Seminar 1 Cardiopulmonary resuscitation心肺復甦術 (Etiology (ventricular…
Place endotracheal tube
is done to
Protect the lungs in people who are unable to protect their airway and are at risk for breathing in fluid (aspiration).
massive bleeding from the esophagus or stomach
Allow the provider to get a better view of the upper airway
Remove blockages from the airway
Support breathing in certain illnesses
Medical procedure in which a tube is placed into the trachea through the mouth or nose.
– Nearly 60% are witnessed
Up to 85% survivors
– Few attempts succeed after 10 min.
– Survival rates are reduced 7-10% every minute without AED
Our confidence in the equivalence between chest compression-only and standard CPR is not sufficient to change current practice.”
CPR: should combine chest compressions and rescue breaths.
Make a series of thrusts推力
Pull inward and upward as you press
press hard and quick into the abdomen
Position your hands
Let the person know you're going to perform the Heimlich
Wrap your arms around the person's waist.
check if the person is truly choking
Loss of consciousness
Blue or gray color to lips and fingernail beds
Inability to cough effectively
Cannot breathe or experiencing loud, difficult breathing
hands around their throat
Remove foreign bodies
Head tilt頭部傾斜 chin lift maneuver
1st: Assure safety for patient and yourself
ventricular fibrillation 心室顫動
survival fall by at least 10% with each minute delay
treat immediately --> 80% restore cardiac output
65-80% cardiac arrests
Ventricular tachycardia(if so rapid that effective mechanical contraction and relaxation cannot occur)-->cardiac arrest -->may degenerate into ventricular fibrillation
of ventricles (no pulse)
rapid, bizarre奇異 and irregular ventricular complexes
Most common and most easily treatable cardiac arrest rythms
Pulseless electrical activity無脈電活動(PEA)
often due to catastrophic event災難性事件
massive pulmonary embolism大量肺栓塞
may be caused by reversible conditions可逆性疾病
tension pneumotorax 張力性肺氣腫
cardiac tamponade 心包填塞
presence of organised electrical activity, but no effective cardiac output
Severe persistent bradycardia心動過緩 or asystole心搏停止
no electrical activity within the ventricles
massive ventricular damage
failure of conducting tissue-->pacemaker
Lack of arterial pulse
last a few minutes.
Limited to respiration
Cardiopulmonary, cardiac or circulatory arrest
most common condition -->Coronary artery disease冠狀動脈疾病
potentially reversible cessation可逆地停止 of spontaneous respiration and blood circulation.