Time is Critical in Starting CPR

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    Time is critical in starting CPR.

    Call for help.

    Position the victim.

    Opening the airway. Top: Airwayobstruction produced by the tongue and

    the epiglottis. Bottom: Relief by head-

    tilt/chin-lift.

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    Head-tilt/chin-lift maneuver.Perpendicular line reflects proper neck

    extension, i.e., a line along the edge of

    the jaw bone should be perpendicular to

    the surface on which the victim is

    lying.

    Jaw-thrust maneuver.

    Mouth-to-mouth rescue breathing.

    Mouth-to-nose breathing.

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    Locating the carotid pulse.

    External chest compressions: locating

    the rib margin.

    External chest compressions: locating

    the notch where the rib margin meetsthe sternum.

    External chest compressions: locating

    the correct hand position on the lowerhalf of the sternum.

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    Hand positions for external chest

    compressions.

    Proper position of rescuer: shoulders

    directly over victim's sternum; elbows

    locked.

    External chest compressions: sternum

    compressed to a depth of 1 1/2 - 2

    inches. Compression-relaxation

    duration must be 50:50 for better flow

    to occur.

    One-rescuer adult CPR. Fifteencompressions are alternated with two

    ventilations.

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    Two-rescuer CPR: Pause after the 5thexternal chest compression as ventilator

    gives a rescue breath.

    Two-rescuer CPR: Compressor and

    ventilator switch positions.

    Universal distress signal for foreign

    body airway obstruction.

    Subdiaphragmatic abdominal thrust

    (the Heimlich maneuver) administered

    to a conscious (standing) victim of

    foreign body airway obstruction.

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    Subdiaphragmatic abdominal thrust(the Heimlich maneuver) administered

    to an unconscious (lying) victim of

    foreign body airway obstruction -

    astride position.

    Finger sweep maneuver administered to

    an unconscious victim of foreign body

    airway obstruction.

    Crossed-finger technique for opening

    the airway.

    Chest thrust administered to aconscious victim (standing) of foreign

    body airway obstruction.

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    Chest thrust administered to an

    unconscious victim (lying) of foreign

    body airway obstruction.

    Rescue breathing with an airtight seal

    around the mouth and nose.

    Locating and palpating the brachial

    pulse.

    Locating finger position for chestcompressions in an infant.

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    Locating hand position for chest

    compressions in a child.

    Heimlich maneuver - conscious child

    standing.

    Heimlich maneuver - conscious orunconscious child, lying.

    Back blow in an infant.

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    Chest thrust in an infant.

    Hand position for chest encirclement

    technique for external chest

    compressions in neonates. Thumbs are

    side-by-side over the midsternum. In

    the newborn, thumbs may need to be

    superimposed.