Professional Documents
Culture Documents
mashehabat@just.edu.jo
CPR
Introduction During a Cardiac Arrest, the heart stops pumping, the person stops breathing and becomes unconscious. The Brain, will suffer permanent & irreversible damage if blood circulation to the brain is not restored within 4 minutes. Heart Disease is the 2nd most common cause of death in Singapore cause of 24% of total mortality About 2400 people suffer from heart attack each year Nearly 1000 of them occur out-of-hospital Survival rate of 2.6% for out-of-hospital collapses
What can we do to reduce Sudden Death? Education & training in CPR In An Emergency - take action within first few minutes / ASAP
YOU & I can make the difference in helping a family member, loved one, a friend and maybe a stranger
CPR Programme
To familiarize the community (both staff and students) with the knowledge and skills in CPR so as to enable them to act in an emergency situation to save lives Training Objectives To understand the importance of CPR in a Arrest/Heart Attack emergency To perform the steps of CPR competently Cardiac
CPR Programme
Definition of Cardio-Pulmonary Resuscitation (CPR) CPR includes a series of assessments & interventions that support cardiac & pulmonary functions
Cardiac Arrest = Heart stops beating & oxygen circulation ceases
Early CPR
Early Defibrillation
CPR Programme
Only if Prompt help by someone applying CPR until medical help arrives
patient must be lying flat on his/her back on a firm ground Place patient in correct position (flat on back)
Place own ear & cheek over casualtys mouth & nose for:
Look for chest rise and fall Listen air escaping during exhalation Feel - for the flow of air from patients nose
Look for
Signs of Circulation (CCMB) Consciousness Coughing Movement Breathing
One-Man CPR Techniques Step 8 : Locate Hand position for Chest Compressions
Run finger from rib cage to reach the sternal notch Place index finger next to center finger Place heel of the hand next to the index finger
Step 1
Step 2
Step 3
Step 1
Step 2
Ratio of CPR is 30 compression plus 2 ventilation Compression rate @ 100/min Perform 3 cycles of CPR
Step 10 : Reassessment
Check for Pulse or Signs of Circulation (CCMB) If No - Continue CPR 30 : 2 If Yes - Check for external injuries; - Place casualty in recovery position and maintain open airway Monitor casualty every few minutes until help arrives
Recovery Position
Step 1 : Position the Casualty (a) Tuck hand nearer to you, arm straight & palm upwards under thigh (b) Bring arm from across & place back of the hand against cheek (c) Bend the far knee to 90 degree angle
Recovery Position
Step 2 : Roll casualty towards the rescuer
Place palm on palm of patient hand on cheek & hold far hip and roll till lying on the side Use knee to support to prevent rolling too far forward
Recovery Position
Step 3 : Final Recovery Position Head (cheek) lie on the back of his palm Other hand lying free along side of body The former far leg should be bent at 90 degree
When to use an AED? patient in full Cardiac Arrest Signs of Cardiac Arrest: - Unconscious - No breathing - No pulse / signs of circulation
For female casualty, place it just below and to the left side of the breast
Do not place pads over the nipples, or breast (for female)
DO NOT DEFIBRILLATE when; patient is responsive, breathing or has a pulse / signs of circulation Someone is touching the casualty There are flammable gases or in explosive environments