1. Cadiopulmonary resuscitation
Basic life support algorithm

2. OBJECTIVES To know Assessment,airway,breathing, circulation
How to perform cardiopulmonary resuscitation in adequate manner
How to turn the patient in a recovery position
The possible problems that may be associated with the BLS

3. Introduction
Initial assessment,Aw maintenance ,expired air ventilation, chest compression
No equipment is used
Aim is to keep adequate vent. Circulation until equipment can be obtained .
In resp failure it can reverse the cause
The first 3-4 golden min
O2 content ,available and reserve
Permanent damage

4. History Hx of first BLS is in the Bible
First medical BLS is in 1744 by Tossach
Victorian period
1950 mouth to mouth breathing was rediscovered
1878 closed chest cardiac massage was first used by Boehm
Open chest massage became the slandered method of cardiac arrest
1960 Jude et al reintroduced the external cardiac massage
So 1960 is the year of modern cardiopulmonary resuscitation

5. Theory of chest compression
Cardiac massage and External cardiac massage
Heart pump theory was criticized in 1970
ECHO valve incompetents
Coughing produce sustained circulation
Thoracic pump theory By increasing intrathoracic pressure

6. BLS algorithm Safe to approach Check response If responsive
leave in the same position
check regularly

7. BLS algorithm If no response Ask for help Open the AW Head tilt
Chin lift
Jaw thrust

8. …. to confirm cardiac arrest
Open Airway
Look for signs of life
Patient response
Open airway
Check for normal breathing
(caution agonal breathing)
Check circulation
Monitoring

9. BLS algorithm Check for breathing Lock Listen Feel FOR 10 second
(OLD GUIDELINES)

10. BLS algorithm If no breathing send for help turn pt onto his back
remove any visible obstruction
give 2 breaths
(OLD GUIDELINES)

11. BLS algorithm Check circulation
at one of the major artery the best is carotid for 5-10 seconds
(OLD GUIDELINES)

12. BLS algorithm If no circulation identify the middle of the sternum
start ECM 30:2
use the heel of the hands
fingers interlocked
vertical above the pt chest
arms should be straight
depress the sternum inc
rate is about 100 min

13. BLS algorithm Continue resuscitation until The pt shows signs of life
CPR team arrives
you become exhausted

14. When to go for help If 2 persons available 1 is doing BLS
2 is going for help
if 1 is available decide what to do
If the pt is an adult not a child or due to trauma or drowning

15. Choking
If the pt is conscious and breathing encourage him to continue coughing
If the obst is complete or the pt shows signs of exhaustion or cyanosis
if the pt is conscious start back blows
If no response do abdominal thrust
If the pt is unconscious
finger sweeps
abdominal thrust while the pt supine

16. Recovery position After breathing and circulation has been restored
To maintain the opening of the airway
To prevent inhalation of gastric content