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KARDIOPULMONALNA I CEREBRALNAREANIMACIJA
ERC GUIDELINES 2015
AutorDoc. dr Sana !"c#o$"%& an'(t')"o*o+
KC !o$od"n'& No$" Sad
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CARDIAC ARRES,SR-ANI AS,OJ
INENADNI& NEO-EKI!ANI PRES,ANAK RADA SRCAPO,ENCIJALNO ILE-I!
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AKU,NI AS,OJ SRCAEt"o*o+"a
Kardijalni uzroci (urgentna koronarografija, troponin, USI)
/AIM& Por''%a" r"ta& ,aonada (rca& Ac"do)a& L'#o$"
Respiratorni uzroci
/A"r3a4 o(tru#c"a& N'ad'#$atno d"(an'
Cirkulatorni uzroci
/"o$o*'"(#" 6o#& ,ro7o'7o*"a *u%a& Ana8"*a#t"9#" 6o#
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AKU,NI AS,OJ SRCANova etiološka podela
!"
"o#("a "o$o*'"a "ot'r"a "o:"'r#a*"'"a
!#
,ro7o)a
/#oronarna&u*ona*na
,'n)"on"n'uotora#(
,aonada (rca ,o#("9na o6t'%'na
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AKU,NI AS,OJ SRCAD"a+no)a
Klini$ki znaci
Gu7"ta# ($'(t"
Pr'(tana# d"(ana
Gu7"ta# u*(a nad
$'*"#" art'r"aa
Pro'n'na 7oa #o;'
M"dr"a)a /n'("+uran
)na#
%K& znaci
/o#a)at'* '*'#tr"9n'& a n' '
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EKG
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KCR o7u
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O#("+'nac"a #r$" u *u%"a
Dor'an' o#("+'n"ran' #r$" do %'*"a CNS
O9u$an' 8un#c"' o)+a=
KPCRC"*
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.snovne 0ere (1S)O(no$no odr;a$an' ;"$ota
roširene ili slo2ene 0ere ('C1S)Produ;'no odr;a$an' ;"$ota
ostreani0acione 0ereDu+otrano odr;a$an' ;"$ota
KCR
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ADUL, BASIC LI>E SUPPOR,
Proc'na (tana ($'(t"
Po)$at" oo%
Ot$or"t" d"(an" ut /)a7ac"t" +*a$u
Proc'na #$a*"t'ta d"(ana
Po)$at" MP
34 ko0presija /du7"na 5c& 8r'#$'nca 100:"n.
34 ko0presija5 uda6a /na7o*" #oro"( ")'?u
#r$no+ roto#a " dor'ana #"('on"#a u t#"$a
'%7
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Ko0presije grudnog koša
Sr'd"na +rudn' #o(t" Kor'("a@r'*a#(ac"a
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KOMPRESIJE GRUDNOG KOA ,REBA APO-E,I,O PRE I NE PREKIDA,I=
PAUE U KOMPRESIJAMA GRUDNOG KOA,REBA S!ES,I NA MINIMUM /5 SEKUNDI=
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Kr"#o"dn" r"t"(a# u r'$'nc"" a("rac"'
/ra)*"#o$at" od r"t"(#a na t"ro"dnu
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Kontro*"(ana '
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ELEK,RI-NA ,ERAPIJA
Autoat(#" (o*a6n" d'8"7r"*ator Manu'*na d'8"7r"*ac"a
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RANA DE>IBRILACIJA
Prou6tan' '*'#tr"9n' (tru' #ro) (rc'& 6to ")a)"$atr'nutnu d'o*ar")ac"u ($"< "o8"7r"*a " u9"n" "<
'dno$r''no r'8ra#t'rn"
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Pr"'nu' (' u (#*ou ran' d'8"7r"*ac"'
J'dno('rna (trua (7C/direct current) 9onofazni ASD "(oru9u' 'n'r+"u od 0 J
ifazni ASD "(oru9u' 'n'r+"u od 150 J
Sa0olepljive elektrode
AU,OMA,SKI SPOLJANJI DE>IBRILA,OR
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7%+IRI1'CI:'
St'rnu " a'F '*'#troda
Uotr'7"t" +'*
N"#o n' (' da dod"ru' ;rt$uto#o d'8"7r"*ac"'
K"('on"9na a(#a ora 7"t"uda*'na naan' ;0 od
+rudno+ #o6a ;rt$' )a $r''d'8"7r"*ac"'
Intu7"rano+ ac"'nta n'd'#on'#t"rat"
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ADUL, AD!ANCED LI>E SUPPOR,
,'ra"(#" a*+or"ta )a*+*# (-ez pulsa)
,'ra"(#" a*+or"ta)a non@!>:non@!,
'lgorita0asistolije
'lgorita0 %'
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ABCDE r"(tu
;< 'IR='> d"(an" ut5< R%'#"IN& d"(an'3< CIRCU1'#I.N c"r#u*ac"a
!< 7IS'I1I#> n'uro*o6#a roc'na?< %@.SUR% ")*o;'no(t
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K"('on"# Kano+ra8"a /o+*'da*o *u%n' 'r8u)"' In$a)"$no /d"r'#tno 'r'n' #r$no+ r"t"(#a Adr'na*"n 1+ na @5"n. *ascular access (intravenous,
intraosseous)8
Cere-ralna oksi0etrija USI
,OKOM CPR
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Pr$" ono8a)n" 6o# 0J:r$" 7"8a)n" 6o# 150J CPR 02 /2 "nuta Pro$'r"t" r"ta na on"toru A#o ' otr'7no r"'n"t" dru+" ono8a)n" 6o#
0J:dru+" 7"8a)n" 6o# 150J@200J CPR 02 /2 "nuta Pro$'r"t" r"ta na on"toru A#o ' otr'7no r"'n"t" tr'%" ono8a)n" 6o#
0J:tr'%" 7"8a)n" 6o# 150J@200J
Strategija tri šoka*+*# (-ez pulsa)
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KPR 02 /2 "nuta
Adr'na*"n 1+:@5"n.
Pro$'r"t" r"ta na on"toru/#od or+an")o$ano+ r"ta na on"toru a*"rat" u*(
'lgorita0 asistolije i %'
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POS,REANIMACIONE MERE
Po(tuc" " 'r' )a odr;a$an' ;"$ota& #o" ('r'du)"au na#on u(o(ta$*ana (r9ano+ rada& 'r ('
KPCR n' )a$r6a$a u(o(ta$*an' (r9an' radn'.
Sa8ar
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!ALA NA PANJI