CPR-英文PPT

CardioPulmonaryResuscitation心肺复苏术(CPR)GuizhouProvincialPeople'sHospital,DepartmentofRadiology，--TANGLeiWhyshouldwelearntheCPR?Despiteimportantadvancesinprevention,cardiacarrestremainsasubstantialpublichealthproblemandaleadingcauseofdeathinmanypartsoftheworld.TheestimatedincidenceofEMS(emergencymedicalservices)-treatedout-of-hospitalcardiacarrestintheUSandCanadaisabout50to55/100000persons/year.StudieshaveshowntheimportanceofimmediateCPRfollowedbydefibrillationwithin3-5minutesofsuddenVF(VentricularFibrillation)cardiacarrestimprovesurvival.♦IncitiessuchasSeattlewhereCPRtrainingiswidespreadanddefibrillationbyEMSpersonnelfollowsquickly,thesurvivalrateisabout30%.♦IncitessuchasNewYork,withoutthoseadvantages,thesurvivalrateisonly1-2%.Therearemanylivesandlife-yearslostbecauseappropriateresuscitationisnotattempted.MostofusknowlittleaboutthedetailofCPR.When?●Cardiacarrest●NotbreathingornotmakingsufficientrespiratoryeffortontheirownHow?●C(Circulation)●A(Airway)●B(Breathing)--2010AmericanHeartAssociationGuidelinesforCardiopulmonaryResuscitationandEmergencyCardiovascularCareCirculation:Restorebloodcirculationwithchestcompressions1.Putthepersononhis/herbackonafirmsurface.2.Kneelnexttotheperson’sneckandshoulders.Circulation:Restorebloodcirculationwithchestcompressions3.Placetheheelofonehandoverthecenteroftheperson’schest,betweenthenipples.Placeyourotherhandontopofthefiesthand.Keepyourelbowsstraightandpositionyourshouldersdirectlyaboveyourhands.Circulation:Restorebloodcirculationwithchestcompressions4.Useyourupperbodyweightsasyoupushstraightdownonthechestatleast5centimeters.Pushhardatarateofabout100compressionsaminute.Airway:Cleartheairway1.Opentheperson’sairway.●Putyourpalmontheperson’sforeheadandgentlytilttheheadback.●Withtheotherhand,gentlyliftthechinforwardtoopentheairway.Airway:Cleartheairway2.Checkfornormalbreathing(5-10s).●Lookforchestmotion●Listenfornormalbreathsounds●Feelfortheperson’sbreathonyourcheekandear●Ifthepersonisn’tbreathingnormally,beginartificialrespiration.Breathing:Breathfortheperson●mouth-to-mouthbreathing●mouth-to-nosebreathingifthemouthisseriouslyinjuredorcan’tbeopend.Breathing:Breathfortheperson1.Withtheairwayopen,pinchthenostrilsshutformouth-to-mouthbreathingandcovertheperson’smouthwithyours,makingaseal.Breathing:Breathfortheperson2.Thirtychestcompressionsfollowedbytworescuebreathsisconsideredonecycle.ContinueCPRuntiltherearesignsofmovementoremergencymedicalpersonneltakeover.=30:2:Remember:●Timeislife!●EarlyCPRcanimprovesurvival.ShowTime