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    AHA Resucitation 2016

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    Nadya Wiratami Nurrakhmawati
    This document summarizes the key changes to cardiopulmonary resuscitation (CPR) guidelines from the American Heart Association (AHA) in 2015. It outlines the chain of survival and systematic approach to basic life support (BLS) and advanced life support (ALS). For BLS, it emphasizes high-quality chest compressions including rate of 100-120/minute, depth of 2-2.4 inches, allowing full chest recoil, and minimizing interruptions. For ALS, it discusses airway management, ventilation rates, intravenous/intraosseous access, and post-cardiac arrest care including targeted temperature management. It stresses the importance of effective team dynamics with clear roles, closed-loop communication

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    AHA Resucitation 2016

    Uploaded by

    Nadya Wiratami Nurrakhmawati
    20 views13 pages
    This document summarizes the key changes to cardiopulmonary resuscitation (CPR) guidelines from the American Heart Association (AHA) in 2015. It outlines the chain of survival and systematic approach to basic life support (BLS) and advanced life support (ALS). For BLS, it emphasizes high-quality chest compressions including rate of 100-120/minute, depth of 2-2.4 inches, allowing full chest recoil, and minimizing interruptions. For ALS, it discusses airway management, ventilation rates, intravenous/intraosseous access, and post-cardiac arrest care including targeted temperature management. It stresses the importance of effective team dynamics with clear roles, closed-loop communication

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    This document summarizes the key changes to cardiopulmonary resuscitation (CPR) guidelines from the American Heart Association (AHA) in 2015. It outlines the chain of survival and systematic approach to basic life support (BLS) and advanced life support (ALS). For BLS, it emphasizes high-quality chest compressions including rate of 100-120/minute, depth of 2-2.4 inches, allowing full chest recoil, and minimizing interruptions. For ALS, it discusses airway management, ventilation rates, intravenous/intraosseous access, and post-cardiac arrest care including targeted temperature management. It stresses the importance of effective team dynamics with clear roles, closed-loop communication

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    20 views13 pages

    AHA Resucitation 2016

    Uploaded by

    Nadya Wiratami Nurrakhmawati
    This document summarizes the key changes to cardiopulmonary resuscitation (CPR) guidelines from the American Heart Association (AHA) in 2015. It outlines the chain of survival and systematic approach to basic life support (BLS) and advanced life support (ALS). For BLS, it emphasizes high-quality chest compressions including rate of 100-120/minute, depth of 2-2.4 inches, allowing full chest recoil, and minimizing interruptions. For ALS, it discusses airway management, ventilation rates, intravenous/intraosseous access, and post-cardiac arrest care including targeted temperature management. It stresses the importance of effective team dynamics with clear roles, closed-loop communication

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    of 13

    WHATS THE NEW-2015

    AHA RESUSCITATION
    GUIDELINES
    dr. WISHNU PRAMUDITO DP, Sp.B

    CHAIN OF SURVIVAL

    SYTEMATIC APROACH
    BLS ASSESSMENT
    CHECK RESPONSIVENES:
    TAP & SHOUT

    CALL FOR HELP/ ACTIVATED EMERGENCY RESPON SYSTEM / GET AED

    CHECK BREATHING & PULSE


    ( 5 SECOND )

    DEFIBRILATION:
    A E D / DEFIBRILATOR

    SYSTEMATIC APPROACH :
    ADVANCED LIFE SUPPORT ASSESSMENT

    PRIMARY ASSESSMENT
    Airway
    Breathing
    Circulation
    Disability
    Exposure

    SECONDARY ASSESSMENT
    S-A-M-P-L-E
    Hs & Ts

    HIGH-QUALITY CPR
    FUNDAMENTAL OF RESUSCITATION
    PUSH FAST : 100-120 comp/minutes
    PUSH HARD : 2 Inch (5 cm) , max 2.4 inch (6 cm)
    Allowing Complete Full recoil after each
    compression
    Minimal interuption in compresion ( < 10 second )
    Avoiding excessive ventilation
    Team Approach
    Chest Compression Fraction (CCF) : 60% - 80%
    Switch Compressor about every 2 minutes
    Use audio visual feedback device to monitor
    quality

    HIGH-QUALITY CPR

    ALS :
    AIRWAY :

    AIRWAY ADJUNCT ( OPA, NPA )


    AIRWAY ADVANCED : Endotracheal, Supraglotic ( LM, Esofageal Tube)
    Airway Advanced ?? CHOOSE ONE
    AIRWAY ADVANCED PLACEMENT ???

    BLS

    ALS

    ROSC

    SIMPLE AIRWAY
    MANUVER

    AIRWAY ADJUCNT
    AIRWAY
    ADVANCED

    AIRWAY
    ADVANCED

    ALS
    BREATHING :
    TITRATE O2 SATURATION 90%
    CPR + ADVANCED AIRWAY (ETT) VENTILATION RATE ONCE EVERY 6
    SECONDS

    CIRCULATING :
    Akses : IV / IO

    Post Cardiac Arrest Care


    A-B-C stable
    Consider : Comatose Patient (GCS3) Targeted temperature
    management
    Cool to 320C - 360C for at least 24 hours

    Out hospital Not Recomended

    TEAM DYNAMIC
    The better you work as a team, the better
    potential outcome for your patients
    ELEMENT OF EFFECTIVE TEAM DYNAMIC:

    ROLES

    Clear roles and responsibilities


    Knowing your limitation
    Constructive intervention

    WHAT TO
    COMMUNICATES

    Knowledge sharing
    Summarizing & reevaluation

    HOW TO
    COMMUNICATES

    Cloosed-loop communication
    Clear Message
    Mutual Respect

    AHA NOTES
    Not all guidelines suited in All Country.
    So..... You must Build a system, Train your Team, Adapt the
    Guidelines with your local Protocols, TO WIN YOUR PATIENT, TO
    SAFE YOUR PATIENT LIFE.

    M U K I D I

    THANK YOU

    WHAT IS YOUR......WHY ?

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