ISA Cardiopulmonary Resuscitation (CPR) Guidelines 2017
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1 ISA Cardiopulmonary Resuscitation (CPR) Guidelines 2017
2 Acknowledgment We sincerely thank and acknowledge the contribution of all the member professional societies and members of Team Resuscitation for the support accorded in developing these CPR Guidelines.
3 ISA Cardiopulmonary Resuscitation Guidelines Compression Only Life Support (COLS) Lay person Basic Cardiopulmonary Life Support (BCLS) Trained paramedics and medics outside the hospital Comprehensive Cardiopulmonary Life Support (CCLS) Trained paramedics and medics inside the hospital Indian J Anaesth 2017;61:867-94
4 Core Links in Adult CPR
5 Core Links in Adult CPR
6 Core Links in Adult CPR Core links in adult Compression-only Life Support (COLS) CPR by lay person outside the hospital (Indian J Anaesth 2017; 61:867-73) Core links in adult Basic Cardiopulmonary Life Support (BCLS) CPR by trained paramedics and medics outside the hospital (Indian J Anaesth 2017;61:874-82) Core links in adult Comprehensive Cardiopulmonary Life Support (CCLS) CPR by trained paramedics and medics inside the hospital (Indian J Anaesth 2017;61:883-94)
7 COLS BCLS CCLS
8 COLS BCLS CCLS
9 ISA Cardiopulmonary Resuscitation (CPR) Guideline 2017 Compression-Only Life Support (COLS) By Lay Person Outside the Hospital
10 Indian J Anaesth 2017; 61:867-73
11 You observe a person suddenly collapsing in front of you or Somebody is already collapsed when you saw him/her first
12 Core links in Adult COLS
13 Core links in Adult COLS
14 Core links in Adult COLS
15 Core links in Adult COLS
16
17 Ensure Safe place द श स र Compression Only Life Support (COLS)
18 Ensure Safe place द श स र Check Response प र तश क ज च कर Tap on shoulder from front and ask loudly Hello-Are You alright? क य आप ठ क ह? Compression Only Life Support (COLS)
19 Ensure Safe place द श स र Check Response प र तश क ज च कर Tap on shoulder from front and ask loudly Hello-Are You alright? क य आप ठ क ह? Compression Only Life Support (COLS) Responsive ज वन चह ह ज वन चह नह ह
20 Ensure Safe place द श स र Check Response प र तश क ज च कर Tap on shoulder from front and ask loudly Hello-Are You alright? क य आप ठ क ह? Compression Only Life Support (COLS) Responsive ज वन चह ह ज वन चह नह ह
21 Ensure Safe place द श स र Check Response प र तश क ज च कर Tap on shoulder from front and ask loudly Hello-Are You alright? क य आप ठ क ह? Compression Only Life Support (COLS) Observe and Shift to nearest medical facility ध य रख तथ नकटतम च कत स स वध म शफ कर Responsive ज वन चह ह ज वन चह नह ह
22 Ensure Safe place द श स र Check Response प र तश क ज च कर Tap on shoulder from front and ask loudly Hello-Are You alright? क य आप ठ क ह? Compression Only Life Support (COLS) Observe and Shift to nearest medical facility ध य रख तथ नकटतम च कत स स वध म शफ कर Responsive ज वन चह ह ज वन चह नह ह
23 Ensure Safe place द श स र Check Response प र तश क ज च कर Tap on shoulder from front and ask loudly Hello-Are You alright? क य आप ठ क ह? Compression Only Life Support (COLS) Observe and Shift to nearest medical facility ध य रख तथ नकटतम च कत स स वध म शफ कर Responsive ज वन चह ह ज वन चह नह ह Shout for help, Call 108 or local emergency number मदद क लए चल ल, 108 य स थ न आप तक ल न न बर पर क ल कर
24 Ensure Safe place द श स र Check Response प र तश क ज च कर Tap on shoulder from front and ask loudly Hello-Are You alright? क य आप ठ क ह? Compression Only Life Support (COLS) Observe and Shift to nearest medical facility ध य रख तथ नकटतम च कत स स वध म शफ कर Responsive ज वन चह ह ज वन चह नह ह Shout for help, Call 108 or local emergency number मदद क लए चल ल, 108 य स थ न आप तक ल न न बर पर क ल कर Use mobile. What to say during the call? Identify yourself Identify your location Tell about victim s condition Number of victims Age, sex, complaint General condition Number of rescuer Assure Hang only when asked to do so म ब इल क उपय ग कर क ल क द र न क य कहन ह? अपन पहच न बत ए अपन स थ क पहच न कर वप ग र क ब र म बत ए प ड़त क स ख य आय, ल ग, शक यत स म न य अवस बच व दल क स ख य भर स दल ए --- ब लन पर ह ब द कर
25 Ensure Safe place द श स र Check Response प र तश क ज च कर Tap on shoulder from front and ask loudly Hello-Are You alright? क य आप ठ क ह? Compression Only Life Support (COLS) Observe and Shift to nearest medical facility ध य रख तथ नकटतम च कत स स वध म शफ कर Responsive ज वन चह ह ज वन चह नह ह Shout for help, Call 108 or local emergency number मदद क लए चल ल, 108 य स थ न आप तक ल न न बर पर क ल कर Start Chest Compression छ त स प ड़न प र र कर
26 Start Chest Compression छ त स प ड़न प र र कर 1 30 Chest Compressions 30 छ त स प ड़न 2 30 Chest Compressions 30 छ त स प ड़न 3 30 Chest Compressions 30 छ त स प ड़न 4 30 Chest Compressions 30 छ त स प ड़न 5 30 Chest Compressions 30 छ त स प ड़न
27 Identification of Position for Chest Compression Keep heel of hand 2 fingers above Xiphoid process (Lowest End of Breast Bone) Correct position for compressions Heel of hand 2 fingers above Xiphoid process (Lowest End of Breast Bone) Elbows straight, shoulders above the victim s chest, fingers interlocked
28 Effective Chest Compression Push at least 5 cm but not more than 6 cm प श कम स कम 5 स म कर और 6 स म स अ धक नह Compress chest at speed of 120 times/min प श 120 / मनट कर Allow complete chest recoil between compression (do not lean) without lifting hand from the chest. अपन ह थ क हट ए बन छ त क व पस उठन द (आग झ क नह ) Do not stop Chest Compressions unnecessarily च स स प ड़न म र क व कम कर
29 Effective Chest Compression 30 compressions in one set. Chant the count loudly 1, 2, 3, 4,.30. Maintain the speed and number of chest compressions. If more than one person, interchange every 5 cycles.
30
31 Check Response प र तश क ज च कर Victim moving, coughing or vocalizing? वप ग र क शर र हलन, ख स करन य आव ज नक लन
32 Check Response प र तश क ज च कर Victim moving, Victim coughing moving, or vocalizing? coughing or शर र vocalizing? हलन, ख स य म खर करन? वप ग र क शर र हलन, ख स करन य आव ज नक लन Responsive
33
34
35
36 How Long to Continue CPR? कतन समय तक स प आर ज र रखन ह? Till Medical Help arrives Another trained rescuer arrives Victim is revived (obvious signs of life) Rescuer is exhausted Place becomes unsafe जब तक च कत स सह यत नह आए एक और प र शत बच व कत र आत ह वप ग र क प नज वत कय ज त ह (ज वन क स पष स क त) बच व दल कत र थक गय ह स थ नअस र शत ह ज त ह
37 Responsive Victim Victim moving, coughing or vocalizing? वप ग र क शर र हलन, ख स करन य आव ज नक लन Place Victim in Lateral position
38 When NOT TO START CPR? जब स प आर श र नह करन ह? द स र शत नह ह जब प ड़त उ रद य ह प ड़त कठ र शर र बन ज त ह (अप रवतर न म त क तरह - रग र म टर ) Scene is not safe Patient Responsive Victim become stiff body (Signs of irreversible death Like - Rigor mortis)
39
40 CPR Guidelines Thank You धन यव Questions and Feedback Please.
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