心肺复苏术-英文课件

CardioPulmonaryResuscitation心肺复苏术(CPR)RespiratorydepartmentXiyanwang1CardioPulmonaryResuscitationWhy should we learn the CPR?2WhyshouldwelearntheCPR?2Why?Why?lDespiteimportantadvancesinprevention,cardiacarrestremainsasubstantialpublichealthproblemandaleadingcauseofdeathinmanypartsoftheworld.lTheestimatedincidenceofEMS(emergencymedicalservices)-treatedout-of-hospitalcardiacarrestintheChinaisabout35to40/100000persons/year.3Why?DespiteimportantadvancesWhy?Why?lStudieshaveshowntheimportanceofimmediateCPRfollowedbydefibrillationwithin3-5minutesofsuddenVF(VentricularFibrillation)cardiacarrestimprovesurvival.IncitiessuchasSeattlewhereCPRtrainingiswidespreadanddefibrillationbyEMSpersonnelfollowsquickly,thesurvivalrateisabout30%.IncitessuchasNewYork,withoutthoseadvantages,thesurvivalrateisonly1-2%.4Why?StudieshaveshowntheimpWhy?Why?lTherearemanylivesandlife-yearslostbecauseappropriateresuscitationisnotattempted.lMostofthepublicknowlittleaboutthedetailsofCPR.5Why?TherearemanylivesandWhen?CardiacarrestNotbreathingornotmakingsufficientrespiratoryeffortontheirown6When?Cardiacarrest6How?C(Circulation)A(Airway)B(Breathing)-2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care7How?C(CirculationCirculation:Restore blood circulation with chest compressions1.Checkthesafetyoftheentironment2.Putthepersononhis/herbackonafirmsurface.3.Kneelnexttothepersonsneckandshoulders.8Circulation:RestorebloodciCirculation:Restore blood circulation with chest compressions4.Checkthepulseandbreathat5-10seconds(count1001.1002.1007)Usetheindexandmiddlefingerstocheckthepulseofcarotidatery(themiddleofanterioredgesernocleidomastoid)9Circulation:RestorebloodciAirway:Clear the airwayPutyourfacenearthepersonsmouthandlookforthechestmotionatthesametime(LookforchestmotionListenfornormalbreathsoundsFeelforthepersonsbreathonyourcheekandear)Ifthepersonisntbreathingnormally,beginartificialrespiration.5.Starttheemergencyresponsesystem,suchasphone120、catchAED（automaticexternaldifibrillator）.10Airway:Cleartheairway10Circulation:Restore blood circulation with chest compressions6.Placetheheelofonehandoverthecenterofthepersonschest,betweenthenipples.Placeyourotherhandontopofthefiesthand.Keepyourelbowsstraightandpositionyourshouldersdirectlyaboveyourhands.11Circulation:RestorebloodciCirculation:Restore blood circulation with chest compressions7.StartCPR:Useyourupperbodyweightsasyoupushstraightdownonthechestatadepthofatleast5-6cm.Pushhardatarateofabout100-120compressionsaminute.12Circulation:RestorebloodciAirway:Clear the airway1.Openthepersonsairway.Putyourpalmonthepersonsforeheadandgentlytilttheheadback.Withtheotherhand,gentlyliftthechinforwardtoopentheairway.13Airway:CleartheairwayOpeBreathing:Breath for the personmouth-to-mouthbreathingmouth-to-nosebreathingifthemouthisseriouslyinjuredorcantbeopend.mouth-to-maskbreathingwhenoutsidehospitalyoumaynotgiveartificialbreathingifyoudontwant.14Breathing:BreathfortheperBreathing:Breath for the person1.Withtheairwayopen,pinchthenostrilsshutformouth-to-mouth(mouth-to-mask)breathingandcoverthepersonsmouthwithyours,makingaseal.(makesurethereisnoleakage)15Breathing:BreathfortheperBreathing:Breath for the person2.Thirtychestcompressionsfollowedbytworescuebreathsisconsideredonecycle.(1or2rescuer)3.Checkthecaroidpulseandchestmotionevery5cyclesContinueCPRuntiltherearesignsofmovementoremergencymedicalpersonneltakeover.=30:2:16Breathing:BreathfortheperBreathing:Breath for the personIfanadultvictimwithspontaneouscirculation,giverescuebreathsatarateofabout1breathevery5to6seconds,orabout10to12breathsperminute17Breathing:BreathfortheperAED 1.Checkthythm:ifshockablegive1shock,andimmediatelystartCPR.whennotshockable,immediatelystartCPR2.Checkthythmevery5cycles,continueCPRuntilthepatienthassignsofcirculation.18AEDCheckthythm:ifshockableDefibrillation 1.Ventricularfibrillationiscommoninadultsnon-traumaticcardiacarrest.2.Earlierdefibrillationidimportantforsurvival.3.Thechanceforsurvivaldecline7-10%everyminutelaspe.4.Bedefibrillatedattheearliestpossiblemoment.19DefibrillationVentricularfibPoints for attention EnsuringchestcompressionsofadequaterateEnsuringchestcompressionsofadequatedepthAllowingfullchestrecoilbetweencompressionsMinimizinginterruptionsinchestcompressionsAvoidingexcessiveventilation20PointsforattentionEnsurinRemember:Timeislife!EarlyCPRcanimprovesurvival.21Remember:21Survival chain(five steps)Inhospital(prevention-ERS-CPR-defrillation-ALS)Outsideofhospital(ERS-CPR-defrillation-BLS-ALS)22Survivalchain(fivesteps)22Thank you!Thank you!23Thankyou!23