lka;=l mqmamqISh mqk¾ Ôjkh

CARDIO PULMONARY RESUSCITATION

Health Education Unit. B.H ,

Dehiattakandiya 1
ADULT BASIC LIFE SUPPORT
(BLS) ^uQ,sl& jeäysá mqk¾Ôjkh
wruqKq(
•Yajikh yd reêr ixirKh ì|jegqKq
frda.sfhl= ;lafiare lsÍu"
•ndysr lka;=l msßueoSu yd lD;%Su
Yajikh ,ndfok wdldrh "
•Yajikh yd yo.eiau h:d;;a;ajhg m;ajQ
frda.sfhl= iqjùfï ia:dms;fha ;eîu"
bf.kSu' 2
 jd u.-AIR WAY
 iajikh-BREATHING

 reèsr pdl%Kh-CIRCULATION
• laIKslj yDo iamkaokh iajikh kej;=k
frda.Skg frday,lg f.khdug m%:u
uQ,sl Ôú;drlaIl l%u l%shd;aul
lSÍfuka fo.=khlg wdikak
m%udKhlf.a Ôú; fírd.; yelsh'
• frday,a .;lsÍfuka miqj isÿlrKq ,nk
Wiia Ôú;drlaIl l%u u`.ska 60] lf.a
muK Ôú; wdrlaIdlr.; yelsh'

4
uQ,sl Ôú;drlaIdl wdOdrh

lsisÿ WmlrKhla Ndú;d fkdlr ´kEu

wfhl=g" laIkslj ´kEu ia:dkhl§"
Ëkslj iajikh yd reêr ixirKh kej;=k
wfhl=f.a lD;S%u j iajikh yd reêr
ixirKh mj;ajdf.k hdug yelshdj
,nd.ekSu'

5
 wdrËs;j ,`.dùu'
 m%;spdr mÍlaId lsÍu'
 wdOdr b,a,Su'
 újD; jd u`.la ilid .ekSu'
 iajikh mÍlaId lsÍu'
 Wiia Ôú;drlaIdj i|yd ux
ieliSu'^Teliphone call)
 jdr ;syla ^30& mmq iïmSvk
,nd§u'
 lD;%Su iajik jdr folla ,nd§u'
6
m%;spdr mÍlaIdlsÍu'
Check response

7
m%;spdr mÍlaIdlsÍu'
•uDÿj Wrysi fid,jd zzTng fldfyduo@ ˜
hs úuikak'
m%;spdrh wkqj"
 m%;spdr oelajQfha kï"BLS wejeis
fkdfú'
 m%;spdr fkdoelajQfha kï" fya;=j
fidhkak'BLS ,ndfokak'
 wLKavj ksrlaIKh^;lafiare& lrkak'

8
wdOdr b,a,Su
Shout for help

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wdOdr b,a,Su
Shout for help

 wjg isák whf.ka lE.id wdOdr

b,a,kak'
 b;d blauKska ffjoHdOdr ,nd§u
i|yd wjYH mshjr .ekSug'
10
újD; jdu`. Open airway

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• újD; iajik ud¾.hla ke;s frda.sfhl= jdydu
ñhhkq we;'
• iajik ud¾.h újD;o@ meyeÈ,so @hkak
• m%;spdr olajk l:dlrk"lE.ik" y~k frda.Skaf.a iajik
ud¾.h meyeÈ,sh'
• m%;spdr olajk tfy;a l:dlsÍug "ye`ãug fkdyelskï"
iajik ud¾.h újD;j ke;ehs Wml,amkh lrkak'
o m%;spdr fkdolajk frda.shdf.a
 iajik ud¾.h Tng w;ska újD; lsÍug isÿfõ'
 ;=jd, iys; kï lfYareldfõ N.ak we;ehs Wml,amkh lrkak
iajik ud¾.h ksrjq,a jk;=re bj; fkdhkak'

12
ff.%ù lfYareldj,g ydkshla isÿù ke;skï"
o m%:udOdrlre
frda.shdf.a ysi wi,
me;a;lska oK.id
rEmfha mßÈ ysi
my;g lr kslg
Tijkak'
Head tilt and chin lift

13
 jd u`. msßlaikak'
 wd.ka;=l
hula fõkï" ;u we`.s,s Ndú;dfldg
m%%fõYfuka bj;a lrkak'

 ff.%ù lfYareldj,g ydkshla isÿù

we;ehs iel lrkafka kï" Head tilt,
chin lift fkdlrkak'
tjeks wfhl=f.a jdu`. újD; lr.ekSu
i|yd"
14
 rEmfha mßÈ há ykqj bÈßhg weo
jdu`. újD; lr.kak' jaw thrust fuh
mqyQKqj we;s wfhlau l,hq;=h'(-
healthcare professionals)

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Yajikh mÍlaId lsÍu Check breathing
o LOOK

o LISTEN

o FEEL

for normal
breathing.

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 iajikh yd iajik ud¾.h

Look
Listen
Feel

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wd.ka;=l foay u`.ska jdu`. wjysr ùu‘

 jdu`. wjysr ùu iïmQ¾Kfhkau fyda

w¾O jYfhka úh yel'
• w¾O jYfhka wjysrùu'
–msá w;amyr ,ndfokak'

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• mQ¾K jYfhka wjysrùu
– frda.shd f., oE;skau f., w,a,df.k l:dlr.;
fkdyelsj isà'
o Universal sign of
chocking

– W.=f¾ hula isrù we;soehs weiQúg ysi

jkd isrù we;snj ;yjqre lrhs'
– ál fõ,djlska isys ke;sfõ'
– ñhhhs'
19
 yqiau ysrùug m%:udOdr
First aid For Chocking
isysh we;s <ufhl= ^wjq 08 g jeä&$
jeäysáfhl=
o frda.shhdg fyd¢ka liskakg yelskï"
iajikhg wmyiqjla ke;skï" fyd¢ka
liskakg Èßu;a lrñka" ueÈy;a ùug
n,dfmdfrd;a;=fjka bkak'
o msá w;a myr myla ,ndfokak'
20
• liskakg"l;dlrkakg fyda yqiau .ekSug
wmyiq kï" ñka woyiajkafka Yajik
ud¾.h iïmQ¾Kfhka u wjysrj
we;snjhs'
• ;j ÿrg;a Ôj;aùug kï" Tnf.a Wmldrh
w;HdjYHh'
• Without oxygen the brain can
begin to die within 4 to 6 minutes.
• Rapid first aid for choking can
save a life. 21
 frda.shd msgqmiska isg.kak' Wl=,a wegfha Wv fl,jr
;udf. iq,`.s,a, .Efjk fia yqrew; ;nd" fmlkshg by,ska isák
f,ig udmg`.s,a, we;=,g isák f,ig ñgfud,jd .kak' ta u;
wfkla w; ;nd ;Èka w,a,df.k" frda.shdf.a isref¾ we;=,g yd
mmqj foig oE;u jefrka tlajru f;rmkak'

22
o wd.ka;=l foyh bj;a jk;=re È.gu fuu
Wor f;rmqu ,ndfokak' wisys ;;ajhg
m;ajqjfyd;a B,`. mshjrg hkak'
o wd.ka;=l foyh bj;ajQfhakï Yajik
wmyiq;d i|yd mÍlaId lrkak'
 wjq 01 ;a 08 ;a w;r <uhska i|yd
wjYH Wi .e,fmk fia Tn oKska isgf.k
by; whqreu l%shdlrkak'

23
.¾NkS fyda ;rndre wfhl= i|yd ^Heimlich&
isysh we;s wjia:dfõ
• by; whqreu Wor f;rmqu fjkqjg Wria
f;rmqu ,ndfokak'fuysÈ w;a
Isfmdhsâ ;=Kavh Xyphoidprocess u;
fkdisák f,ig l,amkdldÍ jkak'

24
lD;S%u iajikh
 Yajikh kej;S we;súg"
 jßka jr b;d flá yqiaula muKla
.kSkï"
 kS,j¾k;djhg m;aj we;akï"
jdydu wdrïN l,hq;=h'

25
 Pinch the nose
 Take a normal breath
 Place lips over mouth
 Blow until the chest
rises
 Take about 1 second
 Allow chest to fall
 Repeat

26
lD;%Su Yjikh ,nd §u'RESCUE BREATHS.
• jd u`. meyeÈ,sjk f,ig frda.shdf.a
kslg by,g Tijd k,, my,g lr ^lfYreldjg
ydkshla ke;ehs iaÓrlr.;a
frda.sfhl=f.a& frda.shd ia:dms;
lr.kak'
Head tilt and chin lift
ysi we,fldg kslg tiùu
- lay rescuers
- non-healthcare rescuers
27
 yÈis wk;=rlg Ndckh jQ frda.sfhl= kï
lfYareldj wk;=rg ,laù we;ehs iellrkak'
tjeks frda.fhl=g lsisúgl;a Head tilt and
chin lift fkdlrkak'
 lfYareldj wk;=rg ,laù we;ehs iellrk
frd.sfhl= yg lD;%Su iajikh ,nd§u i|yd
jdu`. meye È,slr .ekSu i|yd frda.shd
i:dms; lsÍug ukd mqyqKqjla
w;HdjYHh'

28
• tjeks frda.sfhl=f.a jd u`.
meyeÈ,slr .ekSu i|yd"
• ykq f;rmqu jaw thrust l,hq;=h'
ysi we,fldg kslg tiùu Head tilt, chin
lift fkdl, hq;=h'
• jaw thrust
ykq f;rmqu

healthcare rescuers 29
lD;%Su Yjikh ,nd §u'RESCUE BREATHS.
• jd u`. meyeÈ,sjk f,ig frda.shdf.a
kslg by,g Tijd k,, my,g lr ^lfYreldjg
ydkshla ke;ehs iaÓrlr.;a
frda.sfhl=f.a& frda.shd ia:dms;
lr.kak'
Head tilt and chin lift
ysi we,fldg kslg tiùu
- lay rescuers
- non-healthcare rescuers
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• k,, w,a,df.k bkak wf;a we`.s,s
follskaau frda.shdf.a
kdiamqvq jefik
f,ig ñßld
w,a,d.kak'
• Tn .eUqre yqiaula
.kak

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o mmqj Wia-my;a jkafkaoehs
n,kak'
 mmqj Wia-my;a jkafkakï"
wjfrdaOh u`.yeÍ we;'

o kdä mÍËdlr n,kak' wjYHkï ;jÿrg;a

CPR ,ndfokak'
o mmqj Wia-my;a jkafka ke;skï" 32
• frda.shdf.a újD; jQ uqLh" Tnf.a
f;d,aj,ska fyd¢ka iS,ajk fia " frda.shdf.a
uqLh u; Tnf.a uqLh ;nd" frda.shdf.a
mmqj biafik ;=re frda.shdf.a uQLh ;=,g
;;amrhl ld,hl§ msôkak'
• mmqj
bys,a ùug yßkak'
• kej; jrla
tf,iu
lrkak'
33
lka;=l msßue§u yd lD;%Su iajikh
È.gu ,nd fokak'CONTINUE CPR

30 # 02 34
CHEST COMPRESSIONS lka;=l msßue§u'
;udf.a tla w;la frda.shdf.a mmq
wegfha f.,foi isg y;frka ;=kl ÿßka
;shkak'
wfkla w;;a f.k uq,a wf;a
we`.s,s w;ßka hjd ;o
lr.kak'

35
;udf.a je,ñg fkdkud frda.shdf.a mmqj
fikaá óg¾ y;rla myla^4 -5cm) muK
my;g hk wdldrhg úkdählg jdr ishhla
^100& jk f,ig f;rmSu wrUkak' iEu
f;rmSula u iudk yd ksoyia ld,hlska
hq;=úh hq;=h'

36
 iEu mmq f;rmqï ;sylg jrlau ^ uqjg
uqj ;nd fyda u¨ lmdg iajik
WmlrKfhka Bag valve mask&
lD;%Su ixjd;k jdr folla ,nd fokak'

37
 fuu pl%h fofofkl= tlaj lsrSu jvd
myiqh'
 mmqf;rmqu tla wfhl=;a ixjd;kh ;j
wfhl=;a jYfhka udrefjka udrejg
isoql, yelsh'

38
isysh ke;s wjia:dfõ
 frda.shd ;o me;,s u;=msglg f.k
È.dlr" Tn mfilska oK.id .kak'

 frda.shdf.a ll=,a foig we;s Tnf.a

wf;a we`.s,s fl%davlfha m¾Y=
yuqjk ia:dkh f;la by,g f.k tkak'

39
 w;a, by,g isák f,i yrjd wfkla w;;a ta
u;gf.k w;afoflau we`.s,s w;ßka hjd
fyd|ka .=,slrf.k" tlajru my,g
f;rmkak

 f;rmqu yer wfkla mshjr idudkH

frda.sfhl=g u fuks'

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41
42
• Place the heel of one hand in the
centre of the chest
• Place other hand on top
• Interlock fingers
• Compress the chest
– Rate 100 min-1
– Depth 4-5 cm
– Equal compression : relaxation
• When possible change CPR
operator every 2 min

43
Identify
costal
margin

44
Identify
xiphisternum

45
46
Chest compressions:
Depress sternum 4-5 cm
Rate: 100 per minute

47
R.M.T.A.S.Attanayake .Health Education Unit. B.H , Dehiattakandiya

Chest compressions

48
One Person CPR

R.M.T.A.S.Attanayake .Health Education Unit. B.H , Dehiattakandiya

49
Recovery Position 1st Stage
50
Recovery Position 2nd Stage
51
 R.M.T.A.S.Attanayake .Health Education Unit. B.H , Dehiattakandiya

Recovery Position 3rd Stage

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Recovery Position 4th Stage

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