CARDIO PULMONARY RESUSCITATION
It is an emergency lifesaving procedure performed when the heart stops beating. It is a technique of
basic life support for oxygenating the brain and heart until appropriate, definitive medical treatment can
restore normal heart and ventilator action.
PURPOSE:
To maintain an open airway and clear airway
To maintain breathing
To maintain blood circulation
To save the life of patient
To provide basic life support
INDICATIONS:
Heart Attack
Accidental Conditons
Pulse less electrical activity
Respiratory arrest
- Drowning
- Stroke
- Foreign body in throat
- Smoke inhalation
- Suffocation
- Accident or injury
- Coma
- Paralysis
PROCEDURE:
CPR had two types
1. Basic life support: its will be managed for the hospitals
2. Advance life support: its will be managed for the ambulance services, outside of hospitals.
Management of CPR:
A- Airway
B- Breathing
C- Circulation
D- Defibrillation
POSITIONING
CHECK RESPONSE
CHECK FOR ABC
CORRECT POSITION
XIPHOID STERNUM
3 CYCLES OF CPR
CALL 108
30 CHEST COMPRESSIONS
2 RESCUE BREATHS
1. Watch the response of patient and observe the patient condition.
2. Shake shoulders ask “Are you all right?” if he responds
- Leave as you find him.
- Find out what is wrong
- Reassess regularly
3. POSITIONS OF PATIENT
- Supine position: This position is used for the checking of ABC
- Lateral position: Any obstructions can occur into chest region
or airway you can administer the lateral position
- Semi fowlers Position: Person suffering with breathing
difficulty you advice this position
- Head tilt and chin lift: this position is CPR Position
- No need for finger sweep
4. Check ABC
- Look, listen and feel for normal breathing
- Do not confuse agonal breathing with normal breathing
- Hearing the any google sounds wheezing sounds coming or not to the person airway
- Check the circulation it means carotid pulse
5. Call to ambulance use of dialer 108
6. 3 Cycles of CPR (30:2)
- Place the heel of one hand in the centre of the chest
- Place other hand on top
- Interlock fingers
- Give the compression within 2 minutes
- If one rescuer breathing administer 30
compressions(30:2)
- After finishing 30 compressions immediately can give 2
breaths
- If two rescuer CPR is administer apply 15 compressions
in one breathing (15:1)
- After finishing cycle check ABC, If person condition is
normal stop the 2nd cycle of CPR
- The Person condition is danger again doing 2nd cycle CPR 30:2 or 15:1
- The person not cure the 2nd cycle it applied to 3rd cycle either 30:2 or 15:1
- After finishing the 3 cycles of CPR the person not cured automatically administered the defibrillation
7. Rescue breaths
- Pinch the nose
- Place lips over mouth ( Mouth to Mouth Breathing)
- Ambu Bag Breathing
8. Defibrillation:
Defibrillation is the use of an electrical current to
help heart return to a normal rhythm.
- Place one electrode to the right of the patient’s
sternum (patient’s right), just below the clavicle.
- Place the other electrode just below and to the left of
the patient’s left nipple, along the anterior-axillary
line.
- Continue CPR while preparing defibrillator.
- Turn Defibrillator on and ensure dial is set to "Defib".
- Confirm the default charge is 200 joules.
- 3 cycle of Defibrillation joules:
1st shock 200-250 Joules
2nd shock 250- 300 Joules
3rd Shock 300-400 Joules
- Charge the pads. The paddles can be charged using the "Charge" button on the front of the monitor.
- If patient is in VT/VF, proceed to deliver the next shock (as above) at 200 Joules
- Resume CPR after completion of the shock
9. The Person is not responding for the CPR and Defibrillation doctor can declare to death.
MEDICAL MANAGEMENT
- Adrenaline
- Atropine
- Amiodarone
- Normal saline
- Oxygen administration
