BASIC LIFE SUPPORT.ppt

BASIC LIFE SUPPORTEssa Loyallita LestariHandayani Puspa SariMuhammad Ri!a "ahyaBLS ###Usaha yan$ dila!u!an untu! mempertahan!an !ehidupan pada saat pasien atau !or%an men$alami !eadaan yan$ men$an&am 'i(a. Rata)rata oran$ yan$ tida! terlatih masih %isa menyelamat!an nya(a oran$ lain den$an *o!us utama pada pene!anan dada+ hal ini merupa!an pedoman ter%aru dari Ameri&an Heart Asso&iation ,-.-/CPR 0 R1P ###Re 2 3em%aliResusitasi 2 men$em%ali!an *un$si 'antun$ paru pada 4Henti 'antun$Henti na*asTinda!an pertolon$an pertama pada oran$ yan$ men$alami henti napas !arena se%a%)se%a% tertentu/Whats new ?.567 4 8mouth to mouth9 :entilation.565 4 de;%rilator .5 C to C > A ) BAHA 2010 (new)A change in the 2010 AHA Guidelines for CPR and ECC is to reccomend the initiation of chest comression !efore "entilation#$ AHA 2005 (old)%he se&uence of adult CPR !egan with oening of the airwa'( chec)ing for normal !reathing( and then deli"ering 2 rescue !reaths followed !' c'cles of *0 chest comressions and 2 !reaths#$Loo!+ Listen+ Feel #?AHA 2010 (new)Look, listen, and feel for breathing was removed from the seqen!e for assessment of breathing after o"ening the airwa#$ %he health!are "rovider brie !he!ks for breathing when !he!king res"onsiveness to dete!t signs of !ardia! arrest$ After deliver# of '0 !om"ressions, the home res!er o"ens the vi!tim(s airwa# and delivers 2 breaths$)AHA 2005 (old)Look, listen, and feel for breathing was sed to assess breathing after the airwa# was o"ened$)A Res&ue Breath?AHA 2010 (new)*eginning +,- with '0 !om"ressions rather than 2 ventilations leads to a shorter dela# to /rst !om"ression)0om"resi dada lebih dalam lagi1AHA 2010 (new)%he adult sternum should !e deressed at least 2 inches (+ cm)$AHA 2005 (old)%he adult sternum should !e deressed 11,2 to 2 inches (aro-imatel' . to + cm)#$ 0om"resi dada lebih !e"at lagi1AHA 2010 (new)/t is reasona!le for la' rescuers and healthcare ro"iders to erform chest comressions at a rate of at least 100-,min#$1AHA 2005 (old)Comress at a rate of a!out 100-,min#$Hands onl# +,-AHA 2010 (new)Hands01nl' (comression0onl') !'stander CPR su!stantiall' imro"es sur"i"al following adult out0of0hosital cardiac arrests comared with no !'stander CPR#$,engaktivasian 2mergen!# -es"onse 3#stem (2-3)1 AHA 2010 (new)Chec) for resonse while loo)ing at the atient to determine if !reathing is a!sent or not normal# 2usect cardiac arrest if "ictim is not !reathing or onl' gasing#$1 AHA 2005 (old)Acti"ated the emergenc' resonse s'stem after 3nding an unresonsi"e "ictim( then returned to the "ictim and oened the airwa' and chec)ed for !reathing or a!normal !reathing#$ 4angan berhenti kom"resi dada 5551 AHA 2010 (new)%he reonderance of e4cac' data suggests that limiting the fre&uenc' and duration of interrutions in chest comressions ma' imro"e clinicall' meaningful outcomes in cardiac arrest atients#$ Tida! dian'ur!an la$i Cri&oid Pressure? AHA 2010 (new)%he routine use of cicoid ressure in cardiac arrest is not recommended#$1 AHA 2005 (old)Cricoid ressure should !e used onl' if the "ictim is deel' unconscious( and it usuall' re&uires a third rescuer not in"ol"ed in rescue !reaths or comressions#$ Pem%erian Pre&ordial Thump? AHA 2010 (new)%he recordial thum should not !e used for unwitnessed out0of0hosital cardiac arrest# %he recordial thum ma' !e considered for atients with witnessed( monitored( unsta!le 5% (including ulseless 5%) if a de3!rillator is not immediatel' read' for use( !ut it should not dela' CPR and shoc) deli"er'#$1 AHA 2005 (old)6o re!ommendation was "rovided "reviosl#$)2005 2010Lan$!ah > lan$!ah CPR Pada oran$ de(asaA""roa!h safel#+he!k res"onse3hot for hel"7"en airwa#'0 !hest !om"ressions'0 !hest !om"ressions2 res!e breathsA,,-7A+H 3A82L953!ene-es!er:i!tim*#standersA""roa!h safel#+he!k res"onse3hot for hel"7"en airwa#'0 !hest !om"ressions+all 112'0 !hest !om"ressions2 res!e breaths+H2+0 -23,7632A""roa!h safel#+he!k res"onse3hot for hel"7"en airwa#'0 !hest !om"ressions+all 112'0 !hest !om"ressions2 res!e breaths3H7;% 87- H2L,A""roa!h safel#+he!k res"onse3hot for hel"7"en airwa#'0 !hest !om"ressions'0 !hest !om"ressions2 res!e breathsA""roa!h safel#+he!k res"onse3hot for hel"7"en airwa#'0 !hest !om"ressions'0 !hest !om"ressions2 res!e breathsA""roa!h safel#+he!k res"onse3hot for hel"7"en airwa#'0 !hest !om"ressions'0 !hest !om"ressions2 res!e breaths7,26 A