Resuscitation

Resuscitation

1. clinical practice manual

   • Cardiopulmonary
     • consequence of coronary heart disease
       • 60% of cases
       • Prevention with health habits
   • Cerebral
   • malignant arrhytmias
     • heart attack
       • development is related to resuscitation maneuvers
         • Quality
         • Speed
   • provide appropiate information in these situations
     • provide basic life support

2. definitions

   • CRA
     • cardiorespiratory arrest
       • cessation of heart activity
         • absence of pulse
         • unconsciousness
         • stop in breathing
   • CPCR
     • cardiopulmonary-cerebral resuscitation
       • attempt to restore effective circulation
         • y chest compressions
         • oxygen sources
       • evaluate unconsciousness
         • three aspects
           • Visual
             • observe that vicitim is not moving
           • Physic
             • proceed to move the victim by the shoulders
           • Verbal
             • ask him
               • are you ok?

3. Epidemiology

   • for evrey 50 of 100.000 habitants occurs a cardiac arrest
     • responsible of 60% of deaths
       • the survival rate is 40-79% thanks to lego rescuers, who were previously instructed

4. resuscitation management CPCR

   • follow the sequence "chain of survival"
     • 1. secure the scene and recognize unconsciousness
       • 2. activate the emergency medical system
         • rapid response code
         • 3. diagnose arrest cardiac
           • 4. begin chest compressions
             • 5. administrer 5 cycles to 30compressions :2 breaths in 2 min
               • 6. acquire a defibrilattor to administrate a appropiate treatment
                 • 7. take neccesary measures to offer care for post heart attack
                   • 8. identify equipment, devices and materials that belong to a cardiac arrest car
   • programming CPCR training workshops at least twice a year

5. Cardiopulmonary-cerebral arrest

   • six steps to bring about the chain survival
     • 1. Assessment of the state of consciousness
       • 2. Calling the Emergency Code
         • 3. CPCR maneuvers
           • 4. Early defibrillation
             • 5. Advanced Life Support
               • 6. Integral Management of the post-cardiac arrest patient

6. Code Blue

   • Organized emergency response system
     • each institution has a trained team
       • this team will congregate with the call of code blue, who respond inmediately
         • Is recommend that only team respond to call, to avoid chaos
           • code blue ends with the captain decides stop the maneuvers or until the victims survive
         • Each team member should know their funnction, so none can do any function that doesn't correspond