心肺脑复苏推荐稿.pptVIP

Rescuer??? Everyone can be a lifesaving rescuer for a cardiac arrest victim. CPR skills and their application depend on the rescuer’s training, experience, and confidence. The 2010 AHA Guidelines for CPR mark the 50th anniversary of modern CPR. Over the past 50 years, these modern-era basic life support fundamentals of early recognition and activation, early CPR, and early defibrillation have saved hundreds of thousands of lives around the world. What is EBM? Evidence-based medicine is the integration of best research evidence with clinical expertise and patient values. Why have so many clinicians and educators embraced Evidence-Based Medicine? ? EBM is a new model for continually learning and practicing Medicine. EBM is : clinical decision-making process.? EBM is also about translation–the translation of research findings into clinical practice. Classification  Two types of evidence-based practice have been proposed: Evidence-based guidelines Evidence-based individual decision making 2. Basic life support,BLS (2010 AHA Guideline) The Guidelines for CPR in 2000 Adult Basic Life Support The compression-ventilation ratio for 1-and 2 rescuer CPR is 15 compressions to 2 ventilations .The ratio is 5:1 before 2000 for 1 rescuer. The Guidelines for CPR in 2005 Adult Basic Life Support A compression-ventilation ratio of 30:2 is recommended.Still:A-B-C The Guidelines for CPR in 2010 Adult Basic Life Support Use a compression to ventilation ratio of 30 chest compressions to 2 ventilations Beginning CPR with 30 compressions rather than 2 ventilations leads to a shorter delay to first compression. Mechanisms of chest compressions Mechanisms of chest compressions Compressions create blood flow by increasing intrathoracic pressure and directly compressing the heart. This generates blood flow and oxygen delivery to the myocardium and brain. high-quality CPR providing chest compressions of adequate rate (at least 100/minute ＜120/minute) providing chest comp