1、CardioPulmonaryResuscitation心肺复苏术(CPR)Respiratory departmentXiyan wang(王西艳)Why should we learn the CPR?lDespite important advances in prevention,cardiac arrest remains a substantial public health problem and a leading cause of death in many parts of the world.lThe estimated incidence of EMS(emergenc
2、y medical services)-treated out-of-hospital cardiac arrest in the China is about 35 to 40/100 000 persons/year.lStudies have shown the importance of immediate CPR followed by defibrillation within 3-5 minutes of sudden VF(Ventricular Fibrillation)cardiac arrest improve survival.In cities such as Sea
3、ttle where CPR training is widespread and defibrillation by EMS personnel follows quickly,the survival rate is about 30%.In cites such as New York,without those advantages,the survival rate is only 1-2%.lThere are many lives and life-years lost because appropriate resuscitation is not attempted.l Mo
4、st of the public know little about the details of CPR.When?Cardiac arrest Not breathing or not making sufficient respiratory effort on their ownHow?C (Circulation)A (Airway)B (Breathing)-2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular CareCir
5、culation:Restore blood circulation with chest compressions Check the safety of the entironment Put the person on his/her back on a firm surface.Kneel next to the persons neck and shoulders.Circulation:Restore blood circulation with chest compressions4.Check the pulse and breath at 5-10 seconds(count
6、 1001.1002.1007)Use the index and middle fingers to check the pulse of carotid atery(the middle of anterior edge sernocleidomastoid)Airway:Airway:Clear the airwayClear the airwayPut your face near the persons mouth and look for the chest motion at the same time (Look for chest motion Listen for norm
7、al breath sounds Feel for the persons breath on your cheek and ear)If the person isnt breathing normally,begin artificial respiration.5.Start the emergency response system,such as phone 120、catch AED（automatic external difibrillator）.Circulation:Restore blood circulation with chest compressions6.Pla
8、ce the heel of one hand over the center of the persons chest,between the nipples.Place your other hand on top of the fiest hand.Keep your elbows straight and position your shoulders directly above your hands.Circulation:Restore blood circulation with chest compressions7.Start CPR:Use your upper body
9、 weights as you push straight down on the chest at a depth of at least 5-6 cm.Push hard at a rate of about 100-120 compressions a minute.Airway:Airway:Clear the airwayClear the airway Open the persons airway.Put your palm on the persons forehead and gently tilt the head back.With the other hand,gent
10、ly lift the chin forward to open the airway.Breathing:Breathing:Breath for the personBreath for the person mouth-to-mouth breathing mouth-to-nose breathing if the mouth is seriously injured or cant be opend.mouth-to-mask breathing when out side hospital you may not give artificial breathing if you d
11、ont want.Breathing:Breathing:Breath for the personBreath for the personWith the airway open,pinch the nostrils shut for mouth-to-mouth(mouth-to-mask)breathing and cover the persons mouth with yours,making a seal.(make sure there is no leakage)Breathing:Breathing:Breath for the personBreath for the p
12、ersonThirty chest compressions followed by two rescue breaths is considered one cycle.(1 or 2 rescuer)Check the caroid pulse and chest motion every 5 cyclesContinue CPR until there are signs of movement or emergency medical personnel take over.=30:2:Breathing:Breathing:Breath for the personBreath fo
13、r the personIf an adult victim with spontaneous circulation,give rescue breaths at a rate of about 1breath every 5 to 6 seconds,or about 10 to 12 breaths per minuteAED AED Check thythm:if shockable give 1 shock,and immediately start CPR.when not shockable,immediately start CPR2.Check thythm every 5
14、cycles,continue CPR until the patient has signs of circulation.Defibrillation Defibrillation Ventricular fibrillation is common in adults non-traumatic cardiac arrest.2.Earlier defibrillation id important for survival.3.The chance for survival decline 7-10%every minute laspe.4.Be defibrillated at th
15、e earliest possible moment.Points for attention Points for attention Ensuring chest compressions of adequate rate Ensuring chest compressions of adequate depth Allowing full chest recoil between compressions Minimizing interruptions in chest compressions Avoiding excessive ventilationRemember:Time is life!Early CPR can improve survival.Survival chain(five steps)Survival chain(five steps)In hospital(prevention-ERS-CPR-defrillation-ALS)Outside of hospital(ERS-CPR-defrillation-BLS-ALS)此课件下载可自行编辑修改，供参考！此课件下载可自行编辑修改，供参考！部分内容来源于网络，如有侵权请与我联系删除！部分内容来源于网络，如有侵权请与我联系删除！
