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Best Heart doctor of Rohtak.

Sudden death occur when heartbeat & breathing stop suddenly or unexpectedly. the major role of CPR is to provide oxygen to heart ,brain,& the other vital organ until medical treatment (advance cardiac life support-ACLS) can restore normal heart action.<br><br>Get the best heart care in the Hospital in Rohtak.

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Best Heart doctor of Rohtak.

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  1. INTRODUCTION:- Sudden death occur when heartbeat & breathing stop suddenly or unexpectedly. themajorroleofCPRistoprovideoxygento heart ,brain,& the other vital organ until medical treatment (advance cardiac life support-ACLS) can restore normal heart action.

  2. DEFINITION:- Angela MorrowRN Cardiopulmonary resuscitation (CPR)isaprocedureusedwhenapatient'sheartstops beating and breathing stops. It can involve compressions of the chest or electrical shocks along with rescuebreathing. Mosby medicaldictionary CPR is a basic emergency procedureforlifesupportconsistingofartificialand manual external cardiacmassage .

  3. CHAIN OFSURVIVAL:-

  4. INDICATIONS:- Cardio vasculardisorders CAD, congenital heartdiseases , coronary embolism, cardiac rupture& dissection Pulmonarycauses pulmonaryembolism,pulmonaryedema,asphyxia Metaboliccauses hypoglycemia, electrolyteimbalances

  5. Fluidimbalance • extensive hemorrhage, hypotension,shock • Neurologicalcauses • brain injuries, massivecva • Poisonssubstanceanddrugoverdose • copoisoning,propanololoverdose • Othercauses • electrical shock, hypothermia, narcoticoverdose

  6. WARNING SIGNS OFCARDIO PULMONARYARREST:- Earlysigns: . loss of consciousness &convulsions Latesigns: .Apnoea .Dilatedpupils .Absence of heartsounds

  7. Othersigns • Changes in respiratoryrate • Aweakorirregularpulse • Bradycardia • Cyanosis • Hypothermia

  8. CPRPROCEDURE

  9. EQUIPMENTS i. Ambu bag and masks with differentsize. ii. Oropharyngealairways. iii. Endotracheal tubes of appropriate sizes andstillet. E U B E

  10. Paediatric laryngoscope with straight (Miller) and curved(McIntosh) blade –Appropriate sizes. Suctionapparatus. vi. NGtube.

  11. IV equipments &fluids Pulse-oxymetry Oxygensources Automated externaldefibrillator Emergencydrugs Cardiacmonitor

  12. STEPS FORCPR:- • Airway:-Maintaining anopen airway. • Breathing:-Providing artificial ventilationby rescue breathing. • Circulation:-Promoting artificial circulationby external cardiaccompression. • Defibrillation:-Restoring the heartbeat.

  13. CHECKRESPONSE • Shake shouldersgently Ask “Are you allright?” If heresponds • Leave as you findhim. • Findoutwhatiswrong. • Reassessregularly.

  14. (A) AIRWAY:- • Headtiltchinliftmanoeuvre • Jaw thrustmanoeuvre

  15. HEAD TILT CHIN LIFTMANOEUVRE

  16. JAW THRUSTMANOEUVRE

  17. (B)Breathing:- LookListenFeel

  18. Method: • Mouthtomouthventilation • Mouthtomaskventilation • Bag maskventilation

  19. MOUTH TO MOUTHVENTILATION

  20. MOUTH TO MASKVENTILATION

  21. BAG MASKVENTILATION

  22. ADULT PEDIATRIC NEONATAL

  23. (C)Circulation:- • Assesspulse • {Adult}

  24. Assess pulse(infant)

  25. CHESTCOMPRESSIONS

  26. CHESTCOMPRESSIONS • Placetheheelofonehandin thecentreofthechest • Placeotherhandontop • Interlockfingers • Compress thechest • Rate 100min-1 • Depth 3-5 cm(1.5 to2 inches) • Equal compression :relaxation • Whenpossible change CPR • operator every 2min

  27. IN ADULT

  28. INCHILD

  29. IN INFANT

  30. (D)DEFIBRILLATION:- • Device that delivers direct electrical current acrossthemyocardium.Theaimistoproduce synchronousdepolarizationofcardiacmuscle • STRATEGIES: • Test defibrillatefor • full batterycharge • switchonpowerbutton • change paddlemode

  31. Keyissues: Paddlesite:Rtintraclavicularregion lt loweraxillary region Paddle size: 8cm-12 cm waveformpatterns : monophasic biphasic truncatedexponential biphasticrectilinear

  32. Energylevel: Pediatric : 2-4J/kg Monophasic=>360J Biphasic truncated=>150-200J Biphasic rectilinear=> 120J Adult:

  33. STEPS:- • switchon • select paddlemode • assessrhythm • presspaddlesfirmlyoverthechest • deliver theshock • resumecpr

  34. Intensive care:-(shifting inICU) • transfer toICU • monitorcloselyandcontinuously • monitorvitalsignseveryhour • watch forconvulsions • intubate ifnecessary • catheterizethepatientandmonitoroutput • record theprocedure

  35. POST CARDIAC ARRESTMANAGEMENT:- • Continuedcare • To ensure hemodynamicmonitoring • To minimizetheeffectoflossofspontaneous • circulation of variousorgans • Torecognizeandtreatrecurrentcardiacarrests • Objectives: • Optimizecardiopulmonaryfunction&systemic • perfusion • Transportvictimoutofhospital • Identifyandtreatthreprecipatingfactor • Intitutemeasuretopreventrecurrenceandimprove neurologicalfunction

  36. Respiratorysystem;      Intubate&mechanicallyventilateuntiltheyarestable Administer supplementaloxygen Obtain chest x ray Administer drugs Avoidhyperventilation Cardio vascularsystem:     Obtain expert consultation Monitor ecg , x-ray, labanalysis, Monitorintraarterialbloodpressure Administerdrugs

  37. COMPLICATIONS OFCPR:-:- -Ribfractures -Lacerationrelatedtothetipofthe sternum -Liver, lung,spleen -Aspiration -Vomiting

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