心肺复苏术-英文PPT参考课件

Cardio Pulmonary Resuscitation心肺复苏术(CPR)RespiratorydepartmentXiyanwang(王西艳)*WhyshouldwelearntheCPR?*Despiteimportantadvancesinprevention,cardiacarrestremainsasubstantialpublichealthproblemandaleadingcauseofdeathinmanypartsoftheworld.TheestimatedincidenceofEMS(emergencymedicalservices)-treatedout-of-hospitalcardiacarrestintheChinaisabout35to40/100000persons/year.*StudieshaveshowntheimportanceofimmediateCPRfollowedbydefibrillationwithin3-5minutesofsuddenVF(VentricularFibrillation)cardiacarrestimprovesurvival.♦IncitiessuchasSeattlewhereCPRtrainingiswidespreadanddefibrillationbyEMSpersonnelfollowsquickly,thesurvivalrateisabout30%.♦IncitessuchasNewYork,withoutthoseadvantages,thesurvivalrateisonly1-2%.*Therearemanylivesandlife-yearslostbecauseappropriateresuscitationisnotattempted.MostofthepublicknowlittleaboutthedetailsofCPR.*When?●Cardiacarrest●Notbreathingornotmakingsufficientrespiratoryeffortontheirown*How?●C(Circulation)●A(Airway)●B(Breathing)--2010AmericanHeartAssociationGuidelinesforCardiopulmonaryResuscitationandEmergencyCardiovascularCare*Circulation:RestorebloodcirculationwithchestcompressionsCheckthesafetyoftheentironmentPutthepersononhis/herbackonafirmsurface.Kneelnexttotheperson’sneckandshoulders.*Circulation:Restorebloodcirculationwithchestcompressions4.Checkthepulseandbreathat5-10seconds(count1001.1002…..1007)Usetheindexandmiddlefingerstocheckthepulseofcarotidatery(themiddleofanterioredgesernocleidomastoid)*Airway:CleartheairwayPutyourfaceneartheperson’smouthandlookforthechestmotionatthesametime(LookforchestmotionListenfornormalbreathsoundsFeelfortheperson’sbreathonyourcheekandear)●Ifthepersonisn’tbreathingnormally,beginartificialrespiration.5.Starttheemergencyresponsesystem,suchasphone120、catchAED（automaticexternaldifibrillator）…..*Circulation:Restorebloodcirculationwithchestcompressions6.Placetheheelofonehandoverthecenteroftheperson’schest,betweenthenipples.Placeyourotherhandontopofthefiesthand.Keepyourelbowsstraightandpositionyourshouldersdirectlyaboveyourhands.*Circulation:Restorebloodcirculationwithchestcompressions7.StartCPR:Useyourupperbodyweightsasyoupushstraightdownonthechestatadepthofatleast5-6cm.Pushhardatarateofabout100-120compressionsaminute.*Airway:CleartheairwayOpentheperson’sairway.●Putyourpalmontheperson’sforeheadandgentlytilttheheadback.●Withtheotherhand,gentlyliftthechinforwardtoopentheairway.*Breathing:Breathfortheperson●mouth-to-mouthbreathing●mouth-to-nosebreathingifthemouthisseriouslyinjuredorcan’tbeopend.●mouth-to-maskbreathing●whenoutsidehospitalyoumaynotgiveartificialbreathingifyoudon’twant.*Breathing:BreathforthepersonWiththeairwayopen,pinchthenostrilsshutformouth-to-mouth(mouth-to-mask)breathingandcovertheperson’smouthwithyours,makingaseal.(makesurethereisnoleakage)*Breathing:BreathforthepersonThirtychestcompressionsfollowedbytworescuebreathsisconsideredonecycle.(1or2rescuer)Checkthecaroidpulseandchestmotionevery5cyclesContinueCPRuntiltherearesignsofmovementoremergencymedicalpersonneltakeover.=30:2:*Breathing:BreathforthepersonIfanadultvictimwithspontaneouscirculation,giverescuebreathsatarateofabout1breathevery5to6seconds,orabout10to12breathsperminute*AEDCheckthythm:ifshockablegive1shock,andimmediatelystartCPR.whennotshockable,immediatelystartCPR2.Checkthythmevery5cycles,continueCPRuntilthepatienthassignsofcirculation.*DefibrillationVentricularfibrillationiscommoninadultsnon-traumaticcardiacarrest.2.Earlierdefibrillationidimportantforsurvival.3.Thechanceforsurvivaldecline7-10%everyminutelaspe.4.Bedefibrillatedattheearliestpossiblemoment.*Pointsforattention•Ensuringchestcompressionsofadequaterate•Ensuringchestcompressionsofadequatedepth•Allowingfullchestrecoilbetweencompressions•Minimizinginterruptionsinchestcompressions•Avoidingexcessiveventilation*Remember:●Timeislife!●EarlyCPRcanimprovesurvival.*Survivalchain(fivesteps)Inhospital(prevention-ERS-CPR-defrillation-ALS)Outsideofhospital(ERS-CPR-defrillation-BLS-ALS)**