BASIC REANIMATION

BASIC REANIMATION

1. Key steps

   • *Avoiding and/or removing danger
     • rescuer
     • patient
   • *Not delaying urgent treatment
     • Noting
       • the circumstances of the patient's colapse
         • ensuring
           • adequate cerebral
       • his/her prior clinical state
   • applying definitive treatment
     • special techniques
       • compressions
         • 30
       • ventilations
         • 2 airway
       • venous cannulation
         • the administration of drugs
       • defibrillation
   • Successful cases
     • providing post-resuscitation care
       • maximise cerebral recovery
       • Prevent recurrence of the arrest
   • where there is a failure to respond to treatment,
     • judging when the resuscitation attempt should be discontinued.
   • immediate assistance and the necessary equipment to hand
   • (ABC of life support)
     • A-A: Airways.
       • A-1: Open the airways and assess their permeability.
       • A-2: Cleaning and unblocking if necessary. B
     • B-B: Breathing or ventilation.
       • B-1: Evaluate breathing (MES maneuver for 10 seconds).
       • B-2: Give 2 rescue breaths to check permeability and oxygenate (if obstruction move to A-2).
     • C-C: Circulation.
       • C-1: Evaluate circulation (central pulse for 10 sec.).
       • C-1: Evaluate circulation (central pulse for 10 sec.).

2. Components of resucitation

   • external chest compression
     • Kouvenhaven
   • expired air ("mouth-to-mouth") ventilation
     • Schafer
   • external defibrillation
     • Zoll

3. Cardiopulmonary resuscitation (CPR)

   • appropriate for a variety of acute medical events
     • ventricular fibrillation
     • ischaemic heart disease
     • left ventricular failure,
     • myocardial hypertrophy
     • respiratory arrest, airway obstruction or drug overdose. Major trauma, external or internal haemorrhage, major pulmonary embolism, profound anaphylaxis, electrocution or a critical cerebrovascular eventrespiratory arrest, airway obstruction or drug overdose. Major trauma, external or internal haemorrhage, major pulmonary embolism, profound anaphylaxis, electrocution or a critical cerebrovascular event

4. Teamwork and Leadership

   • Individual characteristics
     • technical skills
     • previous experience
     • communication, and leadership skills
   • social aspects
   • collective interaction patterns
     • promote or impede coordinated execution of CPR guidelines

5. Basic cardiopulmonary resuscitation

   • its main objective
     • ensure a minimum cardiac output and oxygenation of the CNS

6. Is the maneuvers performed

   • The recovery of higher nervous function
     • can be basic or advanced depending on resources and staff training

7. RCPC in adults

   • The steps to follow
     • the scene must be safe
       • the lifeguard
         • The rescuer should be placed comfortably,
         • the case of 2 rescuers each one is distributed On each side of the patient
         • the one who takes care of the ventilation located next to the victim's head
         • the second will guarantee the circulation and it will be located in line with the thorax region.
       • victim
     • it is not permissible to touch a victim if the body could be electrified
     • the priority is to open the airway
     • start cardiac compression cycles of 100 x min for 1 to 2 min.
     • Check circulation
       • Determine presence of pulse
         • determine if the heart it is beating (10 seconds) in the carotid region
       • There is a pulse but there is no breathing
         • presence of a respiratory arrest
           • give a breath every 5 seconds (12 per minute)
       • there is no breathing or pulse,
         • the patient is in PCR and the RCPC should be started immediately