Part 1 Flashcards
is a series of critical
actions that, when followed correctly, can
decrease the mortality associated with
cardiac arrest.
The Chain of Survival
Adult IHCA Chain of Survival
- Early Recognition and Prevention
- Activation of Emergency Response
- High-Quality CPR
- Defibrillation
- Post-Cardiac Arrest Care
- Recovery
Adult OHCA Chain of Survival
- Activation of Emergency Response
- High-Quality CPR
- Defibrillation
- Advanced Resuscitation
- Post-Cardiac Arrest Care
- Recovery
differs based on
whether the cardiac arrest occurs inhospital or out-of-hospital.
Chain of Survival
a life-saving emergency procedure
that combines chest compressions and
artificial ventilation to maintain circulatory
flow and oxygenation during cardiac arrest.
Cardiopulmonary Resuscitation (CPR)
can significantly
increase the chances of survival
and reduce the risk of permanent
brain damage in individuals
suffering from cardiac arrest.
Immediate CPR
Main Components of CPR
Chest Compressions
Airway Management
Rescue Breathing
Main Components of CPR
- A life-saving manual intervention where
rhythmic pressure is applied downwards
onto the victim’s chest to maintain blood
circulation during cardiac arrest.
Chest Compressions
Main Components of CPR
- Helps circulate oxygenated blood to vital
organs, especially the brain and heart,
when the heart’s natural pumping action is
halted or ineffective.
Chest Compressions
Main Components of CPR
- The process of ensuring a clear and open
passage for air to enter the lungs, which
may involve techniques to prevent or
relieve obstructions.
Airway Management
Main Components of CPR
- Maintaining an open airway is paramount in
ensuring adequate oxygenation and
ventilation, particularly during respiratory or
cardiac emergencies.
Airway Management
Main Components of CPR
- Administering breaths to a person who is
not breathing or breathing inadequately.
This involves exhaling into the person’s
mouth or nose to provide them with
oxygen
Rescue Breathing
Main Components of CPR
- Supplies oxygen to the lungs, which gets
circulated to vital organs by effective chest
compressions.
Rescue Breathing
When To Start CPR (3)
If you see a victim who is:
• Unconscious/Unresponsive
• Not breathing or has no normal breathing
(only gasping)
• No definite pulse
When Not to Start CPR (5)
All victims of cardiac arrest should receive CPR
unless:
• Patient has a valid DNAR (Do Not Attempt
Resuscitation) order.
• Patient has signs of irreversible death
(Rigor Mortis, 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 CPR? (6)
• Spontaneous signs of circulation are
restored
• Turned over to medical services or properly
trained and authorized personnel
• Operator is already exhausted and cannot
continue CPR
• Physician assumes responsibility (declares
death, takes over, etc.)
• Scene becomes unsafe (such as traffic,
impending or ongoing violence-gun fires,
etc.)
• Signed waiver to stop CPR
The C-A-B
• Compressions
• Airway
• Breathing
The C-A-B Core Concept
Oxygen to the Brain
create blood flow by
increasing intra-thoracic pressure and
directly compress the heart, generating
blood flow and oxygen delivery to the
myocardium and brain.
Compressions
a forceful rhythmic pressing
on the lower half of the sternum, stimulates
the heart’s pumping action, mimicking the
circulation of an actively beating heart.
Compressions