LGERC.ppt

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EuropeanResuscitation

Council

L

Lecturer:

Jasmin Aeryll T. Lapnawan, RN

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OBJECTIVES

At the end of this course

participants should be able to demonstrate:

How to assess the collapsed victim. How to perform chest compression and rescue

breathing.

How to assess choking victims

How to perform Heimlich Manuevre and Finger

Sweeping

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CHAIN OF SURVIVAL

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Approach safely

Check response

Shout for help

Open airway

Check breathing

Call 911

30 chest compressions

2 rescue breaths

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APPROACH SAFELY!

Scene

Rescuer

Victim

Bystanders

Approach safely

Check response

Shout for help

Open airway

Check breathing

Call 112


2 rescue breaths

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CHECK RESPONSE

Approach safely

Check response

Shout for help

Open airway

Check breathing

Call 112


2 rescue breaths

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Shake shoulders gently

Ask Are you all right?If he responds

Leave as you find him.

Find out what is wrong.

Reassess regularly.

CHECK RESPONSE

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SHOUT FOR HELP

Approach safely

Check response

Shout for help

Open airway

Check breathing

Call 112


2 rescue breaths

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OPEN AIRWAY

Approach safely

Check response

Shout for help

Open airway

Check breathing

Call 112


2 rescue breaths

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CHECK BREATHING

Approach safely

Check response

Shout for help

Open airway

Check breathing

Call 112


2 rescue breaths

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CHECK BREATHING

Look, listen and feel

for NORMAL

breathing

Do not confuse

agonal breathing withNORMAL breathing

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AGONAL BREATHING

Occurs shortly after the heart stops

in up to 40% of cardiac arrests

Described as barely, heavy, noisy or

gasping breathing

Recognise as a sign of cardiac arrest

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Approach safely

Check response

Shout for help

Open airway

Check breathing

Call EMS/911


2 rescue breaths

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30 CHEST COMPRESSIONS

Approach safely

Check response

Shout for help

Open airway

Check breathing

Call 112


2 rescue breaths

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Place the heel of one hand in

the centre of the chest

Place other hand on top

Interlock fingers Compress the chest

Rate 100 min-1

Depth 4-5 cm

Equal compression : relaxation

When possible change CPR

operator every 2 min

CHEST COMPRESSIONS

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RESCUE BREATHS

Approach safely

Check response

Shout for help

Open airway

Check breathing

Call 112


2 rescue breaths

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RESCUE BREATHS

Pinch the nose

Take a normal breath

Place lips over mouth

Blow until the chest

rises

Take about 1 second Allow chest to fall

Repeat

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CONTINUE CPR

30 2

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Approach safely

Check response

Shout for help

Open airway

Check breathing

Call 11230 chest compressions

2 rescue breaths

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Foreign Body Airway Obstruction

Acute obstruction can be

caused by an impacted

foreign body!

If the person is responsive

- encourage to cough.

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If the victim has an ineffective/cannot

cough:

Open airway

- Check if the object can be finger swept

(ONLY IF IT IS VISIBLE)

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Resuscitation

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Deliver 5 back blows between shoulder blades with

heel of hand

If this fails deliver 5 chest thrusts - similar to chestcompressions but sharper and more interspersed

Continue alternating 5 back blows and 5 chest

thrusts as necessary

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Heimlich ManueverA.k.a. Abdominal thrust

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Resuscitation

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Make the tripod position

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Resuscitation

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NO SHOCK ADVISED

FOLLOW AED INSTRUCTIONS

30 2

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Resuscitation

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IF VICTIM STARTS TO

BREATHE NORMALLY PLACE

IN RECOVERY POSITION

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Resuscitation

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CPR IN CHILDREN

Adult CPR

techniques can be

used on children

Compressions 1/3 of

the depth of the chest

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AED IN CHILDREN

Age > 8 years use adult AED

Age 1-8 years

use paediatric pads /settings if available(otherwise use adultmode)

Age < 1 year use only if

manufacturerinstructions indicate itis safe

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ANY QUESTIONS?

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Resuscitation

Council Approach safely

Check response

Shout for help

Open airway

Check breathing

Call 112


2 rescue breaths

Approach safely

Check response

Shout for help

Open airway

Check breathing

Call 112

Attach AED

Follow voice prompts

LGERC.ppt

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