5 CPR Flashcards
(16 cards)
What should you do before CPR?
Check patient’s surroudning are safe
Put on gloves ASAP
Other PPE may be required if the patient has a serious infection such as TB - isolate reports
Transmission of HIV during CPR has never been reported
Ensure a sharps box is available
What should you do if there are no signs o life?
Shout for help
Call resus team 2222
Open airway using head tilt chin lift - of jaw thrust if there is a risk of cervical spine injury
CPR 30:2 chest compressions to ventilations with oxygen and airway adjuncts
Apply pads /monitor
Attempt defibrillation if appropriate
ALS when resus team arrives
What should you do if their are signs of life?
Assess ABCDE Recognise and treat O2 Monitoring - SaO2, ECG, BP, IV access - blood samples
Call resus team if appropriate
How do you check patient for response?
Shake and shout ‘are you alright’
Keeping airway open, look listen and feel to determine if the victim is breathing normally for 10 secondsL
- look for chest movement
- Look for any other movement
- Listen at the victim’s mouth for breath shounds
Feel for air on you cheek
- Assess carotid pulse at the same time
What is agonal breathing?
Occasional irregular gasps
Sign of cardiac arrest in early stages
Agonal breathing and limb movement can occur during chest compressions as cerebral perfusion improves but is not indicative of ROSC
what is the correct hand position for chest compressions? Depth? Rate? Technique?
Middle of the lower half of the sternum
5-6cm
100-120 compressions/min
Allow chest to recoil completely after each compression
Same amount of time for compression and relaxation
Minmise any interruptions
How often should you change chest compressions?
Every 2 minutes or sooner if possible
Change during planned pauses such as during rhythm assessment
What equipemnt for ventilation?
Self inflating bag mask Supraglottic airway (Laryngeal mask ariway) and bag
What ventilation rate when intubates?
10 breaths/min
Continuous chest compressions
What should happen when the defibrillatory arrives?
Apply self adhesive defibrilation electrodes to the patient and analyse the rhythm
Apply while chest compressions ongoing
Use of adhesive electrode pads will enable rapid assessment of a heart rhythm compared with ECG use
What should happen once defibrillation pads are applied?
Pause briefly for a rhythm check
Aim for a pause in chest compressions for less than 5 seconds for rhythm check
What should happen if the rhythm is VF/pulseless VT
Restart chest compressions All other team members stand clear of the patient whilst defibrillator is charged - safety check Stop chest compressions Deliver chest compressions REstart chest compressions
NO DELAYS - restart chest compressions if difficulty in rhythm analysis
How often should you perform a rhythm check
Every two minutes
What should be done if there is no breathing but there is a pulse?
REspiratory arrest
Ventilate the patient’s lungs and check for a pulse every minute
If there are any doubts about the presence of a pulse,s tart chest compressions and continue ventilations
All patients in resp arrest will develop cardiac arrest if the resp arrest is not treated rapidly and effectively
What is a stacked shock?
If there is a witnessed VF/pVT cardiac arrest and patient is connected to manual defib, give 3 successive shocks
Rapidly check for rhythm change and check for pulse after each defib attempt
Start chest compressions and continue CPR for 2 mins if third shock is unsuccessful
What is a precordial thump?
Consider when can be used without delay whilst awaiting the arrival fo a defib in monitored VF/pVT cardiac arrest
