心肺脑复苏(英文)

cardiopulmonaryresuscitationEmergencyDepartment,WENZHOUPeople'sHospitalContentsBLS(basiclifesupport)ALS(AdvancedLifeSupport)Thecharacteristicof2010AHAGuidelinesforcardiopulmonaryresuscitation1.ChangeinCPRSequence:C-A-BRatherThanA-B-C2.Continuetoemphasizethehighqualityofcardiopulmonaryresuscitation3.Acompressionrateisatleast100timesperminute（Insteadofabout100timesperminute.）4.ChestCompressionDepth:Theadultsternumshouldbedepressedatleast2inches(5cm).Infantsandchildrenforatleast1/3chestdiameter（4cmand5cm）。Ensureeachpressafterchestrebound5.dothebesttoreducetheinterruptionofchestcompressions6.Avoidexcessiveventilation2005(Old)ThesequenceofadultCPRbeganwithopeningoftheairway,checkingfornormalbreathing,andthendeliveryof2rescuebreathsfollowedbycyclesof30chestcompressionsand2breaths.A-B-C2010(New)Initiatechestcompressionsbeforeventilations.C-A-BBychangingthesequencetoC-A-B,chestcompressionswillbeinitiatedsoonerandthedelayinventilationshouldbeminimal(ie,onlythetimerequiredtodeliverthefirstcycleof30chestcompressions,orapproximately18secondsThebiggestchangeRespiratoryandcardiacarrestisthemosturgentevents,onceHeartstops，Thewholebodybloodcirculationwillimmediatelystop，braintissue、MyocardialtissueeveneveryorganofthebodywillbeIschemia,hypoxia，Soonappearedlossoffunctionandcellnecrosis。generallyspeaking:10Sec----lossofconsciousness30Sec----respiratoryarrest60Sec----Fixedmydriasis4Min----glycometabolismstops5Min----BrainATPdepletion6Min----Brainnerveirreversiblepathologicalchanges10Min---braindeathso，ifyoufoundsomeoneEmergenceofcardiacrespiratoryarrest，pleasequicklygivebasiclifesupporttechniquein6min.Timeislife!TimeislifeBLS(basiclifesupport)BLSoftendescribedastakingfirst-aidmeasuresfortheonecardiopulmonaryarrest，CALLedcardiopulmonaryresuscitation,CommonlyusedManualchestcompressionsandmouth-to-mouthartificialrespiration。ＴｈｅｓｔｅｐｓｏｆＢＬＳＮｏ１：EnvironmentaljudgmentＮｏ２：consciousJudgment；Ｎｏ３：Callforhelp；Ｎｏ４：Posturaladjustment；Ｎｏ５：CheckpulseＮｏ６：Chestcompressions★Ｎｏ７：Openairway；Ｎｏ８：artificialbreathing★；ThesixthandeighthstepcycleＮｏ1、EnvironmentaljudgmentViewthesurroundingenvironment，Affirmsthattheenvironmentalsafety。Ｎｏ2：Consciousjudgment◆Patshoulders，ClosetotheearａｎｄCallout：“Whathappenedtoyou？”Ifnoresponse，Isidentifiedasthelossofconsciousness◆atthesametime，QuickcheckIfnotbreathingornotbreathingnormallySclaff，HeavyshoutＮｏ3（Seekassistance）StarttheEMSsystemCall120andtell：PlaceofaccidentThenumberofthewoundedAccidentreasons、Thepresentsituation、MeasureshavebeentakenNo4：Putthepatients'postureBeforeCPR，Tomakepatientsinsupineonafirmlevel(theground)plane,Andreleasingthelaundry。Ifthepatientisface-downwhen，Shouldbeoverallturnover，promptlyHead,shoulders,torsoturnedatthesametimes，Avoidingtorsotwist，HeadandNeckAlwayskeepthesameshaftfacetotorso.No5:Checkpulsemethod：Withthemiddlefingerandindexfinger,atrachealcentraltoslidetooneside2-3cmtouchcarotidartery。（Nomorethan10seconds）Medicalpersonnelcheckspulsein10seconds，Ifwithoutcleartouchpulsein10seconds,shoulddoCPRanduseAED.No6:ChestcompressionsContinuouschestcompressions30times：Rate:atleast100/min。1，2，3……30。PressingPoints1.Locationtobeaccurate；2.correctposture；3.Speedshouldbeuniform；4.Thestrengthshouldbeappropriate。1.ChestcompressionspositionTherightposition：Twonipples’connectioncenter2.correctpostureRescuerkneelsontherightofthepatient，opentwolegs，shoulderwidthapart，puttheshoulderabovethesternum，keepyourarmsstraight，Handsthatoverlapthepalmusetheweightstrengthtodepress.3.SpeedshouldbeuniformRATE：atleast100/min.4.ThestrengthshouldbeappropriateTheadultsternumshouldbedepressedatleast2inches(5cm).Infantsandchildrenforatleast1/3chestdiameter（4cmand5cm）。AsshowninFigureNo7：Ａ（Airway）Cardiopulmonaryresuscitationinthewholeprocess,fromfirsttolasttomaintainairwaypatency.Patientsinthelossofconsciousness,cancauserespiratorytractblockage.Openairway（head-tilt-chin-lift），Patientswillheadtooneside，Withonehandindexfingerwillcompletelyremovetheforeignbody，Inordertofacilitatethepatencyoftheairway。Openairwayhead-tilt-chin-lift：Handontheforeheadofpatients，Withthepalmofthehandpushforehead，Ontheotherhandindexfinger,middlefingertochinup，Maketheheadbackwards。Payattention：DONOTCompressionofcervicaltracheaNo8：Ｂ（Breathing）artificialbreathingThecontinuousadministrationoftwoartificialrespiration：(oneforinfant)1、usetheindexfinger,thethumbwhichplacedonthepatient‘sforeheadtopinchthenoseofthepatient，Takeabreath，Withmouthtightaroundthemouthofthepatient，Blowingintopatient'slungs。2、Afterblowing，Loosenthehand，Inordertoenablethepatienttoexhaledgas。Atthesametimetothebeginningoffreshair，Repeatblowingagain；Andobservingthepatient‘sthoraxwhetherthereareupsanddowns.3、Ifnoupsanddowns,thereisprobablynotunobstructedairwayorblockage，Thisshouldbetoopentheairwayagainorrapidremovalofforeignbody.ActionTips1、CannotleakWhenblowing：①clenchthewingofthenose，besuretoblocknose；②RescuershouldopenhismouthAswideashecan，busuretowrapthepatient'smouthwhilebelowing。2、Betweentwoblowings,releasethewingofnose，Leavelips，Letthepatientmakeex