心肺复苏术-英文

Cardio

Pulmonary

Resuscitation心肺复苏术(CPR)RespiratorydepartmentXiyanwang(王西艳)2021/3/29星期一1WhyshouldwelearntheCPR?2021/3/29星期一2Why?Despiteimportantadvancesinprevention,cardiacarrestremainsasubstantialpublichealthproblemandaleadingcauseofdeathinmanypartsoftheworld.TheestimatedincidenceofEMS(emergencymedicalservices)-treatedout-of-hospitalcardiacarrestintheChinaisabout35to40/100000persons/year.2021/3/29星期一3Why?StudieshaveshowntheimportanceofimmediateCPRfollowedbydefibrillationwithin3-5minutesofsuddenVF(VentricularFibrillation)cardiacarrestimprovesurvival.

♦IncitiessuchasSeattlewhereCPRtrainingiswidespreadanddefibrillationbyEMSpersonnelfollowsquickly,thesurvivalrateisabout30%.

♦IncitessuchasNewYork,withoutthoseadvantages,thesurvivalrateisonly1-2%.2021/3/29星期一4Why?Therearemanylivesandlife-yearslostbecauseappropriateresuscitationisnotattempted.MostofthepublicknowlittleaboutthedetailsofCPR.2021/3/29星期一5When?●Cardiacarrest●Notbreathingornotmakingsufficientrespiratoryeffortontheirown2021/3/29星期一6How?

●C(Circulation)●A(Airway)

●

B(Breathing)

--2010AmericanHeartAssociationGuidelinesforCardiopulmonaryResuscitationandEmergencyCardiovascularCare2021/3/29星期一7Circulation:RestorebloodcirculationwithchestcompressionsCheckthesafetyoftheentironmentPutthepersononhis/herbackonafirmsurface.Kneelnexttotheperson’sneckandshoulders.2021/3/29星期一8Circulation:Restorebloodcirculationwithchestcompressions4.Checkthepulseandbreathat5-10seconds(count1001.1002…..1007)Usetheindexandmiddlefingerstocheckthepulseofcarotidatery(themiddleofanterioredgesernocleidomastoid)2021/3/29星期一9Airway:CleartheairwayPutyourfaceneartheperson’smouthandlookforthechestmotionatthesametime(

Lookforchestmotion

Listenfornormalbreathsounds

Feelfortheperson’sbreathonyourcheekandear)●Ifthepersonisn’tbreathingnormally,beginartificialrespiration.5.Starttheemergencyresponsesystem,suchasphone120、catchAED（automaticexternaldifibrillator）…..

2021/3/29星期一10Circulation:Restorebloodcirculationwithchestcompressions6.Placetheheelofonehandoverthecenteroftheperson’schest,betweenthenipples.Placeyourotherhandontopofthefiesthand.Keepyourelbowsstraightandpositionyourshouldersdirectlyaboveyourhands.2021/3/29星期一11Circulation:Restorebloodcirculationwithchestcompressions7.StartCPR:Useyourupperbodyweightsasyoupushstraightdownonthechestatadepthofatleast5-6cm.Pushhardatarateofabout100-120compressionsaminute.2021/3/29星期一12Airway:CleartheairwayOpentheperson’sairway.

●Putyourpalmontheperson’sforeheadandgentlytilttheheadback.

●Withtheotherhand,gentlyliftthechinforwardtoopentheairway.

2021/3/29星期一13Breathing:Breathfortheperson

●mouth-to-mouthbreathing

●mouth-to-nosebreathingifthemouthisseriouslyinjuredorcan’tbeopend.

●mouth-to-maskbreathing

●whenoutsidehospitalyoumaynotgiveartificialbreathingifyoudon’twant.

2021/3/29星期一14Breathing:BreathforthepersonWiththeairwayopen,pinchthenostrilsshutformouth-to-mouth(mouth-to-mask)breathingandcovertheperson’smouthwithyours,makingaseal.(makesurethereisnoleakage)2021/3/29星期一15Breathing:BreathforthepersonThirtychestcompressionsfollowedbytworescuebreathsisconsideredonecycle.(1or2rescuer)Checkthecaroidpulseandchestmotionevery5cyclesContinueCPRuntiltherearesignsofmovementoremergencymedicalpersonneltakeover.=30:2:2021/3/29星期一16Breathing:BreathforthepersonIfanadultvictimwithspontaneouscirculation,giverescuebreathsatarateofabout1breathevery5to6seconds,orabout10to12breathsperminute2021/3/29星期一17AEDCheckthythm:ifshockablegive1shock,andimmediatelystartCPR.whennotshockable,immediatelystartCPR2.Checkthythmevery5cycles,continueCPRuntilthepatienthassignsofcirculation.2021/3/29星期一18DefibrillationVentricularfibrillationiscommoninadultsnon-traumaticcardiacarrest.2.Earlierdefibrillationidimportantforsurvival.3.Thechanceforsurvivaldecline7-10%everyminutelaspe.4.Bedefibrillatedattheearliestpossiblemoment.2021/3/29星期一19Pointsforattention•Ensuringchestcompressionsofadequaterate•Ensuringchestcompressionsofadequatedepth•Allowingfullchestrecoilbetweencompressions•Minimizinginterruptionsinchestcompressions•Avoidingexcessiveventilation2021/3/29星期一20Remember:

●Timeislife!

●EarlyCPRcanimprovesurvi