南昌大学医学院急危重症护理学课件 心肺脑复苏.ppt

Cardiac arrest and Cardiopulmonary Cerebral Resuscitation Nursing Department Lihongyan GOALS: 1. What is cardiac arrest? what are the causes of cardiac arrest and types of cardiac arrest? 2. How can we diagnose cardiac arrest? 3. When someone attacks a cardiac arrest, what should we do? · What is cardiac arrest? Sudden cardiac death (SCD), also called sudden cardiac arrest (SCA) refers to sudden cessation(停止) of heartbeat and cardiac function, resulting in the loss of effective circulation, systemic ischemia and hypoxia. · heart attack and cardiac arrest Causes of Cardiopulmonary Arrest Ⅰ.cardiac disease ①Coronary artery disease. ②Myocardial disease ③Valvular heart disease. ④Congenital heart disease. ⑤Electrophysiological abnormalities. Causes of Cardiopulmonary Arrest Ⅱ.other causes ①Cessation of respiration ②Metabolic abnormalities ③Drug poisoning and allergy ④Sudden accident ⑤Medical accident types of cardiac arrest according to ECG and hearts electrical activity ① ventricular fibrillation (VF) 心室颤动 types of cardiac arrest ② asystole / ventricular standstill心室静止 types of cardiac arrest ③ electro-mechanical dissociation (EMD) 电-机械分离 ⅰ. Signs and symptoms 1. No audible heart sounds. 2. The pulses are not palpable, and blood pressure cannot be detected. 3. Lose consciousness suddenly or have brief convulsions of whole body.  4. Sighing respirations, anaerosis, then respiratory standstill. 5. Pupillary dilation occurs within 30-60sec following cardiac arrest. 6. Pale or cyanotic. Others include dizziness, fatigue, chest pain, palpitations or chest distress. · ⅱ. Diagnose Loss of consciousness; No pulse; No breathing; SECTION 2 CPCR the development 1958 Peter Safar of USA invented mouth-to-mouth breathing -- respiratory Resuscitation 1960 Kouwenhoven invented external chest compression -- circulation Resuscitation 1956 Zoll invented defibrillation