Sum Cpr 2010 for Perdatin Jaya- Jcca CA Ws

8/15/2019 Sum Cpr 2010 for Perdatin Jaya- Jcca CA Ws

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Perdatin Jaya: Update on Critical Care 2014

Summary of

CPR 2010VERA IRAWANY


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PREVENTABLE OF IN-HOSPITAL CARDIACARREST

THE IMPORTANCE O THEIR!T RIN" CHAIN O

!UR#I#A$

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PENCEGAHAN HENTI JANTUNG YANG TERJADI

DI DALAM RUMAH SAKIT

PENTIN"N%A MATARANTAI PERTAMA &ARI

RANTAI 'E!E$AMATAN

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2


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Chain of !"#i#a$%Ran&ai '(($a)a&an*

I))ediate reco*nition o( CA and acti+ation o( e)er*ency re,pon,e,y,te)-'enali ,e*era adanya .enti /antn* dan ati(an ,i,te) e*aat3darratan

Early CPR it. an e)p.a,i, on c.e,t co)pre,,ion,

-Mlai 5antan RJP ,edini )n*in peneanan pada o)pre,i dada

Rapid de65rillation -&e65rila,i ,e,e*era )n*in

E7ecti+e ad+ance li(e ,pport-8antan .idp lan/t yan* e(eti(

Inte rated o,t cardiac arre,t care

1

2

4

9


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AED

AUTOMATED EXTERNAL DEFIBRILATOR

Re)o+e openairay and

re,ce 5reat.

ti)econ,)in*

The old (2005) algorithm

Mini)i;einterrption


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Perdatin Jaya: Update on Critical Care 2014N(+ D(#($o,)(n& in

R(!i&a&ion in( .//0

• Ratio co)pre,,ion: +entilation < 90: 2

• &e65rillator ,e=ence (ro) 9 ,taced,.oc, to 1 ,.oc (olloed 5y i))ediateCPR

Mini)i;e interrption, in c.e,t co)pre,,ion

• EM! ,y,te) and .ealt.care pro+ider ,.old identi(y and ,tren*t.en >ea lin,? in t.ec.ain o( ,r+i+al


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Perdatin Jaya: Update on Critical Care 2014N(+ D(#($o,)(n& in

R(!i&a&ion in( .//0

• I)portance o( po,t cardiac arre,t care or*ani;ed it. e)p.a,i, on )ltidiciplinarypro*ra) (oc, on @opti)i;in*

.e)odyna)ic nerolo*ic and )eta5olic(nction, al,o .ypot.er)ia t.erapy

• Edcation and i)ple)entation:

1B T.e =ality o( re,cer edcation and

(re=ency o( retrainin* critical (actor ini)pro+in* t.e e7ecti+ene,, o(re,,citation - 2 year,

2B Co))nity and .o,pital 5a,ed

re,,citation pro*ra), ,.old


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CPR...2010.....


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Univer sal Algorithm CPR 2010


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Ne !e=ence (or 2010• >C.e,t co)pre,,ion, Airay

8reat.in*? -CA8 i, t.e ne order o(operation, (ro) A)erican Heart

A,,ociationB• T.i, applie, (or adlt, pediatric, and

in(ant, eDcldin* ne5orn,BNe5orn arre,t are )o,t liely

re,piratory and ,.old ,e t.e A8C,e=enceB

• Adlt C.ain o( !r+i+alB


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Hi*.li*.t o( 2010 "ideline

• Critical ele)ent, o( CPR:

C.e,t co)pre,,ion

Early de65rillator

• T.e >C3A38 ,e=ence?:

Co)pre,,ion initiated ,ooner airaya,,e,,)ent delayed CPR (oc, on *ood=ality o( CPR

More +icti), recei+ed CPR re,cer na5le or

nillin* per(or) +entilation -Hand,3Only CPRHealt.care pro+ider cold tailored t.e ,e=ence,

o( re,ce action, in an inte*rated tea) o( .i*.lytrained re,cer, to )o,t liely ca,e o( CA


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R(!(" P"o1i(n2


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!))ary o( 'ey 8$! Co)ponent, (or Adlt, C.ildren andIn(ant,

"OO&UA$IT% o(

CPR


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Hi*.li*.t o( 2010 "ideline• 'ey Point, o( Contined E)p.a,i, (or 2010 AHA "ideline, (or CPR

and ECC

Early reco*nition o( CA in adlt

Mini)i;e interrption, in e7ecti+e c.e,t co)pre,,ion ntil RO!C

Mini)i;e t.e i)portance o( pl,e c.ec, 5y .ealt.care pro+ider, -

10 ,econd

• Po,t3cardiac arre,t care

Opti)i;in* cardiopl)onary (nction and +ital or*an per(,ion a(ter

RO!C

Tran,portation to appropriate critical3care nit it. a co)pre.en,i+e

po,t3cardiac arre,t treat)ent ,y,te) o( care

Identi6cation and inter+ention (or acte coronary ,yndro)e -AC!

Te)peratre control to opti)i; nerolo*ic reco+ery

Anticipation treat)ent and pre+ention o( )ltiple or*an dy,(nction

• !e+eral reco))endation (or ,pecial poplation -Adlt it. AC!

,troe and pediatric poplation ir,t Aid etc


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PRE#ENTA8$E O IN3

HO!PITA$ CAR&IAC ARRE!T

HOFGBB


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Chain of S!"#i#a$

Pre+ention cardiac arre,ti, t.e 6r,t lin 3 C.ain o(

!r+i+al


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Pre+ention o( in3Ho,pital Arre,t

T.e Need,: !ta7 edcation Monitorin* o( patient, Reco*nition o(

deterioration

A ,y,te) to call (or .elpand e7ecti+e re,pon,e

T.e act,: &e6,iencie, in acte care)any ,i*ni6cantantecedent, -related toa5nor)alitie, o( airay

5reat.in* circlation ailre to ,e a ,y,te)ic

approac. to t.ea,,e,,)ent o( critically illpatient,

Poor co))nication $ac o( tea)or In,cient ,e o(

treat)ent li)itation plan,


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R(o))(n3(3 S&"a&(4i( fo"P"(#(n&ion A#oi3a5$( in-Ho,i&a$ CA

%.*


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'e,i)plan8a,ic $i(e !pport:

1B I))ediate reco*nition

-to pre+ent CA andacti+ation e)er*encyre,pon,e ,y,te)

2B Early per(or)ance o(.i*. =ality CPR

9B Rapid de65rillator.en appropriate


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Sum Cpr 2010 for Perdatin Jaya- Jcca CA Ws