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1、cardiopulmonary resuscitation,Emergency Department , WENZHOU Peoples Hospital,Contents,BLS( basic life support) ALS (Advanced Life Support),The characteristic of 2010 AHA Guidelines for cardiopulmonary resuscitation,1. Change in CPR Sequence: C-A-B Rather Than A-B-C 2. Continue to emphasize the high
2、 quality of cardiopulmonary resuscitation 3. A compression rate is at least 100 times per minute （Instead of “about 100 times per minute.“ ） 4. Chest Compression Depth : The adult sternum should be depressed at least 2 inches (5 cm). Infants and children for at least 1/3 chest diameter （ 4 cm and 5
3、cm ）。Ensure each press after chest rebound 5.do the best to reduce the interruption of chest compressions 6. Avoid excessive ventilation,2005 (Old),The sequence of adult CPR began with opening of the airway, checking for normal breathing, and then delivery of 2 rescue breaths followed by cycles of 3
4、0 chest compressions and 2 breaths. A-B-C,2010 (New),Initiate chest compressions before ventilations. C-A-B,By changing the sequence to C-A-B, chest compressions will be initiated sooner and the delay in ventilation should be minimal (ie, only the time required to deliver the first cycle of 30 chest
5、 compressions, or approximately 18 seconds,The biggest change,Respiratory and cardiac arrest is the most urgent events,once Heart stops ，The whole body blood circulation will immediately stop ，brain tissue 、Myocardial tissue even every organ of the body will be Ischemia, hypoxia ，Soon appeared loss
6、of function and cell necrosis 。generally speaking : 10Sec-loss of consciousness 30Sec-respiratory arrest 60Sec-Fixed mydriasis 4Min -glycometabolism stops 5Min -Brain ATP depletion 6Min -Brain nerve irreversible pathological changes 10Min-brain death so，if you found someone Emergence of cardiac resp
7、iratory arrest ，please quickly give basic life support technique in6min.,Time is life!,Time is life,BLS( basic life support),BLS often described as taking first-aid measures for the one cardiopulmonary arrest，CALLed cardiopulmonary resuscitation, Commonly used Manual chest compressions and mouth-to-
8、mouth artificial respiration 。, ,：Environmental judgment ：conscious Judgment ； ：Call for help ； ：Postural adjustment；,：Check pulse ：Chest compressions ：Open airway ； ：artificial breathing ；,The sixth and eighth step cycle,1、 Environmental judgment,View the surrounding environment ，Affirms that the e
9、nvironmental safety 。,2： Conscious judgment,Pat shoulders ，Close to the ear Call out ：“What happened to you ？” If no response ，Is identified as the loss of consciousness at the same time，Quick check If not breathing or not breathing normally,Sclaff，Heavy shout,3（Seek assistance ）Start the EMS system
10、,Call 120 and tell： Place of accident The number of the wounded Accident reasons 、The present situation 、Measures have been taken,No4： Put the patients posture,Before CPR，To make patients in supine on a firm level (the ground) plane , And releasing the laundry 。 If the patient is face-down when ，Sho
11、uld be overall turnover ，promptly Head, shoulders, torso turned at the same times，Avoiding torso twist ，Head and Neck Always keep the same shaft face to torso.,No5: Check pulse,method：With the middle finger and index finger, a tracheal central to slide to one side 2-3cm touch carotid artery 。（No mor
12、e than 10 seconds ） Medical personnel checks pulse in 10 seconds，If without clear touch pulse in 10 seconds,should do CPR and use AED.,No6: Chest compressions,Continuous chest compressions 30 times： Rate:at least 100/min。 1，2，330。,Pressing Points,1.Location to be accurate ； 2.correct posture ； 3. Sp
13、eed should be uniform ； 4. The strength should be appropriate 。,1.Chest compressions position,The right position： Two nipples connection center,2.correct posture,Rescuer kneels on the right of the patient ，open two legs ，shoulder width apart ，put the shoulder above the sternum，keep your arms straigh
14、t ，Hands that overlap the palm use the weight strength to depress.,3. Speed should be uniform,RATE ：at least 100/min.,4. The strength should be appropriate,The adult sternum should be depressed at least 2 inches (5 cm). Infants and children for at least 1/3 chest diameter （ 4 cm and 5 cm ）。,As shown
15、 in Figure,No7：（Airway）,Cardiopulmonary resuscitation in the whole process, from first to last to maintain airway patency. Patients in the loss of consciousness, can cause respiratory tract blockage. Open airway （ head-tilt-chin-lift ），Patients will head to one side ，With one hand index finger will
16、completely remove the foreign body ，In order to facilitate the patency of the airway 。,Open airway,head-tilt-chin-lift ：Hand on the forehead of patients ，With the palm of the hand push forehead ，On the other hand index finger, middle finger to chin up ，Make the head backwards 。 Pay attention ：DO NOT Compression of cervical trachea,No8：（Breathing） artificial breathing,The continuous administration of two artif
