Cardiopulmonary Resuscitation and Automated External Defibrillator Flashcards
A series of assessments and interventions using techniques and
maneuvers made to bring victims of cardiac and respiratory arrest
back to life.
CARDIOPULMONARY RESUSCITATION (CPR)
WHEN NOT TO START C.P.R
PATIENT HAS A VALID DNAR (DO NOT ATTEMPT RESUSCITATION) ORDER.
- PATIENT HAS SIGNS OF IRREVERSIBLE DEATH (RIGOR MORT IS, DECAPITATION, DEPENDENT LIVIDITY).
- NO PHYSIOLOGICAL BENEFIT CAN BE EXPECTED BECAUSE THE VITAL FUNCTIONS HAVE DETERIORATED
AS IN SEPTIC OR CARDIOGENIC SHOCK. - CONFIRMED GESTATION OF < 23 WEEKS OR BIRTH WEIGHT < 400 GRAMS, ANENCEPHALY.
- ATTEMPTS TO PERFORM CPR WOULD PLACE THE RESCUER AT RISK OF PHYSICAL INJURY
WHEN TO STOP C.P.R.
S - SPONTANEOUS SIGNS OF CIRCULATION ARE RESTORED.
T - TURNED OVER TO MEDICAL SERVICES OR PROPERLY TRAINED AND
AUTHORIZED PERSONNEL.
0 - OPERATOR IS ALREADY EXHAUSTED AND CANNOT CONTINUE CPR.
P - PHYSICIAN ASSUMES RESPONSIBILITY (DECLARES DEATH, TAKES OVER, ETC).
S - SCENE BECOMES UNSAFE (SUCH AS TRAFFIC, IMPENDING OR ONGOING
VIOLENCE – GUN FIRES, ETC.).
S - SIGNED WAIVER TO STOP CPR.
THE C-A-B
COMPRESSION
AIRWAY
BREATHING
_______________ CREATE BLOOD FLOW BY INCREASING INTRA-THORACIC
PRESSURE AND DIRECTLY COMPRESS THE HEART; GENERATE BLOOD FLOW AND
OXYGEN DELIVERY TO THE MYOCARDIUM AND BRAIN
COMPRESSION
_______________ REPRESENTS A HEART THAT IS ACTIVELY PUMPING
BLOOD, MOST OFTEN RECOGNIZED BY THE PRESENCE OF A
PULSE IN THE NECK (AND OTHER PERIPHERAL PULSES)
CIRCULATION
COMPRESSION
RATE
100-120 per minute
COMPRESSION
DEPTH
ADULTS &
ADOLESCENTS - 2.4
inches (6cm)
CHILDREN - 2 inches
(5cm)
INFANTS - 1.5 inches
ADULT CPR
KNEEL FACING THE VICTIM’S CHEST.
PLACE THE HEEL OF ONE HAND ON THE
CENTER OF THE CHEST.
PLACE THE HEEL OF THE SECOND HAND ON TOP
OF THE FIRST SO THAT THE HANDS ARE
OVERLAPPED AND PARALLEL.
CHILD CPR
JUST BELOW THE NIPPLE LINE, LOWER HALF OF
STERNUM
ONE HAND ONLY / TWO HANDS FOR BIG
CHILDREN.
30:2 FOR SINGLE RESCUER, 15:2 FOR 2-MAN
RESCUER (OPTIONAL FOR HCP).
INFANT CPR
JUST BELOW THE NIPPLE LINE, LOWER
HALF OF THE STERNUM.
TWO FINGERS, FLEXING AT THE WRIST
(LONE RESCUER).
2 THUMB-ENCIRCLING HANDS
TECHNIQUE (TWO RESCUERS)
THIS MUST BE DONE TO ENSURE AN OPEN PASSAGE FOR
SPONTANEOUS BREATHING OR MOUTH TO MOUTH DURING CPR
HEAD TILT CHIN LIFT MANEUVER
JAW THRUST MANEUVER
TILT THE HEAD BACK WITH YOUR ONE
HAND AND LIFT UP THE CHIN WITH
YOUR OTHER HAND
HEAD TILT CHIN LIFT MANEUVER
A TECHNIQUE THAT CAN BE DONE
BY AT LEAST TWO HIGHLY TRAINED BLS
PROVIDERS (IF SUSPECTED WITH
CERVICAL TRAUMA).
JAW THRUST MANEUVER
COMPUTERIZED DEVICES THAT CAN ANALYZE A
HEART RHYTHM AND PROMPTS THE USER TO DELIVER A SHOCK WHEN
NECESSARY. THESE DEVICES ONLY REQUIRE THE USER TO TURN THE AED ON
AND FOLLOW THE AUDIO INSTRUCTIONS WHEN PROMPTED.
AUTOMATED EXTERNAL DEFIBRILLATOR (AED)