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CPR & AED UPDATE

Tri Yunanto Arliono


PERHIMPUNAN DOKTER AHLI EMERGENSI INDONESIA
Patients who are unresponsive and not
breathing normally have a high
likelihood of being in cardiac arrest
Bystanders should call emergency number to
initate a response any time they find an
unresponsive adult victm
s
Healthcare provider should call for
nearby help upon finding the victm
nd
unresponsive, a continue to
assess for breathing and pulse
y
simultaneousl before fully
actvatng the emergency response

system.
Pulse Check

limiting the tme to no more than 10

seconds
Simultaneously with the check for no
Early CPRBLS
t
Ches compressions as quickly as
possible
R
Begin the CP sequence with
chest compressions rather than

breaths
C-A- A-B-
( B versus C) to minimize
o
the time t initiation of chest
compression
high-quality CPR
1.
Adequate rate
2. Adequate depth
3. Allowing full chest recoil
4. Minimizing interruptons
5.
Avoiding excessive
ventlaton
Basic Life Support Sequence
Pediatric Cardiac Arrest Algorithm for the Single Rescuer
Pediatric Cardiac Arrest Algorithm for 2 or More Rescuers
Neonatal Resuscitaton Algorithm
Early Defibrillation With an AED

After activating the emergency response system,

the lone rescuer retrieves an AED (if nearby and


easily accessible)
Then returns to the victim to atach and use the
AED and provide CPR
Early Defibrillation With an AED

When 2 or more trained rescuers are present


1st
rescuer begins CPR, starting with chest
compressions
2nd
rescuer activates the emergency response system
and gets the AED (or a manual defibrillator in most

hospitals) and other emergency equipment

The AED or manual defibrillator is used as


rapidly as possible
Both rescuers are expected to provide CPR with
chest compressions and ventilation
AED

A rescue device that delivers a controlled,


precise

shock to the heart

Its aim is to increase the survival rate of victims


rhythm
sufferingand advise
from the operator
sudden whether
cardiac arrest or by
caused notVF.
a

The function
shock is needed.of the AED is to interpret the heart
A computer algorithm in the AED identifies a
shockable rhythm.

It will then advise the SHOCK or NO


operator
SHOCK through a voice prompt and text message.
Step 1: Before using an AED, check for the presence of water
near the unconscious person. Move him or her away from

wetness when delivering shocks


device will give you step
Step 2: Turn on the AEDs
power. The by step instructions. voice prompts and see
You will hear prompts on a
Step 3: Expose the persons chest. If the persons chest is wet,
screen.
dry it.
Step 4: Place the pads on the persons chest as illustrated
Step 5: Check that the wires from the electrodes are connected to

the AED. Make sure that no one is touching the person, and then

press the analyze button. Stay clear while the machine checks the

persons heart rhythm.


Step 6: If shock is
needed, the AED will
let you know when to
deliver it. Stand clear
of the person and
make sure others are
clear before you push
the AEDs shock
buton.
Step 7: Start or resume CPR untl emergency medical help arrives.
INDICATIONS FOR USE OF AED

Unconscious

No breathing

No pulse

When in doubt, apply the AED.


The most important factors affectng survival in sudden

cardiac arrest are external cardiac massage and tme to

first electrical defibrillaton


THANK YOU

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