1 NEW 2010 BLS FOR HEALTHCARE WORKER OK.pptx

7/28/2019 1 NEW 2010 BLS FOR HEALTHCARE WORKER OK.pptx

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Adult Basic Life Support forthe Health Care Worker

Philippine Heart Association, Inc.

Council on Cardio Pulmonary Resuscitation

A Full Member of the

The Asian Representative of

Based on the New 2010 CPR Guidelines of the AHA and ILCOR


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Sudden Cardiac Arrest A Health Burden

Approximately 50% of deaths from

cardiovascular disease occur as SUDDEN

CARDIAC ARREST.

Sudden Cardiac Arrest is the most

common mode of death in patients with

coronary artery disease.


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Almost 80 percent o f out-of-ho sp i tal

card iac arrestsoccurat homeand are

witnessed by a family member.

Only 4-6 % of sudden cardiac arrest

v ic t ims su rv ivebecause majority of those

witnessing the arrest do not know how to

perform CPR .

American Heart Association

Health Burden of Sudden Cardiac Arrest


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Sudden Cardiac Arrest

Unpredictable and can happen to anyone,

anywhere, at any t ime

Risk increases with age

Pre-existing heart disease is a common cause

May strike people with no history of cardiac diseaseor cardiac symptoms


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Effective CPR

done

immediately

after cardiac

arrest candouble a

victims chance

of survival.


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If sudden cardiac death occurs outside the

hospital setting, cardiopulmonary resuscitation

(CPR) must begin within 4 to 6 minutes andadvanced life support measures must begin

within 8 minutes, to avoid brain death.


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Objectives of this Presentation

To increase awareness and knowledge

on Basic Cardiopulmonary

Resuscitation (CPR) as a life-saving

procedure for victims of sudden cardiacarrest.

To demonstrate the different steps and

techniques of CPR.


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What is C P R ?

CPR = Card io -

PulmonaryResusci tat ion


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The NEW Chain of Survival

Early access: immediate recognition and activation

Early CPR

Early defibrillation

Early advanced care

Integrated post-

cardiac arrest care


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A well-informed lay person

- key in the early access

link.

Recognition of signs ofheart attack and

respiratory failure

Call for help immediately if

needed Activate the Emergency

Medical System

The First Link- Early Access


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EARLY WARNING SIGNS OF

HEART ATTACK prolonged compressing

pain or unusualdiscomfort in the centerof the chest

may radiate to shoulder,arm, neck or jaw,usually on the left side

may be accompanied by

sweating, nausea,vomiting and shortnessof breath


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EARLY WARNING SIGNS OFRESPIRATORY FAILURE

unable to speak,

breath or cough

clutches neck

(universal

distress signal)

bluish color ofskin and lips


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Life saving techniquefor cardiac & respiratory

arrest

Chest compressions +/-Rescue breathing

Lay persons and

medical personnel

Second Link - Early CPR


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Why is early CPR important?

CPR is thebesttreatment for cardiacarrest un t i l the arr ival of ACLS care.

prevents VF from deteriorating to

asystole

may increase the chance of

defibrillation It significantly improves survival.


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Brain(Cerebral)

Heart(Cardiac)

Lungs(Pulmonary)

How does CPR work?

All the living cells of our

body need a steady

supply of oxygen tokeep us alive.

During CPR, you can breathe air into

the victims lungs to provide oxygeninto the blood.

When you press on the chest, you moveoxygen - carrying blood through thebody.


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When will you do CPR?

AS SOON AS POSSIBLE!

Brain cel ls beg in to d ie after

4-6 m inu tes w ithout oxygen.


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Who may learn about CPR?

CPR is an easy and life saving

procedure and can be learned by

anyone.

One does not need to be a doctor to

learn how to do CPR.


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THE TECHNIQUE AND STEPSIN CPR

IF YOU WITNESS A

CARDIAC ARREST


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CHECKAREA

SAFETY.

Surveythe scene.

Seeif the scene is safe to do CPR.

Get an idea of what happened.

CHECKUNRESPONSIVENESS.

Tap or gent ly shakethe vict im

Rescuer shoutsAre you OK?

Quick check for normal breathing

If the v ic t im is un cons c ious,

rescuercal ls for help.

CALL FORHELP:Ambulance,

Emergency Services,

Doctor

RescuerACTIVATESthe

EMERGENCY MEDICAL

SERVICES.

GetAED/Defibri l lator!


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NON-RESPONSIVE,

NO NORMAL BREATHING


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PULSE CHECK

Palpate for Carotid Pulse

within 10 seconds

(at the same timeCHECK FOR

BREATHING)

For trained healthcare

providers only


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Do Mouth to Mouth

Breathing

Give one breath every

5-6 secs (about 12

breaths/min)

Recheck pulse every 2

minutes

If with definite pulsebut no breathing


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MOUTH TO MOUTH BREATHING

and PULSE CHECK Deemphasized in the new guidelines

For trained healthcare providers only

As short and quick as possible

Pulse check not more than 10 seconds

If unsure, proceed directly to CHEST

COMPRESSIONS!


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C A BC. COMPRESSION Do chest

compressions firstA. AIRWAY Does the victim have an

open airway (air passage

that allows the victim tobreathe)?

B. BREATHING Is the victim breathing?

Afterdetermining unconsciousness,


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After determining unconsciousness

and calling for help,proceed immediately to do

CHEST

COMPRESSIONS!

C COMPRESSION(to assist CIRCULATION)


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Chest Compressions

Kneel facing

victims chest

Place the heel of

your hand on thecenter of the victim's

chest. Put your other

hand on top of the

first with your

fingers interlaced.


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Place the

heel of one

hand on the

sternum in

the center ofthe chest

between the

nipples and

then place

the heel ofthe second

hand on top

of the first so

that the

hands are

overlapped

and parallel.

Chest Compressions


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Give 30 Compressions Compress breastbone at least 2

inches

(30 compressions should take 15-18sec)

Count aloud 1, 2, 3, 4,

5,6,7,8,9,10,11,12,13,14,15,16,17,1

8,19,20,21,22,23,24,25,26,27,28,29,

and ONE!

Minimize interruptions

Allow recoil after each compression


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A - AIRWAYOpen the Airway:

Use the head tilt/chin

lift method Place one hand on

the victims forehead

Place fingers of otherhand under the bonypart of lower jawnear chin

Tilt head and lift jaw--avoid closingvictims mouth


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Head Tilt Chin Lift Maneuver

This maneuver prevents airway obstruction

by the epiglottis.


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B - BREATHINGGive 2 one-secondbreaths

Maintain airway

Pinch nose shut

Open your mouth

wide, take a normal

breath, and make atight seal around

outside of victims

mouth

Give 2 full breaths(1 sec/ breath)

Observe chest rise &

fall; listen & feel for

escaping air


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PULSE CHECK

RECHECK PULSE EVERY 2 MINUTES(equivalent to 5 cycles CPR)

Very brief pulse check should take

less than 10 seconds (at the same timecheck for normal breathing)

In case there is any doubt about the

presence or absence of pulse,CONTINUE CHEST COMPRESSIONS

For trained healthcare providers only


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UNTIL

HELP ARRIVES.(Emergency Services, Ambulance, Doctor, AED)

PERSON IS REVIVED.

f h i i i b hi


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If the victim is breathing

The unresponsive victim with spontaneous

respirations should be placed in the recoveryposition if no cervical trauma is suspected.

Placement in this position consists of rolling the

victim onto his or her side to help protect the

airway.

Maintain open airway & position the victim

THE RECOVERY POSITION

Summary of Key BLS Components for Adults and Children


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Maneuvers Adults Children

RECOGNITION UNRESPONSIVE

No breathing,

not breathing normally (eg. only gasping)

No breathing or only gasping

CPR Sequence CAB CAB

Compression Rate At least 100/min

Compression Depth At least 2 inches (5 cm) At least 1/3 AP depth; About 2 inches

Chest wall Recoil Allow complete recoil between compressions

HCPs rotate compressors every 2 minutes

Compressioninterruptions

Minimize interruptions in chest compressions

Attempt to limit interruptions to less than 10 seconds

Airway Head tilt chin lift (HCP suspected trauma: jaw thrust)

Compression-Ventilationratio

30 : 2 (one or 2 rescuers) 30:2(single rescuer); 15:2(2 rescuer)

Ventilations: when rescuer

untrained or trained andnot proficient

Compressions only Compressions only

Ventilations withadvanced airway (HCP)

1 breath every 6-8 seconds (8-10 breaths/min)

Asynchronous with chest compressions

About 1 second per breath

Visible chest rise

DEFIBRILLATION ( AED ) Attach and use AED as soon as available. Minimize interruptions in chest

compressions before and after shock, resume CPR beginning with compressionsimmediately after each shock

Summary of Key BLS Components for Adults and Children


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Compression-only bystander CPR

Hands Only CPR


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Recommendations: All victims of cardiac arrest should receive

high-quality chest compressions

When an adult suddenly collapses, all

bystanders should activate their community

EMS and provide high-quality chestcompressions, minimizing interruptions

(Class I).

Hands Only CPR


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Recommendations: If not trained in CPR, provide hands-only

CPR (Class IIa) until

AED arrives EMS providers take over care of the victim

If trained in CPR, provide eitherconventional CPR using a 30:2

compression-to-ventilation ratio (Class

IIa) or handsonly CPR (Class IIa)

Hands Only CPR


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K Ch i th N G id li


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Key Changes in the New Guidelines

CAB instead of ABC

Compress first No more Look Listen and Feel

Harder! At least 2 inches compression (old: 1 to 2inches)

Faster! At least 100/min compression (old: up to100/min)

Deemphasize pulse checks

For trained healthcare providers not more than 10 secs Check for normal breathing together with check for

unresponsiveness

Hands only CPR for the untrained lay rescuer

I t t P i t


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Important Points There are no mistakes when you perform CPR.

The only harm is to delay responding.Start chest compressions now viewed as the mosteffective procedure

All victims in cardiac arrest need chest compressions.

Don't stop pushing.

Keep pushing as long as you can. Push until the AED is in

place and ready to analyze the heart. When it is time to do mouth

to mouth, do it quick and get right back on the chest.

80-90% of cardiac emergencies occur at home.

Training is now simpler and more accessible

Reduced number of steps and simplified process


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Being trained to do CPR can save a

loved one.

Effective CPR done immediately after

cardiac arrest can double a victims

chance of survival.


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LEARN CPR TODAY!INQUIRE FROM THE PHILIPPINE HEART ASSOCIATION!www.philheart.org


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If you want know more about Sudden Cardiac

Arrest and CardioPulmonary Resuscitation,

contact thePhilippine Heart Association Council on CPR

PHA Heart HouseSuite 1108, 11th Flr. East Tower, PSE Centre Exchange Road,

Ortigas Center, Pasig City Philippines

Tel. +63 2 470-5525; +63 2 687-7797
http://www.philheart.org/

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1 NEW 2010 BLS FOR HEALTHCARE WORKER OK.pptx