REVIEW AND UPDATE

ADVANCED CARDIAC LIFE SUPPORT

DR. WISUDAWAN, M.KES, SP.JP, FIHA

BAGIAN KARDIOLOGI DAN KEDOKTERAN VASKULAR

FAKULTAS KEDOKTERAN UNIVERSITAS MUSLIM INDONESIA
Gawat Darurat..
ALGORITMA RJP
AHA 2010
C
Chest Compresion
 Korban Algoritma RJP AHA 2010
(Tentukan kesadaran/respon)

Tidak sadar/tidak
Sadar / bergerak
bergerak
Minta bantuan Chest Compresion
• Pertahankan jalan
napas C Pijat jantung luar
Cek NADI CAROTIS
• Pemeriksaan fisik
• Posisi pemulihan
[< 10 detik] ± 100 kali/menit
• Penilaian
berkelanjutan
Tidak
Ada
ada
A
Buka JALAN
NAFAS Tidak B Lanjutkan Pijat jantung luar dan
Bantuan Nafas
( HT,CL ,JT ) bernapas BANTUAN NAPAS
(pelan mantap, 1,5– 30 : 2
2 detik) tiap 5-6 (sama 1 atau 2 penolong) cek nadi
Bernapas detik cek tiap 5 karotis setiap 5 siklus/setiap 2
siklus/2menit menit (tukar tugas)
ALGORITMA RJP
AHA 2015
No more tilting the patient.It is no longer recommended to use a wedge or attempt to laterally tilt the
patient because this will interfere with the quality of CPR. Just manually displace the uterus to the left.

Perimortem C-sectionis still recommended after 4 minutes of CPR with no ROSC. However, if the
mother will clearly not survive, such as in non-survivable trauma, they recommend starting the c-section
immediately
Vasopressin is OUT.

Give epinephrine early in non-shockable rhythms.

The vasopressin, epinephrine, steroid combination isnot recommended.

The guidelines do recognize the “equipoise concerning the role of drugs in improving outcomes

from cardiac arrest”.

Naloxone added to the guidelines.In patients with known or suspected opioid addiction who are not

breathing normally but have a pulse, it is reasonable for trained lay rescuers and BLS providers to

administer naloxone.
Insert your subtitle here
Algoritma Serangan Jantung
Pada Orang Dewasa
Algoritma Serangan Jantung
Pada Orang Dewasa
Algoritma Serangan Jantung
Pada Pediatri
 ± 1/3 – 1/2 diamter anteroposterior
Diameter rongga dada / 4 -5 cm

Kekuatan tekanan tangan

pada badan

Posisi lengan lurus

Posisi tangan menetap

Nadi (+) Nafas (+)

Posisi mantap
jaga jalan nafas
Head tilt,
Chin lift
Jaw Thrust
Tehnik
membuka
mulut

Cross finger
 MENGELUARKA
BENDA ASING

Hentakan perut
(pd ps sadar )
 MENGELUARKA
BENDA ASING

Hentakan perut
(korban TDK SADAR
)
MENGELUARKA
BENDA ASING

Hentakan
pungung & dada
pada bayi
Bantuan nafas
menggunakan
BAG with PALP
 BAGIAN KARDIOLOGI DAN KEDOKTERAN VASKULAR
FAKULTAS KEDOKTERAN UNIVERSITAS MUSLIM INDONESIA

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