Use when there is no breathing and no pulse Provides O2 to the brain until ACLS arrives How CPR Works Effective CPR provides 1/4 to 1/3 normal blood flow  Rescue breaths contain 16% oxygen (21%)  Start CPR Immediately  Better chance of survival  Brain damage starts in 4-6 minutes  Brain damage is certain after 10 minutes without CPR Do Not Move the Victim Until CPR is Given and Qualified Help Arrives…  unless the scene dictates otherwise  threat of fire or explosion  victim must be on a hard surface  Place victim level or head slightly lower than body Even With Successful CPR, Most Won’t Survive Without ACLS   ACLS (Advanced Cardiac Life Support) ACLS includes defibrillation, oxygen, drug therapy Survey The Scene, then:  RRAP Responsivenes s  Tap shoulder and shout “Are you ok?” RAP  A - Activate EMS ( if unresponsive)   YOU - call 911 – come back and let me know what they said (another can stay by the phone) You may have to make the call RAP P - Position on back  All body parts rolled over at the same time  Always be aware of head and spinal cord injuries  Support neck and spinal column ABCD     Airway Breathing Circulation - Bleeding Disability (keep this in mind from the beginning)  If victim is unconscious but does display vital signs, place on left side Checking Vital Signs A – Airway  Open the airway  Head tilt chin lift B – Check For Breathing  Look, listen and feel for breathing  No longer than 10 seconds seconds Breathing  If the victim is not breathing, give two breaths (1 second or longer)    Pinch the nose Seal the mouth with yours If the first two don’t go in, re-tilt and give two more breaths (if breaths still do not go in, suspect choking) Breathing: Mouth To Nose (when to use)  Can’t open mouth  Can’t make a good seal  Severely injured mouth  Stomach distension  Mouth to stoma (tracheotomy) Compressions   After giving breaths… Locate proper hand position for chest compressions  Place heel of one hand on center of chest between the nipples OR Compressions  Using both hands, give 30 chest compressions  Count 1, 2, 3 … Depth of compressions: 1 .5 to 2 inches  For children: ½ to 1/3 of chest depth and use 1 or 2 hands (keep one hand on forehead if possible)  CPR After 30 chest compressions give:  2 slow breaths  Continue until help arrives or victim recovers   If the victim starts moving: check breathing When Can I Stop CPR?       Victim revives Trained help arrives Too exhausted to continue Unsafe scene Physician directed (do not resuscitate orders) Cardiac arrest of longer than 30 minutes  (controversial) When to Stop CPR Victim revives  Replaced by another rescuer  Too exhausted   Trucker  Two Partner CPR Rescuer 1:   Rescuer 2:     RAPAB place hands for compressions Compression rate: 30:2 Switch off when tired 1 and 2…..4 and change Checking for CPR Effectiveness Does chest rise and fall with rescue breaths?  Have a second rescuer check pulse while you give compressions  Why CPR May Fail    Delay in starting Improper procedures (ex. Forget to pinch nose) No ACLS follow-up and delay in defibrillation    Only 15% who receive CPR live to go home Improper techniques Terminal disease or unmanageable disease (massive heart attack) Injuries Related to CPR  Rib fractures  Laceration related to the tip of the sternum  Liver, lung, spleen Complications of CPR  Vomiting  Aspiration  Place victim on left side  Wipe vomit from mouth with fingers wrapped in a cloth  Reposition and resume CPR Stomach Distension  Air in the stomach Creates pressure against the lungs Prevention of Stomach Distension       Don’t blow too hard Slow rescue breathing Re-tilt the head to make sure the airway is open Use mouth to nose method Mouth to Mouth Barrier Devices   Masks Shields If You Are Afraid to Perform CPR Call EMS  Open the airway  Give chest compressions  Choking    The tongue is the most common obstruction in the unconscious victim (head tilt- chin lift) Vomit Foreign body     Balloons Foods Swelling (allergic reactions/ irritants) Spasm (water is inhaled suddenly) How To Recognize Choking  Can you hear breathing or coughing sounds?      High pitched breathing sounds? Is the cough strong or weak? Can’t speak, breathe or cough Universal distress signal (clutches neck) Turning blue Recognizing Choking #2 A partial airway obstruction with poor air exchange should be treated as if it were a complete airway blockage.  If victim is coughing strongly, do not intervene  Conscious Choking (Adult Foreign Body  Airway Obstruction ) Give 5 abdominal thrusts (Heimlich maneuver)  Place fist just above the umbilicus (normal size)  Give 5 upward and inward thrusts Pregnant or obese? 5 chest thrusts     Fists on sternum If unsuccessful, support chest with one hand and give back blows with the other Continue until successful or victim becomes unconscious If You Are Choking And You Are Alone  Use fist  Use corner of furniture  Be creative If Victim Becomes Unconscious After Giving Thrusts  Call 911  Try to support victim with your knees while lowering victim to the floor Assess Begin CPR After chest compressions, check for object before giving breaths breaths    You Enter An Empty Room And Find An Unconscious Victim On The Floor   What do you do? Assess the victim (RAPABC) Give CPR if needed  After giving compressions:  look for object in throat  then give breaths  CPR for Infants (Under 1 Year of Age)     Same procedures (RAPAB) except: Seal nose and mouth or nose only Give shallow “puffs”   RAPAB Give CPR     CPR: Infants Press sternum 1/2 to 1/3 depth of the chest Use middle and ring finger 30 compressions to 2 If alone, resuscitate for 2 minutes then call 911 Choking: Conscious Infants  Position with head downward  5 back blows (check for expelled object)  5 chest thrusts (check for expelled object)  Repeat Choking: Unconscious Infants  If infant becomes unconscious:       RAPAB When the first breaths don’t go in, check for object in throat then try 2 more breaths. If neither set of breaths goes in, suspect choking Begin 30 compressions Check for object in throat (no blind finger sweep) Give 2 breaths SIDS        5000 per year Affects more males than females No know cause No indication of problem Usually occurs during the sleep during first 6 months of life Place baby on back (now, side) Avoid “fluffy” blankets etc.

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