CPCR-英文课件.ppt

Therapeutic hypothermia Peter Safar 1961 Therapeutic hypothermia aim temperature : 32°C to 34°C for 12 or 24 hours Method: surface cooling Devices cooling Blankets or ice bags endovascular catheters 4 °C ice-cold fluids infusion Therapeutic hypothermia Ice bag Liaowens@163.com * 30 ： 2 Mouth-to–Barrier Device Mouth-to-Mouth Mouth-to-Nose Early defibrillation is critical to survival from sudden cardiac arrest (SCA) for several reasons: 1 the most frequent initialrhythm in out-of-hospital witnessed SCA is ventricular fibrillation(VF) 2 the treatment for ventricular fibrillation is defibrillation 3 the probability of successful defibrillation diminishes rapidly over time 4 and VF tends to deteriorate to asystole over time Defibrillation Early Defibrillation With an AED BLS 9. 电除颤 Continue CPR for 2 min, then briefly pause to check the pulse or monitor if there is still VF/VT, shock with 200 J biphasic or 360 J monophasic immediately resume CPR after shock 自动体外除颤仪（automatic external defibrillator，AED） Defibrillation Sequence ● Turn the AED on ● Follow the AED prompts ● Resume chest compressions immediately after the shock (minimize interruptions) Defibrillation Sequence ● Turn on and monitor ●select 200J or 300J ●shock 电极按放位置 Children compression ACLS 高级生命支持 ACLS ROSC Treat reversible cause Drug therapy Advanced airway Esophagus-tracheal catheter（ETC） endotracheal intubation LMA (laryngeal mask airway) 环甲膜穿刺、切开 intercricothyrotomy intercricocentesis ACLS- Drugs epinephrine vasopressin amiodarone vasopressors lidocaine Interventions Not Recommended for Routine Use atropine cacium Sodium Bicarbonate NaHCO3 …… Peripheral IV Drug Delivery IO Drug Delivery Central IV Drug Delivery Endotracheal Drug Delivery The goal of immediate post– cardiac arrest care is to optimize systemic perfusion, restore metabolic homeostasis, and support organ system function to increase the likelihood of intact