心肺复苏术-英文.ppt

CardioPulmonaryResuscitation心肺复苏术(CPR)RespiratorydepartmentXiyanwang(王西艳)2021/10/101Why should we learn the CPR?2021/10/102Why?lDespiteimportantadvancesinprevention,cardiacarrestremainsasubstantialpublichealthproblemandaleadingcauseofdeathinmanypartsoftheworld.lTheestimatedincidenceofEMS(emergencymedicalservices)-treatedout-of-hospitalcardiacarrestintheChinaisabout35to40/100000persons/year.2021/10/103Why?lStudieshaveshowntheimportanceofimmediateCPRfollowedbydefibrillationwithin3-5minutesofsuddenVF(VentricularFibrillation)cardiacarrestimprovesurvival.IncitiessuchasSeattlewhereCPRtrainingiswidespreadanddefibrillationbyEMSpersonnelfollowsquickly,thesurvivalrateisabout30%.IncitessuchasNewYork,withoutthoseadvantages,thesurvivalrateisonly1-2%.2021/10/104Why?lTherearemanylivesandlife-yearslostbecauseappropriateresuscitationisnotattempted.lMostofthepublicknowlittleaboutthedetailsofCPR.2021/10/105When?Cardiacarrest Notbreathingornotmakingsufficientrespiratoryeffortontheirown2021/10/106How?C (Circulation)A (Airway)B (Breathing)-2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care2021/10/107Circulation:Restore blood circulation with chest compressions1.Checkthesafetyoftheentironment2.Putthepersononhis/herbackonafirmsurface.3.Kneelnexttothepersonsneckandshoulders.2021/10/108Circulation:Restore blood circulation with chest compressions4.Checkthepulseandbreathat5-10seconds(count1001.1002.1007)Usetheindexandmiddlefingerstocheckthepulseofcarotidatery(themiddleofanterioredgesernocleidomastoid)2021/10/109Airway:Airway:Clear the airwayClear the airwayPutyourfacenearthepersonsmouthandlookforthechestmotionatthesametime(Look for chest motion Listen for normal breath sounds Feel for the persons breath on your cheek and ear)If the person isnt breathing normally,begin artificial respiration.5.Starttheemergencyresponsesystem,suchasphone120、catchAED（automaticexternaldifibrillator）.2021/10/1010Circulation:Restore blood circulation with chest compressions6.Placetheheelofonehandoverthecenterofthepersonschest,betweenthenipples.Placeyourotherhandontopofthefiesthand.Keepyourelbowsstraightandpositionyourshouldersdirectlyaboveyourhands.2021/10/1011Circulation:Restore blood circulation with chest compressions7.StartCPR:Useyourupperbodyweightsasyoupushstraightdownonthechestatadepthofatleast5-6cm.Pushhardatarateofabout100-120compressionsaminute.2021/10/1012Airway:Airway:Clear the airwayClear the airway1.Openthepersonsairway.Put your palm on the persons forehead and gently tilt the head back.With the other hand,gently lift the chin forward to open the airway.2021/10/1013Breathing:Breathing:Breath for the personBreath for the person mouth-to-mouth breathing mouth-to-nose breathing if the mouth is seriously injured or cant be opend.mouth-to-mask breathing when out side hospital you may not give artificial breathing if you dont want.2021/10/1014Breathing:Breathing:Breath for the personBreath for the person1.Withtheairwayopen,pinchthenostrilsshutformouth-to-mouth(mouth-to-mask)breathingandcoverthepersonsmouthwithyours,makingaseal.(makesurethereisnoleakage)2021/10/1015Breathing:Breathing:Breath for the personBreath for the person2.Thirty chest compressions followed by two rescue breaths is considered one cycle.(1 or 2 rescuer)3.Check the caroid pulse and chest motion every 5 cyclesContinueCPRuntiltherearesignsofmovementoremergencymedicalpersonneltakeover.=30:2:2021/10/1016Breathing:Breathing:Breath for the personBreath for the personIfanadultvictimwithspontaneouscirculation,giverescuebreathsatarateofabout1breathevery5to6seconds,orabout10to12breathsperminute2021/10/1017AED AED 1.Checkthythm:ifshockablegive1shock,andimmediatelystartCPR.whennotshockable,immediatelystartCPR2.Checkthythmevery5cycles,continueCPRuntilthepatienthassignsofcirculation.2021/10/1018Defibrillation Defibrillation 1.Ventricularfibrillationiscommoninadultsnon-traumaticcardiacarrest.2.Earlierdefibrillation id important for survival.3.The chance for survival decline 7-10%every minute laspe.4.Be defibrillated at the earliest possible moment.2021/10/1019Points for attention Points for attention EnsuringchestcompressionsofadequaterateEnsuringchestcompressionsofadequatedepthAllowingfullchestrecoilbetweencompressionsMinimizinginterruptionsinchestcompressionsAvoidingexcessiveventilation2021/10/1020Remember:Time is life!Early CPR can improve survival.2021/10/1021Survival chain(five steps)Survival chain(five steps)In hospital(prevention-ERS-CPR-defrillation-ALS)Outside of hospital(ERS-CPR-defrillation-BLS-ALS)2021/10/1022Thank you!2021/10/1023畅想网络Imagination Network感感谢观看！看！文章内容来源于网文章内容来源于网络，如有侵，如有侵权请联系我系我们删除。除。2021/10/1024