1. CARDIOPULMONARY RESUSCITATION (CPR) Dr.Brijesh Panchal MS,FMAS,MCAGS

2. Cardiac Arrest

3. What is CPR? It is a sequence of techniques used to sustain life in the absence of spontaneous breathing and heart beat Together chest compressions and rescue breath are called cardiopulmonary resuscitation The aim of CPR is to maintain victim's breathing and circulation until emergency aid arrives.

4. Sequence of CPR:  Check responsiveness  Call for help  Correctly place the victim and ensure the open airway  Check the presence of spontaneous respiration  Check pulse  Start CPR 4

5. 5 Main stages of resuscitation A (Airway) – ensure open airway by preventing the falling back of tongue B (Breathing) – start artificial ventilation of lungs C (Circulation) – restore the circulation by external cardiac compression

6. 6 Open the airway - Head tilt chin lift Place one hand over the forehead and tilt the head back. Pick out any obvious obstruction from the mouth. A – Airway

8. B – Check For Breathing Look, listen and feel for breathing No longer than 10 seconds second -If the victim is breathing: Place in recovery position -If the victim is NOT breathing: Ask for help and Give 2 rescue breaths for fife times then check for signs of circulation

10. Mouth to Mouth Barrier Devices  Masks  Shields

12. C- Circulation: Maintain a head tilt with one hand on the victim’s forehead Locate the trachea with 2 or 3 fingers of the other hand Slide these fingers where you can feel the carotid pulse Palpate for at least 5 seconds and no more than 10 seconds

14.  If signs of circulation exist: Continue rescue give 1 breath every 3 seconds, every 2 minutes recheck pulse.  If victim start to breath turn him into recovery position  If signs of circulation are absent: Begin giving chest compressions ( start CPR )

15. Chest compression continue: Push hard and fast 1.5 to 2 inches with each compression At the end of each compression, allow the chest to recoil completely Deliver compression at a rate of 100 compression per minute

16. Rate of compression to breathing: Compression rate for adult : 30:2

18. When Can I Stop CPR? Victim survive Trained help arrives Cardiac arrest longer than 30 minutes