IN HOSPITAL CARDIAC ARREST

MANAGEMENT UP DATE
Curiculum Vittae
• Nama : Ns. Sugiyono.S.Kep.CVRN, CH. CHt
• Moto : “Selalu Menuju Perbaikan dan
Keep Spirit , Belajar, Amal, Ibadah”
• No Telepon/WA : 081326616855
• Email/fb: sugiyononers@gmail.com , Fb
sugie poenya
 Riwayat Pendidikan
• SPK PPNI SEMARANG 1999-2002
• UNIVERSITAS NGUDI WALUYO SEMARANG 2002-2006
• PROGRAM PROFESI NERS 2006-2007
• BASIC CARDIOVASCULAR 2010
• ADVANCE CARDIOVASCULAR/POST BASIC 2017
• Magister Keperawatan peminatan Medikal Bedah Universitas
• Muhammadiyah Jakarta 2018
 RIWAYAT PEKERJAAN
• Ners specialist cardiology di Emergency National Cardiovascular Center
Harapan Kita Hospital Jakarta mulai 2008-Sekarang
• Dosen pengajar Mata Kuliah Keperawatan Gadar di STIKES Banten mulai
2010/IMC Bintaro dan Bimbingan Pendidikan Profesi Ners Tangerang
dan beberapa PTS di Tangerang
• Tim instruktur pengajar BCLS Diklat RS PJNHK
• Tim instruktur pengajar Kegawat daruratan BTCLS dan ACLS AHA and
di Pro Emergency, Cibinong Bogor
• Tim instruktur pengajar basic ECG dan Advance
• Enterpreuner, Trainer hypnosis, Hypnoterapist dan khitan Modern
• Pembicra seminar Nasional dan Kesehatan
Background
Background
Background

• Penyakit jantung dan pembuluh

darah menduduki peringkat teratas
di dunia dan peringkat ke dua di
Indonesia penyebab kematian

• Perlu penanganan segera pada

kegawatdaruratan jantung dan
pembuluh darah
Trends of Cardiac Arrhythmias
INCIDENCE IHCA
 What is cardiac arrest?
Definition

Sudden cardiac arrest is the sudden,

unexpected loss of heart function, breathing
and consciousness. Sudden cardiac arrest
usually results from an electrical disturbance in
your heart that disrupts its pumping action,
stopping blood flow to the rest of your body.
ECG MONITOR CARDIAC ARREST?
VT (VENTRIKEL TACHICARDIA)
NO PULSE

VF (VENTRIKEL FIBRILASI)

ASISTOLE

PEA ( PULSELESS ELECTRICAL

ACTIVITY)
Ventrikel Takikardi (VT)

Ventrikel Fibrilasi (VF)

 PEA
(PULLESS ELECTRICAL ACTIVITY)
SURVIVAL RATE

VT/VF ASISTOLE PEA

63-69 % 15-20 %
CAUSE CARDIAC ARREST
CAUSES CARDIAC ARREST (PEA)

ƒ ypovolemia
H

Hypoxia
ƒ

Hydrogen ion (acidosis)

ƒ

Hypo-/hyperkalemia
ƒ

Hypothermia
ƒ

Tension pneumothorax
ƒ

Tamponade, cardiac
ƒ

Toxins
ƒ

Thrombosis, pulmonary
ƒ

Thrombosis, coronary
ƒ
CHAIN OF SURVIVAL BLS-AHA 2015
MANAGEMENT CARDIAC ARREST
Amankan diri sendiri – Lingkungan - Penderita

Cek Respons : Panggil, Tepuk – tepuk,Call for help,

bawakan AED, Cek napas sekaligus cek nadi tidak
lebih dari 10 detik

Compression 30 : 2 ventilasi or Compression Only (

Rate 100 – 120x/mnt )

Buka Jalan Napas :

Head Tilt Chin Lift, Chin Lift , Jaw Thrust

Cek Napas : Look-Listen-Feel

Tidak Napas Berikan Napas Buatan 2 Kali
HIGH QUALITY CPR
ADVANCE CARDIAC LIFE SUPPORT

• 2015 AHA Physio Adult ALS poster.pdf

 In-Hospital Cardiac Arrest Response
Teams

Resuscitation Team (i.e., Emergency Code Team)

Rapid Response Teams (RRTs), also known as
Medical Emergency Teams (METs)
Pediatric RRT-METs
The initial rescuer performing CPR
High quality CPR performance and CPR certified
Managing defibrillation
Defibilator is cheeked and used ready
Managing airway and ventilation
Managing lines, drugs and tubes
As the staff in charge of resuscitation documentation
Implementing Utstein-style reporting
Prompting team members of critical actions required