Documente Academic
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PENTRU ASISTENTE
MEDICALE
Conf. Dr. Daniela Ionescu
RCP
Cnd?
Stop
cardio-respirator
Cnd exist indicaie medical
OBS!!!! Do not resuscitate order
(DNRO)
Asistentele n UK, Australia
etc pot
DNRO
decide
Romnia nu exist legal
NU se resusciteaz n condiii
de:
decapitare
descompunere
rigiditate
lividiti
de decubit
incinerare
traumatisme masive al creierului
i inimii, incompatibile cu viaa
STOP-CARDIORESPIRATOR
Cauze
Cauze
Fibrilaia
Afeciuni
cardiace
ale SCR:
ventricular
80%
Asistolia
Disociaia
electro-mecanic
medicale
frecvente:
cardiace
Accidente
Hemoragii masive
Intoxicaii,
supradozaje
sepsis
FIZIOPATOLOGIE
Stop cardiac
cerebral
respirator
Debit
cerebral
Suferin
4 min
+4-10
mindeces
Debit
alte organe
Leziuni cardiace
Leziuni renale
Alte organe
Concluzie
timpul pn la
de
RESUSCITARE
TABLOU CLINIC
Pacient
incontient
Apnee (gasping)
Fr puls - CAROTID - 15
secunde pe o singur parte
PROTOCOL DE
MANAGEMENT
Verific dac rspunde
2. Cheam ajutor/ medici
3. Aezai pacientul n decubit dorsal
OBS!! Dac exist suspiciune fractur de
coloan
se mic n ax de ctre dou
persoane
4. Dezobstrucia cii aeriene
- Hiperextensia capului
5. Verificai dac persoana respir (privii,
ascultai, simii)
6. Dac nu respir RCP
1.
PROTOCOL DE RESUSCITARE
2 respiraii gur la gur / masc cu
balon Ruben
NB!! Expansiune torace
2. MCE (se numr cu voce tare)
- podul palmei n 1/3 medie stern
- 3-5 cm deplasare sternal
- 80-120/ min
PREGTII DEFIBRILATORUL!!
3. Se continu RCP 30 compresiuni/2
respiraii
1.
ALGORITM DE
RESUSCITARE
The following changes in the basic life support (BLS) guidelines have been
made to reflect the importance placed on chest compression, particularly
good quality
one is available.
Do not stop to check the victim or discontinue CPR unless the victim
starts to show signs of regaining consciousness, such as coughing, opening
his eyes, speaking, or moving purposefully AND starts to breathe normally.
include ventilation as the standard, particularly for those with a duty of care.
There are no major changes to the sequence of actions for AED users in
Guidelines 2010. The following changes are aimed mainly at increasing
the use of AEDs along with clarification on when to stop CPR:
An AED can be used safely and effectively without previous training; its
use should not be restricted to trained rescuers. Training should
however be
encouraged to help improve the time to shock delivery and correct pad
Placement