CPR


Definition:

CPR provide artificial ventilation and perfusion to the vital organs live heart and brain until spontaneous cardiopulmonary function is restored.

Basal life support.

It means manoeuveres which without special equipments either prevents circulatory and respiratory arrest or external support of victim.

Has 4 components.

A) EARLY RECOGNITION

1. If the patient is found to be injured he is assessed by speaking and touching. If not responded shout for help PHONE FIRST and ask for defibrillator.

CPR for 2min. is recommended in un-witnessed arrest.

B) EARLY CPR 

1.Open the airway in unresponsive patient. Use head tilt chin method, in suspected trauma cases use law thrust method  to open the airway.

2. Check for adequate breathing in adults. If adequate should turn him in recovery position. If not start rescue an giving two effective breathing each over 1 sec.

The volume of each rescue breath will make visible rise in chest.

It is about 600 ml of expired air.

3. Next step is to circulation assessment. It is done by checking the brachial pulse for about 10 sec. If palpable above procedure is continue and rechecked after 10 breaths.

If circulation is absent cardiac compression is started at a ratio of 30 compression : 2 ventilation.

The patient is reassessed after 5 such cycles.

C) EARLY DEFIBRILLATION

Automated external defibrillator is used .

If shock able rhythm is present them one shock at 360j mono phasic or 150-200j biphasic is given.

CPR continue after one shock and continue for five cycles 30:2 compression-to -ventilation ratio before rechecking the rhythm .

D) EARLY TRANSFER TO HOSPITAL TREATMENT AND REHABILITATION

In a hospital helps to prevent further complication, attempt to fully reverse the underlying cause and prompt quality of life.