SEMINAR ON

CARDIOPULMONERY
RESUSCITATION

PRESENTED BY
SANTOSH SINGH
1st Yr M.sc.
HISTORICAL REVEIW

 5000- First artificial mouth to mouth respiration

 3000 BC – Ventilation
 1780-First attempt of newborn resusitation by blowing

 1874- first experimental cardiac massage

 1901-first sucessful diract cardiac massage in man

 1960- indiract cardiac massage.

 1980- development of cardiopulmonery resuscitation due

to the work of peter safar.
INTRODUCTION

 Cardiopulmonary resuscitation (CPR) is a life

saving technique useful in many emergancies,

including heart attach or near drowning, in which

someones’s breathing or heartbeat has stopped.

ANOTOMY AND PHYSIOLOGY
DEFINATION

 CARDIO PULMONARY RESUSCITATION

means cardiac and pulmonary .cardio means heart
and pulmonary means lungs and resuscitation
means to restore. so cardio pulmonary
resuscitation means to restore heart and lung
function
CONT…

 Cardio pulmonary resuscitation is a technique of

basic life support for the purpose of oxygenating
the brain and heart until appropriate, definitive
medical treatment can restore normal heart and
ventilatory action
PURPOSES

 To maintain an open and clear airway(A)

 To oxygenate the heart and lungs.

 To restore the function of heart and lungs.

 To prevent the brain death and damage.

 To maintain circulation in brain and heart.

 To save life of the patient

CONT……

 To maintain breathing by external ventilation (B)

 To
maintain blood circulation by external cardiac
massages (C)
INDICATION:-

 Cardiac arrest

 VENTRICULAR FIBRILATION (VF)

 VENTRICULAR TACHYCARDIA (VT)

 ASYSTOLE

 PULSE LESS ELECTRICAL ACTIVITY

SIGN & SYMPTOMS OF
CARDIAC ARREST
Collapse

No Pulse
No Breathing
 CONT.....
Loss Of Consciousness

Fatigue

Vomiting
RESPIRATORY ARREST

 Drowning

 Stroke

 Foreign body in throat

 Smoke inhalation

 Drug overdose

 Suffocation

 Coma

 Epiglottis paralysis.
PRINCIPALS OF CPR

 To restore effactive circulation and ventilation.

To prevent irreversible cerebral damage due to

anoxia. When the heart fails to maintain the cerebral
circulation for approximately four minutes the brain
may suffer irreversible damage.
SEQUENCE OF CPR
CHARACTERISTICS OF HIGH
QUALITY CPR
HIGH QUALITY OF CPR
CPR PROCEDURE

APPROACH SAFELY
CHECK RESPONSE
SHOUT FOR HELP
OPEN AIRWAY
CHECK BREATHING
CALL 108
30 COMPRESSIONS
2 RESCUE BREATHS
CARDIAC ARREST
CHECK RESPONSE

SHAKE SHOULDER GENTELY

ASK ARE YOU ALL RIGHT
IF HE RESPONDS
LEAVE AS YOU FIND HIM.
FIND OUT WHAT IS WRONG
REASSESS REGULARLY
STEPS

 ASSESSMENT
POSSIBLE COMPLICATION
 CORONERY VESSEL INJURY

 DIAPHRAGM INJURY

 HEMOPERICARDIUM

 HEMOTHORAX

 LIVER INJURY

 PNEUMOTHORAX

 RIB FRACTURES

 STERNAL FRACTURE
MEDICAL MANAGEMENT

ADRENALINE
 Adrenaline (epinephrine) is the main drug used

during resuscitation from cardiac arrest.

 ATROPIN

atropin as a single dose of 3mg is sufficient to block

vagal tone completely and should be used once of
asystole.
AMIDORONE
It is antiarrhythimic drug.
NURSING MANAGEMENT
 ASSIST THE INTUBATIO AND SECURING
ETT
 ASSIST WITH ONGOING MANAGEMENT
OF AIRWAY PATENCY AND ADEQUATE
VENTILATION.
 PREPARE AND ADMINISTER IV FLUID.
 IF CPR IS IN PROGRESS ,PREPARE
AND IDEPENDENTLY DOUBLE CHEAK
AND LABEL 3 DOSES OF ADRENALINE
 DOCUMENT MEDICATION ADMINISTERD (
INCLUDING TIME)
ANY DOUBT
S MMERIZATION


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st
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nd
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th
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 www.circ.ahajournals.org.
 www.eccguidelines.heart.org