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Basic Life Support (Based on AHA Guideline s 20 10) Jajang Sujana Mail, dr., SpAn

Learn about the latest AHA Guidelines 2010 for basic life support. Understand the Chain of Survival, CPR steps, and how early intervention can increase survival rates significantly. Be prepared to respond effectively in emergency situations. Re-evaluate your skills regularly to ensure readiness.

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Basic Life Support (Based on AHA Guideline s 20 10) Jajang Sujana Mail, dr., SpAn

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  1. Basic Life Support(Based on AHA Guidelines 2010)Jajang Sujana Mail, dr., SpAn

  2. Introduction • Latest guidelines • AHA Guidelines 2010, many changes from guidelines 2005 • Sudden cardiac arrest is a leading cause of death in Europe (700,000/year) • Early CPR + defibrillation can produce survival as high as 49-75%!!!

  3. Latar Belakang Statistik RJP di USA : • Sistem Emergensi Medis Amerika menanganisekitar 300.000 korban henti jantung di luar RS setiap tahun • Kurang dari 8 % bertahan hidup • Kurang dari 30% menerima RJP orang terdekat. • RJP efektif yang dilakukan orang terdekat dapat meningkatkan 2-3 x kemungkinan korban bertahan hidup.

  4. Objective The Student should be able to; • Know about Chain of Survival • Know about Basic Life Support steps • Perform a CPR (cardiopulmonary resuscitation) adequately

  5. AHA ECC Adult Chain of Survival Immediate recognition of cardiac arrest and activation f the emergency response system Early CPR with an emphasis on chest compressions Rapid defibrillation Effective advance life support Integrated post-cardiac arrest care

  6. 1 2 3 4 5 Alertness Airway Breathing Circulation Defibrillation Steps AHA Guidelines 2010 Steps AHA Guidelines 2005

  7. Simplified Adult BLS

  8. Alertness • Make sure the scene is safe • Check for response tap the victim on the shoulder and ask, "Are you all right?"

  9. 1. SAFETY FIRST Are the victim and bystanders safe? • Needles • Dangerous traffic • Slope • Electric live circuit • Personal safety: Gloves, glasses, gown

  10. 2. CHECK VICTIM FOR RESPONSE Be in visual field of victim Gently shake or tap the victim on the shoulder Ask: ‘Are you all right?’

  11. 3a. IF RESPONDS Leave the person in position you found him/her unless any danger present Reassess often Find out what’s wrong

  12. 3b. IF NO RESPONSE SHOUT FOR HELP • If no response, activate emergency system • Tell about location, what happened, number and condition of victims, and type of aid provided

  13. Call for Help 118 • RUMAH SAKIT RSUP Hasan Sadikin: (022) 2034953, 55 (022) 203 7066 • Instalasi Gawat Darurat / Emergency (022) 2551198, 2551191 Paviliun Parahyangan (022) 2031440, 2035986 Paviliun Anggrek (022) 2014545, 088820006011 • RS Muhammadiyah : 022 730 1062 • RSI Al Islam : 022 755 5588 • RS Mata Cicendo ; 022 423 1280 • RS Jiwa Bandung : 022 420 3651 • RS Advent : 022 203 8008 • RS Immanuel : 022 520 1656 • RS St. Yusuf : 022 727 9860 • RS St. Borromeus : 022 255 2081 • RS Sartika Asih : 022 522 9544 • RS Rotinsulu : 022 203 4446

  14. Patient Position • Turn the victim onto his back if not already in that position • Make sure there is no obvious trauma to cervical spine • Place the victim on a hard surface in supine position • If an unresponsive victim is face down (prone), roll the victim to a supine position

  15. Circulation • Check pulse on carotid artery (near side) not more than 10 seconds

  16. Circulation • If there is no pulse, compress the chest (at least 100 compressions per minute) • Rescuer kneeling beside the victim’s thorax

  17. Circulation • Place the heel of the hand on the sternum • Place the heel of the second hand on top of the first hand • Interlock fingers

  18. Circulation • Compression-ventilation ratio of 30:2 • 5 cycles • Depth at least 2’in or 5 cm • Complete chest recoil

  19. Airway • Head tilt-chin lift maneuver to open the airway of a victim without evidence of head or neck trauma

  20. Airway • Suspects a cervical spine injury, open the airway using a jaw thrust without head extension

  21. Breathing • No more Look, listen, and feel for breathing • Methods: • Mouth to Mouth • Mouth to Nose

  22. PREPARE AIRWAY • Close the nasal airway using your index finger and thumb of your hand on the forehead • Maintain chin lift • Take a normal breath • Make a seal with your lips

  23. GIVE BREATHS 2x • Blow for 1sec steadily(rather than 2sec) • Give 1 breath every 5-6 sec • Watch from the corner of your eye the chest rising • Maintaining head tilt and chin lift, take your mouth away and watch the chest fall

  24. IF NO CHEST RISING • DON’T PANIC • If at initial attempt no chest rise: • Check victim’s mouth and remove any visible obstruction • Recheck adequate head tilt and chin lift • Do not try more breaths than 2 before coming back to chest compressions

  25. Re-evaluation • Re-evaluate every 5 cycles • Victim with palpable pulses requires support of ventilation, give rescue breaths at a rate of 10 to 12 breaths per minute • Each breath should be given in1 second • Reassess the pulse every 2 minutes

  26. Key BLS Components for Adult, Children, and Infants3

  27. Key BLS Components for Adult, Children, and Infants3

  28. QUESTIONS?

  29. HATUR NUHUN

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