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    Basic Life Support: Emilzon Taslim

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    Windy Julita
    The document provides guidance on basic life support procedures for trauma and non-trauma patients. It describes the key steps in cardiopulmonary resuscitation (CPR), including chest compressions, rescue breathing, use of an automatic external defibrillator (AED), and advanced airway management using laryngeal mask airways or endotracheal tubes. It emphasizes the importance of assessing a patient's responsiveness by looking, listening, and feeling before initiating rescue breaths and provides illustrations of proper CPR techniques.

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    Basic Life Support: Emilzon Taslim

    Uploaded by

    Windy Julita
    10 views74 pages
    The document provides guidance on basic life support procedures for trauma and non-trauma patients. It describes the key steps in cardiopulmonary resuscitation (CPR), including chest compressions, rescue breathing, use of an automatic external defibrillator (AED), and advanced airway management using laryngeal mask airways or endotracheal tubes. It emphasizes the importance of assessing a patient's responsiveness by looking, listening, and feeling before initiating rescue breaths and provides illustrations of proper CPR techniques.

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    The document provides guidance on basic life support procedures for trauma and non-trauma patients. It describes the key steps in cardiopulmonary resuscitation (CPR), including chest compressions, rescue breathing, use of an automatic external defibrillator (AED), and advanced airway management using laryngeal mask airways or endotracheal tubes. It emphasizes the importance of assessing a patient's responsiveness by looking, listening, and feeling before initiating rescue breaths and provides illustrations of proper CPR techniques.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    10 views74 pages

    Basic Life Support: Emilzon Taslim

    Uploaded by

    Windy Julita
    The document provides guidance on basic life support procedures for trauma and non-trauma patients. It describes the key steps in cardiopulmonary resuscitation (CPR), including chest compressions, rescue breathing, use of an automatic external defibrillator (AED), and advanced airway management using laryngeal mask airways or endotracheal tubes. It emphasizes the importance of assessing a patient's responsiveness by looking, listening, and feeling before initiating rescue breaths and provides illustrations of proper CPR techniques.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 74

    BASIC LIFE

    SUPPORT
    Emilzon Taslim
    Bagian Anestesiologi dan Terapi Intensif
    Fakultas Kedokteran Universitas Andalas/ RS. Dr. M. Djamil
    Padang
    Basic Life Support

    Trauma Non Trauma

    LMA / ETT /
    LMA / ETT CPCR 30 : 2 + AED
    dll
    NON TRAUMA
    CHAIN OF SURVIVAL
    100

    90

    80
    Changes of success
    70 reduced 7% to 10%
    each minute
    60
    %success
    50

    40

    30

    20

    10

    0
    1 2 3 4 5 6 7 8 9 minute
    Composite data illustrating relationship between probability of survival to discharge
    (indicated as success in figure), after VF cardiac arrest and interval between collapse
    and defibrillation
    Tepuk
    bahu
    penderita
    LONTONG……
    EH SILLAF,
    TOLLOOOONG….
    ADA ORANG PINGSAN !!!
    Raba nadi carotis…
    raba nadi carotis
    Processus
    Xyphoideu
    s
    1 jari
    diatas PX
    Pijat Jantung
    Luar
    midstern
    al
    30 X
    KOMPRESI JANTUNG LUAR
    KOMPRESI JANTUNG LUAR
    KOMPRESI JANTUNG LUAR
    SATU atau DUA PENOLONG

    30 :
    2
    Beri nafas…

    2X
    2x nafas
    30 x
    pijat
    jantung

    4-seri
    bebaskan
    head-tilt
    jalan nafas
    chin-lift
    PADA PASIEN TRAUMA

    head tilt chin lift

    neck lift
    Jaw thrust
    Don’t do
    Jaw thrust
    LOOK,
    LOOK,LISTEN
    LISTEN&&FEEL
    FEEL

    Jangan dilakukan
    pada kasus trauma
    leher
    LOOK / LIHAT
     Perubahan Status Mental
    Agitasi / gelisah  Hipoksemia
    Obtundasi / teler  Hiperkarbia
     Gerak Nafas
    Normal
    See saw / rocking
     Retraksi
     Deformitas
     Debris
    Darah / sekret
    Muntahan
    Gigi
     Sianosis
    LISTEN /
    DENGAR
     Bicara normal  Tak ada sumbatan
     Ada suara tambahan
    Snoring  Lidah
    Gurgling  Cairan
    Stridor / crowing  Penyempitan
     Suara parau (hoarseness / dysphonia)

    FEEL / RABA
     Hawa nafas
     Krepitasi / fraktur (maxillofacial / laryngeal)
     Deviasi trakhea
     Hematoma
     Getaran di leher
    Look, listen,
    and feel
    nggak
    bernafas
    !!!
    MOUTH TO MOUTH RESPIRATION
    beri nafas
    2x
    jepit hidung biar
    tidak bocor
    Mouth to ajunct
    Mouth to ajunct
    Bag and
    mask
    Nafas bantu dengan alat
    (AMBU)
    awas, jangan
    bocor
    LARYNGEAL MASK AIRWAY (LMA)
    ENDOTRACHEAL TUBE
    (ETT)
    AUTOMATIC EXTERNAL
    DEFIBRILLATION - AED

    HEART START
    DEFIBRILLATION
    Approach safely
    Check response
    Shout for help
    Open airway
    Check breathing
    Call 112
    Attach AED
    Follow voice prompts
    SWITCH ON AED

    • Some AEDs will


    automatically switch
    themselves on when
    the lid is opened
    ATTACH PADS TO CASUALTY’S BARE
    CHEST
    ANALYSING RHYTHM, DO NOT TOUCH VICTIM
    SHOCK INDICATED

    • Stand clear
    • Deliver shock
    SHOCK DELIVERED FOLLOW AED
    INSTRUCTIONS

    30 2
    NO SHOCK ADVISED FOLLOW AED INSTRUCTIONS

    30 2
    AED IN
    CHILDREN
    • Age > 8 years
    • use adult AED

    • Age 1-8 years


    • use paediatric pads /
    settings if available
    (otherwise use adult
    mode)

    • Age < 1 year


    • use only if manufacturer
    instructions indicate it is
    safe
    IF VICTIM STARTS TO BREATHE NORMALLY
    PLACE IN RECOVERY POSITION
    1 2

    3 4
    TRAUMA
    Indikasi pasien yang mendapat intervensi
    airway dengan klinis :

    • Pasien GCS < 8


    • Pasien gagal nafas, RR <8 atw RR > 35

    Intervensi airway menggunakan : ETT / LMA


    ORO-PHARYNGEAL TUBE

    Perhatikan ukuran
    INTUBASI
    INTUBASIENDOTRAKHEAL
    ENDOTRAKHEAL

    • Oksigenasi + ventilasi (5 menit)


    • Alat dan obat siap
    • Harus berhasil kurang 30 detik
    • Bila > 30 detik belum berhasil  oksigenasi + ventilasi ulang
    • Penolong  tak kuat tahan nafas
    • Saturasi O2 menurun
    • Monitoring :
    Saturasi O2 (Pulse oxymeter)
    End-tidal CO2 (Capnografi)
    Cross Finger
    HATI-HATI !!!

    BETUL SALAH
    Jika berhasil
    TERIMA KASIH

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