1 / 27

The Resuscitation Guidelines 2005

The Resuscitation Guidelines 2005. The slides here are modified from the 2005 Resuscitation Council (UK) Guidelines for the Management of Adult Cardiac Arrest. They have been prepared for the University of Dundee Medical Students. …. to confirm cardiac arrest. Open Airway

Download Presentation

The Resuscitation Guidelines 2005

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. The Resuscitation Guidelines 2005 The slides here are modified from the 2005 Resuscitation Council (UK) Guidelines for the Management of Adult Cardiac Arrest. They have been prepared for the University of Dundee Medical Students.

  2. …. to confirm cardiac arrest Open Airway Look for signs of life • Patient response • Open airway • Check for normal breathing • caution agonal breathing • Check for signs of life

  3. …. to confirm cardiac arrest Open Airway Look for signs of life • Pulse check if trained to do so • Take no more than 10 seconds for assessment of both breathing and pulse.

  4. Cardiac arrest confirmed Call Ambulance or Resuscitation Team Check 123, ABC CPR 30:2 Until defibrillator / monitor attached

  5. Chest compression • 30:2 • Compressions • “Centre of chest” • 4-5 cm depth • 100 min-1 • Uninterrupted compressions when airway secured • Avoid • Provider fatigue • Interruptions

  6. Open Airway Look for signs of life ALS Algorithm Call Resuscitation Team CPR 30:2 Until defibrillator/monitor attached Assess Rhythm

  7. How to assess ECG rhythm? • ECG monitoring leads • Self-adhesive electrodes • ‘Quick-look’ paddles

  8. ECG monitoring leads • 3-lead system approximates to I, II, III • Colour coded • Remove hair • Apply over bone • Lead setting (II)

  9. Self-adhesive electrodes • Hands-free • Remove excess chest hair • Dry chest if necessary • Continue CPR whilst applying

  10. ‘Quick-look’ paddles • Hold still • Apply firm pressure • Use coupling agent – gel pads

  11. If using an automated external defibrillator (AED) • When AED arrives switch on • Follow voice and visual prompts • Perform other skills according to your training e.g. pocket mask ventilation, IV access, drugs

  12. Shockable Rhythms (VF/Pulseless VT)

  13. Open Airway Look for signs of life ALS Algorithm Call Resuscitation Team CPR 30:2 Until defibrillator/monitor attached Assess Rhythm Non-shockable (PEA/Asystole) Shockable (VF/Pulseless VT)

  14. Precordial thump • Rapid treatment of a witnessed and monitored VF/VT cardiac arrest • Use if defibrillator not immediately available

  15. VF/Pulseless VT • Check pulse if • Organised rhythm seen after 2 min CPR • Patient showing signs of life • Adrenaline 1mg IV every 2 loops • Just before alternate shocks • Amiodarone given once only

  16. Defibrillation energies • Vary with manufacturer • Check local equipment • If unsure, deliver 200 J (do not delay shock) • Energy levels for defibrillators in this hospital/university 360 J monophasic (150 Joules for biphasic models)

  17. Non-shockable Rhythms PEA/Asystole

  18. Open Airway Look for signs of life ALS Algorithm Call Resuscitation Team CPR 30:2 Until defibrillator/monitor attached Assess Rhythm Non-shockable (PEA/Asystole) Shockable (VF/Pulseless VT)

  19. PEA/Asystole • Check pulse if • A change to an organised rhythm seen after 2 min CPR • Patient showing signs of life • Adrenaline 1mg IV every 2 loops as soon as IV access is achieved • In asystole and PEA (heart rate <60) Atropine 3mg is given once only

  20. Airway and ventilation • Secure airway: • tracheal tube • LMA • Once airway secured, if possible, do not interrupt chest compressions for ventilation • Avoid hyperventilation

  21. Any Questions regarding cardiopulmonary resuscitation can be referred to Susan Somerville, Resuscitation Officer, University of Dundee, via email: • s.g.somerville@dundee.ac.uk

More Related