CPR And Nursing

WHAT IS BLS & CPR?

CPR  BLS

 

  • Emergency treatment to overcome the failure of breathing and circulation
  • Maintaining a clear airway
  • Breathing into the victim’s lungs
  • Compressing the chest to make blood circulate round the body
  • Turning the victim onto his side (recovery position)

WHAT ARE THE GOALS OF RESUSCITATION?

– To support or restore effective oxygenation, ventilation & circulation until return of spontaneous circulation (rosc) or until acls interventions can be initiated,

– Improves a patient’s chance of survival and a good (or better) neurologic outcome.

THE BLS PRIMARY SURVEY

FIRST STEPS

the first steps in treating any emergency before assessing abcds are:
– Scene safety →
–make sure the scene is safe for you and the victim. you don’t want to become a victim yourself.
– Check response →
– Tap the victim’s shoulder and shout , “are you all right?”
– Activate the emergency response system →
– if you are alone, shout for help.
– if no one respose, activate the emergency response system, phone 997
– get an aed if available.
– then retur to the victim and begin cpr

THEN YOU CAN PROCEED WITH THE ABCD ASSESSMENT OF THE BLS PRIMARY SURVEY

ABCD ASSESSMENT

REMEMBER :

ASSESS…THEN PERFORM APPROPRIATE ACTION

 

AIRWAY

→ open the airway using noninvasive techniques:
– head tilt chin lift             or 
– jaw lift without head extension if trauma  is present suspected.

Opening the Airway

Opening the Airway

 

BREATHING

→ look, listen and feel
– For adequate breathing. give 2 rescue breaths.                   

– Give each breath over 1 second. each breath should make the chest rise. do not ventilate too fast ( rate) or too much (volume).

CIRCULATION

→ – check (carotid pulse for adult and brachial pulse for infant) for at least 5 seconds but no longer than 10 seconds.
– if you don’t not definitely feel pulse, perform cycles of compression and ventilations
( 30:2 ratio for adult and perform chest compressions at a depth 1 ½ to 2 inches)
( 30:2 ratio for pedia & child with 1 rescuer and perform chest compressions at a depth 1/3 to 1/4 inches)
( 15:2 ratio for pedia & child with 2 rescuer and perform chest compressions at a depth 1/3 to 1/4 inches)
– push hard and fast at rate of 100 compressions per minute.

 

DEFIBRILLATION

→ if no pulse, check for ashockable rhythm with a manual defibrillator or use an AED.
– provide shock as indicated.
– follow each immediately with cpr, beginning with chest compressions.

VF

 

VT

BLS Algorithm

BLS Algorithm

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