Currently CPR is in Pediatrics and

Adults
Rizkyana Puspita Rini
(012116514)
Time is critical in starting
CPR !!!!
 Cardiac arrest

The cessation of
cardiac mechanical
activity, as confirmed
by the absence of signs
of circulation.
 Resusitation

Resuscitation is any
form of medical efforts
carried out against
those who are in
distress or critical, to
prevent death.
5 CHAIN OF SURVIVAL
AHA 2010
Simplified Universal BLS Algorithm
 Respiration Monitoring

Health Care Provider*

“PUSH HARD AND PUSH FAST”
At least 100 COMPRESSIONS /
MINUTE*
Allow the chest to recoil -- equal
compression and relaxation times
<10 seconds for pulse checks or rescue
breaths
Compression Depth*
Adults 2”
Child/Infant 1/3 depth of chest
1.5" infant 2" child
Avoid excessive ventilations
 Defibrillation
• Early defibrillation is critical to survival from
sudden cardiac arrest (SCA).
• Rapid defibrillation is the treatment of choice
for VF (witnessed out of hospital cardiac
arrest or for hospitalized patients whose heart
rhythm is monitored).
 MANUAL DEFIBRILLATOR

• The recommended energy dose of biphasic

defibrillator is 200 J for terminating VF.
• The recommended energy dose of monophasic
defibrillator is 360 J for terminating VF.
• In pediatrics : initial monophasic doses of 2 J/kg
are effective in terminating 18% - 50% of VF.
 ADULT
CARDIAC
ARREST
PEDIATRICS
CARDIAC
ARREST
 ROSC
• When a rhythm check using a manual defibrillator
or cardiac monitor reveals an organized rhythm, a
pulse check is performed.
• If a pulse is detected  ROSC  it is important to
begin post-cardiac arrest care immediately to
avoid re-arrest and optimize the patient’s chance
of long term-survival with good neurologic
function.
 ROSC
• The treatable causes of cardiac arrest : The H’5
and T’5
– Hypoxia - Toxins
– Hypovolemia - Tamponade
– Hydrogen ion (acidosis) (cardiac)
– Hypo/hyperkalemia - Tension
– Hypotermia pneumothorax
- Thrombosis
(pulmonary)
- Thrombosis
(coronary)
 RECOVERY POSITION
• Applied for out of hospital cardiac arrest.
• Used for unresponsive adult victims who
clearly have normal breathing and effective
circulation.
• RP is designed to maintain a patent airway
and reduce the risk of airway obstruction and
aspiration.
• The victim is placed on his or her side with the
lower arm in front of the body.
QUESTION ????
Thank you