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CURRENT CONCEPTS  ON CARDIO-PULMONARY RESUCITATION

CARDIAC ARREST

Many thanks to Sir William Harvey(1578 – 1657)described the different theories of circulation of blood and heart.

PILOT WHO FINDS HIS ENGINE HAS SUDDENLY FAILED.

WHAT IS CPR  ???

HISTORICAL PERSPECTIVES

STAGES OF MANAGEMENT

AIM OF BASIC LIFE SUPPORT

ESTABLISH RESPONSIVENESS

PATIENT POSTION DURING CPR

Cleaning the mouth

HEIMLICH MANEUVER

Cleaning of the airway

Mouth –to mouth respiration

Locating the Pulse

 BASIC STEPS OF CPR

CARDIAC MASSAGE

Cardiac massage-position of the hand

Cardiac massage

CARDIAC   MASSAGE

CARDIAC MASSAGE


New CPR modalities

Interposed Abdominal Compression CPR-   IAC-CPR

 Success of resuscitation depends on availability of proper functioning equipments at proper time. Equipment should be tested periodically according to prescribed regulations and each periodic test documented.

CPR- BASIC EQUIPMENTS

BASIC EQUIPMENT

RX ASPECTS OF PERI-ARREST ARRHYTHMIAS

RX ASPECTS OF PERI-ARREST ARRHYTHMIAS

RX ASPECTS OF PERI-ARREST ARRHYTHMIAS

LONG QT INTERVAL

Torsade-de Pontes- Malignant polymorhic ventricular tachycardia ;manifested  By R on T phenomenon; commenest cause of death in pts with long QT syndromes.

ECG  IN HYPO & HYPERERKALAEMIA

ADVANCED LIFE SUPPORT

ADVANCED LIFE SUPPORT-DRUGS

ADVANCED LIFE SUPPORT-DRUGS

ADVANCED LIFE SUPPORT-DRUGS

Advanced Cardiovascular Life Support – AHA Guidelines –2000
 PHARMACOLOGICAL GUIDELINES

Advanced Cardiovascular Life Support – AHA Guidelines –2000
PHARMACOLOGICAL GUIDELINES

Advanced Cardiovascular Life Support – AHA Guidelines –2000

VENTILLATORY GUIDELINES

Advanced Cardiovascular Life Support – AHA Guidelines –2000

VENTILLATORY GUIDELINES


'Chain of Survival' Concept



 Automated External-defibrillation -Guidelines

Automated External-defibrillation -Guidelines

Automated External-defibrillation -Guidelines

ELECTROMECHANICAL DISSOCIATION

Prognosis of pts with EMD is generally very poor

European resuscitation council guidelines

European resuscitation council guidelines

OUTCOME OF SURVIVAL AFTER CPR.

Important Changes in the CPR Guidelines 2000

Important Changes in the CPR-Pharmacological Guidelines 2000



Important Changes in the International ECC and CPR Guidelines 2000

Important Changes in the International ECC and CPR Guidelines 2000

Honouring the principles of  Hippocrates…

TRAINING ON DUMMY

CPR Group Training in Indianapolis

POST RESUSCITATION CARE

PREVENTION IS BETTER THAN CURE

Early detection of airway obstruction (mucous plugging,etc.)can prevent hypoxia related events in seriously ill pts

LONG TERM RX- pt must be benefitted by the advances in the technological developments.

LONG TERM RX

THANK YOU