心肺复苏CPR-教学课件（英文）PPT.ppt

Cardiopulmonary Resuscitation (CPR);教学大纲要求;Vital Organ Function;Insufficient or cease of Oxygen supply;Definition of Cardiac Arrest-Clinical Death;Summery of Mechanisms of CA;Cardiac Arrest ;无脉性室速;Cardio-Pulmonary Resusitation;The factors most related to poor outcome from cardiac arrest;Early Access Early CPR Early Defibrillation Early Advanced Care;Chain of Survival for Children;Basic Life Support (RABC);Initial steps of CPR;Adult BLS Healthcare Provider Algorithm:. Boxes bordered with dotted lines indicate actions or steps performed by the healthcare provider but not the lay rescuer.;BLS;BLS;Open Airway ;Normal airway vs Obstructed airway;How to Open Airway?;;Open Airway;Oropharyngeal Airways OPA; Nasopharyngeal Airways NPA;Breathing;In out-of-hospital or hospital ward settings, initial airway control and ventilation usually are accomplished by mouth-to-mouth or mouth-to-mask techniques. 10-12/min with pulse 8-10/min without pulse Vt=400-500ml in an adult (amount to produce visible chest lifting) A deliberate pause is incorporated after every 30th chest compression ;EAR;Mouth to mask ventilation;BAG-Mask ventilation;Signs of circulation Assessment;Effective CPR is based on the artificial delivery of oxygenated blood to systemic circulatory beds at rates that are sufficient to preserve vital organ function and at the same time providing the physiologic substrate for the rapid return of spontaneous circulation ;Chest Compression ;Mechanisms of Cardiac Compression;Chest Compression Skills;Cardiac output is severely decreased during CPR, ranging from 10 to 33 percent of pre-arrest values in experimental animals. Total blood flow also tends to decrease with time during closed chest compression although changes in technique and the use of epinephrine may help sustain cardiac output. Nearly all of the cardiac output is directed to organs above the diaphragm. Brain blood flow is 50 to 90% of normal and myocardial blood flow 20 to 50% of normal lower extremity