A presentation on cardiopulmonary resuscitation

1. Cardiopulmonary resuscitation Dr.V.Ravimohan What I learned in the ILS training http://www.mrcogexam.net

4. Medical emergency team calling criteria Acute change in Physiology Airway Threatened Breathing All respiratory arrests Respiratory rate < 5/ min Respiratory rate >36/min Circulation All cardiac arrests Pulse rate <40/min Pulse rate > 140/min Systolic pressure <90 mmHg Neurology Sudden decrease in level of consciousness Decrease in GCS of > 2 points Repeated or prolonged seizures Other Any patient causing concern who doesn’t fit the above criteria

20. Shock able Rhythm

21. 3 possibilities

22. VT/VF persists

23. VF/VT still persists

29. Treatment for PEA

33. Treatment for asystole and slow PEA(rate <60 min -1 )

34. During CPR

35. Reversible causes 4H 4T Hypoxia Tension pneumothorax Hypovolaemia Tamponade,cardiac Hypo/Hyperkalaemia/metabolic Toxins Hypothermia Thrombosis

36. 4 H Hypoxia 100% oxygen Ensure adequate chest rise & bilateral breath sounds Hypovolaemia Crystalloid/Colloid Surgery Hyperkalaemia 12 ECG may help in the diagnosis Check for hypoglycaemia Hypothermia

37. 4T Tension pneumothorax May be a complication of inserting central venous catheter Signs: decreased air entry decreased expansion hyperresonance percussion on affected side Do: needle thoracocentesis Tamponade cardiac Cardiac arrest after penetrating chest trauma 2 reasons:A.hypovolaemia B.cardiac tamponade Do: needle pericardiocentesis or resuscitative thoracotomy Toxins Thrombosis Consider thrombolytic therapy