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Part One General Concepts

Part One General Concepts. Mrs. Gribbins. You can save a life!. Cardiac arrest remains a substantial health problem Occurs in and out of hospital 350,000 people per year have cardiac arrest. Critical Concepts. High quality CPR improves victims chance of survival Start within 10 seconds

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Part One General Concepts

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  1. Part One General Concepts Mrs. Gribbins

  2. You can save a life! • Cardiac arrest remains a substantial health problem • Occurs in and out of hospital • 350,000 people per year have cardiac arrest

  3. Critical Concepts • High quality CPR improves victims chance of survival • Start within 10 seconds • Push hard, push fast • Allow complete chest recoil • Minimize interruptions

  4. Critical steps • Give effective breaths • Avoid excessive ventilation

  5. Chain of survival ( adult) • Immediate recognition/activation EMS • Early CPR (emphasis chest compressions) • Rapid defibrillation

  6. Chain of survival • Effective advanced life support • Integrated post-cardiac arrest care • (although BLS is taught as sequence of steps, several actions should be accomplished simultaneously with multiple rescuers)

  7. Adult chain survival

  8. Pediatric chain of survival • Adults= cardiac arrest • Children-cardiac arrest= secondary to respiratory failure and shock • Identification key to reduce likelihood of pediatric cardiac arrest • PREVENTION!!

  9. Pediatric chain of survival • Prevention! • Early high quality bystander CPR • Rapid activiation EMS • Effective ALS (rapid stabilization/ transport) • Integrated Post cardiac-arrest care

  10. Pediatric chain

  11. 2010 AHA guidelines update • Change in BLS sequence • Continued emphasis on high quality CPR, minor changes in compression rate/depth • Changes in cricoid pressure, pulse check, and AED use in infants

  12. A-B-C now C-A-B • C- chest compressions • A- Airway • B-Breathing • Old method chest compressions were delayed. Now compressions are started sooner!

  13. No cricoid pressure

  14. AED infant • Use manual defibrillator • If not available, an AED with pediatric attenuator is preferred • If neither is available , you may use an AED without pediatric attenuator

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