about basic skills in CPR ( cardiopulmonary resuscitation

1. Adult Basic Life Support (BLS )
of
Cardiopulmonary Resuscitation (CPR)
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2. Our job includes:
(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

3. (1.)Look for Safety
-Before approaching the victim, the rescuer
must ensure that the scene is safe
- See your surroundings carefully .Make
sure that you are not going to be
responsible incase the patient dies.

4. (2.) Check for Response
Tap the victim on the
shoulder. And ask
him 2 questions:
“Are you all right?”
“Can you hear me?”

5. (3.) Call for help

6. -Dial Phone number 911,120
-Inform your location
-Tell What has happened
-Tell to bring defibrillator and medicines

7. (4.)Airway
Head tilt-chin lift
*Place one hand on the victim’s forehead and
push with your palm to tilt the head back
*Place the fingers of the other hand under the
bony part of the lower jaw near the chin
*Lift the jaw to bring the chin forward
Jaw thrust

8. Head tilt-
chin lift

10. (5.)Breathing
-Look
-Listen
-Feel
-Total time : 5-10 seconds

12. Give Rescue Breaths
Give 2 rescue breaths
Each over 1 second
Produce visible chest rise
Mouth-to-mouth/nose/barrier device
Bag-mask ventilation
Advanced airway

16. Mouth to mask

17. Ventilation with bag and mask

19. Cricoid pressure

20. (6.) Check Carotid Pulse
-Check for 5 to 10 seconds

21. Checking carotid
pulse

22. (7.) 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

23. Compression-Ventilation Ratio
-If the patient is adult the ratio shoul
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

24. Chest Compression

25. -Your hand
-You should
compress
should be
the lower middle perpendicular
Of the victim’s to the chest
chest wall of the
wall victim

26. -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.

27. Recovery Position
Unresponsive adult victims who have normal
breathing and effective circulation
Maintain a patent airway
Reduce the risk of airway obstruction and
aspiration

28. Recovery Position

29. (8.)Automated External Defibrillator
( AED )
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

30. Relationship between survival and interruption of shock
in victims VF SCA

31. Use of AED
Power on the AED and follow voice prompt
Attach the adhesive pads to the bare skin of the
victim’s chest
Allow the AED to analyze the victim’s rhythm
Deliver a “shock” if needed
If no shock is needed and after any shock
delivery, resume CPR beginning with chest
compression

34. Roadmap:
-Defibrillate with 200
joules
-Defibrillate with 200-300
joules
-Establish IV access,
intubate
-Adrenaline 1 mg push
-Defibrillate with 360
joules
-Lidocaine 1 mg/kg IV, ET
-Defibrillate with 360
joules

36. (9.)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

37. io