Cardiopulmonary Cerebral Resuscitation心肺复苏术.ppt

CPBR/ CPCR CPR Cardiopulmonary brain resuscitation -CPBR Cardiopulmonary cerebral resuscitation-CPCR Goal Support restore effective oxygenation, ventilation and circulation with return of intact neurological function. Intermediate Goal: Return of spontaneous circulation (ROSC) Approach BLS ( Basic Life Support) Primary survey. ACLS (Advanced Cardiovascular Life Support) Secondary survey Before BLS Primary Survey Scene safety Check responsiveness Activate EMS and get AED Assess Perform appropriate action. Performance of the action improves chances of survival and better neurological outcome Before BLS Primary Survey BLS Primary survey Support/ restore effective oxygenation, ventilation and circulation until ROSC or ACLS team takes over. No advanced interventions- airway tech./ drugs (use universal precautions) Early CPR and early defibrillation BLS Primary Survey….components Basic airway skills Head tilt- chin lift Jaw thrust without head extension (? Cx spine trauma) Mouth- to- mouth ventilation Mouth- to- nose ventilation Mouth- to- barrier device (pocket mask) Bag-mask ventilation Assessing the victim 1-- Make sure the victim, any bystanders, and you are safe. 2-- Check the victim for a response. Shake shoulders gently Ask “Are you all right If he responds Leave as you find him. Find out what is wrong. Reassess regularly If he does not respond: Activate Code Blue and get AED 4 --Keeping the airway open, look, listen, and feel for normal breathing. OPEN AIRWAY Look, listen and feel for NORMAL breathing Do not confuse agonal breathing with NORMAL breathing Keeping the airway open, look, listen, and feel for normal breathing. ……OPEN AIRWAY Look, listen and feel for NORMAL breathing If he is breathing normally? Turn him into the recovery position? Send or go for help, or call for an ambulance.? Check for continued breathing. If he is not breathing normally Give 2 rescue breaths Pinch the nose Tak