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BHJD DANBHJLSyukran

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BHJD

Tujuan :

Membantu atau mengembalikan oksigenisasi,

ventilasi dan sirkulasi yg efektif hingga kembalinya

sirkulasi spontan atau intervensi BHJL dapat

dilakukan

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Universal Algorithm CPR 2010

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NEWSEQUENCEFOR2010

Chest compressions, Airway, Breathing(CAB) is the new order of

operations from American Heart Association.

This applies for adults, pediatrics and infants, excluding newborns.

Newborn arrest are most likely respiratory and should use the ABC

sequence.

Adult Chain of Survival.

Call forhelp

ChestCompressi

on

Defibrillation

AdvancedLife

Support

Post-Cardiac

arrest Care

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RATIONALEOFCHANGES2010

A large number of witnessed cardiac arrest are patients going into a

ventricular fibrillation, or pulseless ventricular tachycardia. Early

chest compressions and defibrillation are key components to the

patients survival.

The CAB method allows the responder to save time, and provide

blood flow to the heart muscle quickly.

A lay person is more likely to give CPR if chest compressions are the

priority.

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Rescuer Proficiency

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BLS Adult Algorithm

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Algoritma nakes 2010

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BASICLIFESUPPORT

Hands-Only (Compressions only) CPR for the untrained lay

person. Can be guided by dispatcher on the phone.

Start chest compression beforeopening the airway. CAB. Allowing the chest to recoilbetween compressions with a depth

of 2 inches. Rate of 100/min.

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CARDIOPULMONARYRESUSCITATIONAND

EMERGENCYCARDIOVASCULARCARE Any unnecessary interruptions in chest compressions, decreases the

effectiveness of the CPR. CPR should be continued until return of

spontaneous circulation (ROSC) or termination of resuscitative efforts.

Healthcare providers should take no longer than a 10 secondpulse

check to determine if pulses are present.

Chest compression and rescue breathing at a rate of 30:2.

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ROLEOFTHELAYPERSONRESCUER Initial recognition of the victim is imperative to quick treatment. A

patient having a cardiac arrest may have gasping respirationsor even

have seizure like activity. The rescuer should learn through training

these are atypical presentations of a cardiac arrest and alert responders

to these findings. Lay persons should call EMS when finding unconscious victim and

should not attempt to check for a pulse. The lay person should

assume that the victim is in a cardiac arrest; 1. suddenly collapses, 2.

person is unresponsive, and 3. not breathing normally or not at all.

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CPR DEVICESANDTECHNIQUES No device other than the defibrillator has proven

to have long-term survival from in the field

cardiac arrest.

Electrical Therapies-Pacing in bradycardia,

cardioversion and defibrillation for symptomatictachycardia are all proven methods to help the

chain of survival. No precordial thump.

CPR prior to defibrillation improves outcomes

in cardiac arrest.

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JANGAN MENJADI KORBAN

BERIKUTNYA !

Lingkungan

Penolong

Korban

Orang2 disekitar

Periksa kesadaran

Panggil bantuan /telpon ambulans

Kompresi jantung + nafasbuatan (30 : 2)

Evaluasi setiap 2 menit,cek nafas &sirkulasi

Jangan hentikan 30:2sampai ada indikasi stop BHD

Pastikan keamanan

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KOMPRESI DADA

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DepartemenAnestesiologiRSU

PFatmawati Letakkan pangkal telapak

tangan di pertengahan bawah

tulang dada

Letakkan tangan yang lain

diatas punggung tangan yangsatunya

Jari-jari boleh dikepal atau

dibuka

Kompresi dada Laju kompresi 100x per menit

Kedalaman 4-5 cm

Kompresi konstan diselingi relaksasi

Jika mungkin, bergantian

kompresi setiap 2 menit

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LANJUTKAN BHD

30 2

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DepartemenAnestesiologiRSU

PFatmawati

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EVALUASI

Periksa apakah ada tanda-tandasirkulasi:

BergerakBernafas

Batuk

dll

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RJP DIHENTIKANBILA:

Penolong sudah memberikan pertolongansecara penuh yaitu meliputi BHJD dan BHJL

Penolong sudah mempertimbangkan apakah pada

pasien terdapat hipotermiaPenolong sudah mempertimbangkan apakah

pasien terpapar bahan beracun atau overdosisobat yg akan menghambat sistem saraf pusat.

Adanyaasistol yg lebih dari 10 menit Interval waktu usaha resusitasi pada henti jantung

disaksikan yg tdk dpt mengembalikan sirkulasispontan adalah 25-30 menit.

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RJP TIDAKDILAKUKANBILA:

Kejadian henti jantung yg disaksikan

Permintaan keluarga

Usaha RJP membahayakan penolong

Kemungkinan RJP dapat mengembalikan sirkulasi

spontan dgn kualitas hidup yg dpt diterima sangatkecil

Henti jantungsetelah usahan terapi yg maksimal

untuk proses penyakit terminal

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RJP TIDAKDILAKUKANBILA:

Kejadian henti jantung tidak disaksikan

Adatanda kematian

Sudah ada tanda-tanda pembusukan

Penderita mengalami trauma yg tdk bisa

diselamatkanseperti hangus terbakar.

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JIKA KORBAN MULAI BERNAFAS

NORMALLAGI, TEMPATKAN

DALAM POSISI RECOVERY

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REMEMBER!!!

Push hard, push fast,

full chest recoil,

minimize interruptions

in CPR!

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