Cardiopulmonary Resuscitationpulmonary Resuscitation(CPR)(CPR)Cherish life from you and me TongJi Hospital TongJi Hospital TongJi Hospital TongJi Hospital Emergency DepartmentEmergency DepartmentEmergency DepartmentEmergency DepartmentJiangMinJiangMinJiangMinJiangMin2024/8/23add footer here (go to view menu and choose header)2Do you know？Each year，the death for Cardiac Arrest： 450000 persons 450000 personsin Americain America（36%36%） 350000 persons 350000 personsin Europein Europe 1000000 persons 1000000 personsin Chinain China 63% 63%death rate of Sudden Cardiac Arrestdeath rate of Sudden Cardiac Arrest 87.7% 87.7%be dead in pre-hospital before rescuebe dead in pre-hospital before rescue 3540%3540%be recovered from first-aidbe recovered from first-aidWhat a pity！2024/8/23add footer here (go to view menu and choose header)3 What happen? Cardiopulmonary arrest is a sudden，unexpected cessation of respiration and functional circulation。2024/8/23add footer here (go to view menu and choose header)4UnconsciousnessUnconsciousnessAbsence of main artery Absence of main artery pulsepulseStandstill or cessation of Standstill or cessation of respirationrespirationPallor and cyanosis in facePallor and cyanosis in faceDilated pupilsDilated pupilsunresponsivenessunresponsivenessHow can you know cardiopulmonary arrest?2024/8/23add footer here (go to view menu and choose header)5Types of ECG in Sudden Cardiac Arrest Ventricular fibrillation Cardiac arrest Electromechanical dissociation2024/8/23add footer here (go to view menu and choose header)6 Time is life！ Please start CPR immediately!2024/8/23add footer here (go to view menu and choose header)7The Links in the Chain of SurvivalEarly Advanced CareEarly CPREarly DefibrillationCall 1202024/8/23add footer here (go to view menu and choose header)8Basic Life Support (CPR)p Assess of Cardiac Arrest Assess of Cardiac Arrestp A Aairwayairwayp B Bbreathingbreathingp C Ccirculationcirculationp Transfer to Advanced Care Transfer to Advanced Care2024/8/23add footer here (go to view menu and choose header)9Assess of Cardiac Arrest Rescuer or witness must recognize the emergency。 Ask：“Are you OK？” Pat the victim Call：“Help！” Call 1202024/8/23add footer here (go to view menu and choose header)10 AAirwayp Clearing airwayp Open the airwayp Assess if spontaneous breathing Obstruct the airwayOpen the airway 2024/8/23add footer here (go to view menu and choose header)11Maneuver of opening the airway Head tilt-neck lift maneuver Head tilt-chin lift maneuver Jaw thrust maneuver2024/8/23add footer here (go to view menu and choose header)12Assess if spontaneous breathing 1.1.ListenListen the sound of the sound of BreathingBreathing； 2.2.LookLook the fluctuation of the fluctuation of thoraxthorax；3.3.FeelFeel the expiration of the expiration of airflowairflow。2024/8/23add footer here (go to view menu and choose header)13Artificial respirationMouth-to-nose ventilationMouth-to-mouth ventilationBBreathing Artificial respiration2024/8/23add footer here (go to view menu and choose header)14frequency：Adult 1416bpmchild 1820bpminfant 30-40bpmArtificial respiration2024/8/23add footer here (go to view menu and choose header)15CCirculationp Assess circulationAssess circulation Feel the palpable carotid Feel the palpable carotid Time10s Time10sp First percussion on precardium First percussion on precardium HeightHeight：2025cm2025cmp External cardiac compression External cardiac compressionDont press both palpable carotids at same time!2024/8/23add footer here (go to view menu and choose header)16External cardiac compressionExternal cardiac compressionp Place Adult middle-lower part of sternumInfant between the nipples 2024/8/23add footer here (go to view menu and choose header)17Pay attention！Dont bend your elbows; Do compressions using the heel of your hand, not your fingers; Lock your fingers together; Continue doing chest compressions until your victim starts breathing,; Allow the chest to recoil fully between chest compressions. 2024/8/23add footer here (go to view menu and choose header)18Wrong Maneuver 2024/8/23add footer here (go to view menu and choose header)19Successful signs of CPRPalpable carotid pulseSpontaneous breathing face from pallor to rubicundityMyosisConsciousness2024/8/23add footer here (go to view menu and choose header)20Conditions of stopping CPRContinuous CPR untill paramedics come;irreversible brain death;Continuous CPR over 30m without any response; 2024/8/23add footer here (go to view menu and choose header)21Procedure chartAdvanced CarewitnessassessmentConsciousness、pulse and breathPosition、clear and open airwayNo breath，blow twiceWave of chest，then check pulseNo wave ，open againyesARNoCPRAssess again after 5 cyclesNo yetClear obstructorSR，check consciousness and circulationYesCheck injureNo Call:”Help!”2024/8/23add footer here (go to view menu and choose header)22