際際滷

際際滷Share a Scribd company logo

Cpr or defibrrilation first? and why?

A
Abd EL-Aal Elbahnasy

CPR should always be started before defibrillation. CPR involves establishing artificial ventilation and circulation through chest compressions for a patient who is unresponsive, not breathing or without a pulse. The key steps of CPR are to check for response, check breathing, call for help, check the pulse, and begin chest compressions. High quality CPR with minimal interruptions and effective ventilations is important. Defibrillation may be needed but should not delay beginning CPR, as the priority is continuous chest compressions to circulate oxygenated blood to the brain and heart.

Convert to study materialsBETA

Transform any presentation into ready-made study materialselect from outputs like summaries, definitions, and practice questions.

1 of 30
Downloaded 19 times
CPR or defibrillation first? And why? Abd El Aal Elbahnasy, MD
WHAT IS CPR ????......... Cardio pulmonary resuscitation is a series of steps used to establish artificial ventilation and circulation in the patient who is not breathing and has no pulse.
WHEN YOU HAVE TO START CPR ????....... 1-No response 2-If the victim is not breathing normally such as gasping for breath or not breathing at all 3-No pulse 4- heart rate less than 60 beatm
CHAIN OF SURVIVAL
Cpr or defibrrilation first? and why?
Cpr or defibrrilation first? and why?
STEPS OF CPR 1- Check the scene safety 2- Check for consciousness 3- check breathing 4- call for help 5- check pulse 6- start chest compression
CHECK RESPONSE Gentle taping the foot of baby And call him baby baby No response
Check breathing Look for chest rise Hear agonal breathing No breathing Agonal breathing
Activate emergency response If the infant not respond &no breathing Immediately call for help and get automated external defibrillator (AED)
Check pulse Check pulse in brachial artery within 10 seconds No pulse
Start compression One rescuer By two fingers at lower 1|2 of breast bone (sternum) 30 compression to 2 breaths Depth about 4 cm
Two rescuer Encircle the chest by both hands 15 compression to 2 breaths Switch every 2 minutes or 10 cycle
Hand placement Infant: compress the sternum with 2 fingers placed just below the inter-mammary line Child: compress the lower half of the sternum at least one third of the AP diameter of the chest (2 inches) with one or two hands Note: do not compress over the xiphoid or ribs
High quality C P R Start chest compression within 10 second of recognition Push hard about 4 cm, push fast at least 100 compression in minute Avoid interruption Give effective breath Avoid excessive ventilation Count out loud
Cpr or defibrrilation first? and why?
Defibrillator Defibrillators are either manual or automated (AED). AED can be used for infants and children up to approximately 25 kg (8 years of age). In infants 1 year of age a manual defibrillator is preferred.
Paddle Size Two sizes of hand-held paddle Adult size : 8 to 10 cm for children > 10 kg ( approximately 1 year) Infant size :4-5 cm for infants < 10 kg
Paddle Position: Place over the right side of the upper chest and the apex of the heart (to the left of the nipple over the left lower ribs) so the heart is between the two paddles. Apply firm pressure
Defibrillation sequence Switch ON the device Apply Paddles Clear the patient for analyzing the rhythm Charging if shock needed Clear patients before applying the shock Continue CPR
DEFIBRRILATION
Manual Defibrillation Dosing The recommended first energy dose for defibrillation is 2 J/kg. If second dose is required, it should be doubled to 4 J/kg. AED with pediatric attenuator is preferred for children < 8 years of age.
If I heard I will forgot If I saw I will remember If I did I will become perfect SO you must practice CPR
CPR OR DEFIBLLITAION FIRST?
Cpr or defibrrilation first? and why?
Cpr or defibrrilation first? and why?
END RESULT
Cpr or defibrrilation first? and why?
Take home message Infant not small adult C A B not A B C nothing delay compression HIGH QUALITY C P R CPR is so easy only you want 2 hands &training CPR before defibrillation improving outcome
Cpr or defibrrilation first? and why?

More Related Content

Cpr or defibrrilation first? and why?

  • 1. CPR or defibrillation first? And why? Abd El Aal Elbahnasy, MD
  • 2. WHAT IS CPR ????......... Cardio pulmonary resuscitation is a series of steps used to establish artificial ventilation and circulation in the patient who is not breathing and has no pulse.
  • 3. WHEN YOU HAVE TO START CPR ????....... 1-No response 2-If the victim is not breathing normally such as gasping for breath or not breathing at all 3-No pulse 4- heart rate less than 60 beatm
  • 7. STEPS OF CPR 1- Check the scene safety 2- Check for consciousness 3- check breathing 4- call for help 5- check pulse 6- start chest compression
  • 8. CHECK RESPONSE Gentle taping the foot of baby And call him baby baby No response
  • 9. Check breathing Look for chest rise Hear agonal breathing No breathing Agonal breathing
  • 10. Activate emergency response If the infant not respond &no breathing Immediately call for help and get automated external defibrillator (AED)
  • 11. Check pulse Check pulse in brachial artery within 10 seconds No pulse
  • 12. Start compression One rescuer By two fingers at lower 1|2 of breast bone (sternum) 30 compression to 2 breaths Depth about 4 cm
  • 13. Two rescuer Encircle the chest by both hands 15 compression to 2 breaths Switch every 2 minutes or 10 cycle
  • 14. Hand placement Infant: compress the sternum with 2 fingers placed just below the inter-mammary line Child: compress the lower half of the sternum at least one third of the AP diameter of the chest (2 inches) with one or two hands Note: do not compress over the xiphoid or ribs
  • 15. High quality C P R Start chest compression within 10 second of recognition Push hard about 4 cm, push fast at least 100 compression in minute Avoid interruption Give effective breath Avoid excessive ventilation Count out loud
  • 17. Defibrillator Defibrillators are either manual or automated (AED). AED can be used for infants and children up to approximately 25 kg (8 years of age). In infants 1 year of age a manual defibrillator is preferred.
  • 18. Paddle Size Two sizes of hand-held paddle Adult size : 8 to 10 cm for children > 10 kg ( approximately 1 year) Infant size :4-5 cm for infants < 10 kg
  • 19. Paddle Position: Place over the right side of the upper chest and the apex of the heart (to the left of the nipple over the left lower ribs) so the heart is between the two paddles. Apply firm pressure
  • 20. Defibrillation sequence Switch ON the device Apply Paddles Clear the patient for analyzing the rhythm Charging if shock needed Clear patients before applying the shock Continue CPR
  • 22. Manual Defibrillation Dosing The recommended first energy dose for defibrillation is 2 J/kg. If second dose is required, it should be doubled to 4 J/kg. AED with pediatric attenuator is preferred for children < 8 years of age.
  • 23. If I heard I will forgot If I saw I will remember If I did I will become perfect SO you must practice CPR
  • 29. Take home message Infant not small adult C A B not A B C nothing delay compression HIGH QUALITY C P R CPR is so easy only you want 2 hands &training CPR before defibrillation improving outcome