心肺復(fù)蘇術(shù)-英文

Cardio

Pulmonary

Resuscitation心肺復(fù)蘇術(shù)(CPR)RespiratorydepartmentXiyanwang(王西艷)2021/10/101WhyshouldwelearntheCPR?2021/10/102Why?Despiteimportantadvancesinprevention,cardiacarrestremainsasubstantialpublichealthproblemandaleadingcauseofdeathinmanypartsoftheworld.TheestimatedincidenceofEMS(emergencymedicalservices)-treatedout-of-hospitalcardiacarrestintheChinaisabout35to40/100000persons/year.2021/10/103Why?StudieshaveshowntheimportanceofimmediateCPRfollowedbydefibrillationwithin3-5minutesofsuddenVF(VentricularFibrillation)cardiacarrestimprovesurvival.

?IncitiessuchasSeattlewhereCPRtrainingiswidespreadanddefibrillationbyEMSpersonnelfollowsquickly,thesurvivalrateisabout30%.

?IncitessuchasNewYork,withoutthoseadvantages,thesurvivalrateisonly1-2%.2021/10/104Why?Therearemanylivesandlife-yearslostbecauseappropriateresuscitationisnotattempted.MostofthepublicknowlittleaboutthedetailsofCPR.2021/10/105When?●Cardiacarrest●Notbreathingornotmakingsufficientrespiratoryeffortontheirown2021/10/106How?

●C(Circulation)●A(Airway)

●

B(Breathing)

--2010AmericanHeartAssociationGuidelinesforCardiopulmonaryResuscitationandEmergencyCardiovascularCare2021/10/107Circulation:RestorebloodcirculationwithchestcompressionsCheckthesafetyoftheentironmentPutthepersononhis/herbackonafirmsurface.Kneelnexttotheperson’sneckandshoulders.2021/10/108Circulation:Restorebloodcirculationwithchestcompressions4.Checkthepulseandbreathat5-10seconds(count1001.1002…..1007)Usetheindexandmiddlefingerstocheckthepulseofcarotidatery(themiddleofanterioredgesernocleidomastoid)2021/10/109Airway:CleartheairwayPutyourfaceneartheperson’smouthandlookforthechestmotionatthesametime(

Lookforchestmotion

Listenfornormalbreathsounds

Feelfortheperson’sbreathonyourcheekandear)●Ifthepersonisn’tbreathingnormally,beginartificialrespiration.5.Starttheemergencyresponsesystem,suchasphone120、catchAED（automaticexternaldifibrillator）…..

2021/10/1010Circulation:Restorebloodcirculationwithchestcompressions6.Placetheheelofonehandoverthecenteroftheperson’schest,betweenthenipples.Placeyourotherhandontopofthefiesthand.Keepyourelbowsstraightandpositionyourshouldersdirectlyaboveyourhands.2021/10/1011Circulation:Restorebloodcirculationwithchestcompressions7.StartCPR:Useyourupperbodyweightsasyoupushstraightdownonthechestatadepthofatleast5-6cm.Pushhardatarateofabout100-120compressionsaminute.2021/10/1012Airway:CleartheairwayOpentheperson’sairway.

●Putyourpalmontheperson’sforeheadandgentlytilttheheadback.

●Withtheotherhand,gentlyliftthechinforwardtoopentheairway.

2021/10/1013Breathing:Breathfortheperson

●mouth-to-mouthbreathing

●mouth-to-nosebreathingifthemouthisseriouslyinjuredorcan’tbeopend.

●mouth-to-maskbreathing

●whenoutsidehospitalyoumaynotgiveartificialbreathingifyoudon’twant.

2021/10/1014Breathing:BreathforthepersonWiththeairwayopen,pinchthenostrilsshutformouth-to-mouth(mouth-to-mask)breathingandcovertheperson’smouthwithyours,makingaseal.(makesurethereisnoleakage)2021/10/1015Breathing:BreathforthepersonThirtychestcompressionsfollowedbytworescuebreathsisconsideredonecycle.(1or2rescuer)Checkthecaroidpulseandchestmotionevery5cyclesContinueCPRuntiltherearesignsofmovementoremergencymedicalpersonneltakeover.=30:2:2021/10/1016Breathing:BreathforthepersonIfanadultvictimwithspontaneouscirculation,giverescuebreathsatarateofabout1breathevery5to6seconds,orabout10to12breathsperminute2021/10/1017AEDCheckthythm:ifshockablegive1shock,andimmediatelystartCPR.whennotshockable,immediatelystartCPR2.Checkthythmevery5cycles,continueCPRuntilthepatienthassignsofcirculation.2021/10/1018DefibrillationVentricularfibrillationiscommoninadultsnon-traumaticcardiacarrest.2.Earlierdefibrillationidimportantforsurvival.3.Thechanceforsurvivaldecline7-10%everyminutelaspe.4.Bedefibrillatedattheearliestpossiblemoment.2021/10/1019Pointsforattention?Ensuringchestcompressionsofadequaterate?Ensuringchestcompressionsofadequatedepth?Allowingfullchestrecoilbetweencompressions?Minimizinginterruptionsinchestcompressions?Avoidingexcessiveventilation2021/10/1020Remember:

●Timeislife!

●EarlyCPRcanimpro