心肺脑复苏2011-3-10.pptVIP

Clinical Anaesthesiology Qiu Wei Fan Associate professorDepartment of AnaesthesiologyRui Jin Hospital School of MedicineShanghai Jiao Tong University Cardiopulmonary Resuscitation Contents Consider most frequent causes Signs of cardiac arrest Management of cardiac arrest Management of brain damage Consider most frequent causes 1)Hypovolemia 2)Hypoxia 3)Hydrogen ion-acidosis 4)Hyper-/Hypokalemia, other metabolic 5)Hypothemia Consider most frequent causes 6)‘Tables’(Drug OD, accidents) 7)Tamponnade, cardiac 8)Tension pneumothorax 9)Thrombosis, coronary 10)Thrombosis, pulmonary (embolism) Signs of cardiac arrest Sudden deep unconsciousness Absent carotid and femoral pulse Dilated pupils Ashen cyanosis Apnoea or gasping Management of cardiac arrest Basic Life Support, BLS Advanced Life Support, ALS Cardiopulmonary Resuscitation The ABCs of cardiopulmonary resuscitation Airway, Breathing, and Circulation Cardiopulmonary Resuscitation Basic Life Support: life support without the use of special equipment Cardiopulmonary Resuscitation Advanced Cardiac Life Support: life support with the use of special equipment and drugs A: AIRWAY Head-tilt and Chin-lift Jaw-trust without Head-tilt------whenever a cervical spine injury is suspected Heimlich Maneuver A: AIRWAY A. Tracheal intubation B. Cricothyroid puncture Cricothyrotomy Tracheostomy B: BREATHING Mouth –to-mouth: mouth-to-mouth-and-nose supplemental oxygen Mouth-to-mask: bag-valve-mask bag-valve-endotracheal tube C: CIRCULATION External Chest Compression Intravenous Access Dysrhythmia Recognition Drug Administration Defibrillaion and Cardioversion External cardiac massage Lie on a hard surface (patient) Use weight of the upper body Arm straight to reduce fatigue Heels of hands crossed Fingers clear of chest Apply pressure over the l