Bantuan Hidup Dasar 6b5p6q

BANTUAN HIDUP DASAR/ BASIC LIFE

Danger

• Detect dangers • Protect yourself

• EMS’s assistance – Yes / No

Response Brain damage starts in 4-6 minutes. Brain damage is certain after 10 minutes without R.

 Tap and shout. Is there any response? Look at the person’s chest and face. Is the person breathing normally? (in less than 10 seconds). 

AVPU: Alert – Voice – Pain – Unresponsive.

Are you alright?

Send someone to call for help  Send someone to call and tell him to come back.  The caller should give dispatch the patient’s location, what happened, how many people are injured, and what is being done.

Circulation

•

Check for the pulse in no more 10 seconds:

• If the pulse present but no breathing, start rescue breathing. Reassess pulse every 2 minutes. • If unsure a pulse is exist >>> start chest compression  Do not waste more critical time searching for a pulse

CHEST COMPRESSIONS • Place the heel of one hand in the centre of the chest • Place other hand on top • Interlock fingers

• Compress the chest – Rate 100 -120 min-1 – Depth 5-6 cm – Equal compression : relaxation

• When possible change R operator every 2 min

Handley A.J., Koster R., Monsieurs K., Perkins G.D., Davies S., Bossaert L.: European Resuscitation Council Guidelines for Resuscitation 2005. Section 2. Adult basic life and use of automated external defibrillators Resuscitation (2005) 67S1, S7—S23

30 : 2

AIRWAY Approach safely Check response Shout for help Head Tilt – Chin Lift

Check breathing

Call 112 30 chest compressions Jaw Thrust 2 rescue breaths

Campbell

AIRWAY OPENING BY NECK EXTENSION

Cervical spine injury • Jaw thrust (no for lay rescuer) for open airway

Breathing

 Give 2 effective breaths lasting 1 second each (chest rise and fall).

RESCUE BREATHS

• • • •

Pinch the nose Take a normal breath Place lips over mouth Blow until the chest rises • Take about 1 second • Allow chest to fall • Repeat

CONTINUE R

30

2

The use of protective devices is recommended

Go on combining 30 chest compressions with 2 rescue breaths.

Only stop when:

• Professional help takes over • You are exhausted • The victim starts breathing normally

Defibrillation

 Early defibrillation is very critical, especially in cardiac arrest.  The sooner you provide defibrillation with the AED, the better the victim's chances of survival.

AUTOMATIC EXTERNAL DEFIBRILATION (AED) 1. Turn machine on.

4. Stand clear. Do not touch the patient when AED analyzes.

2. Bare the chest. Dry it if wet. Shave it if there is excessive hair.

5. Push the shock button when AED advises.

3. Follow directions shown on pads for placement.

6. Continue R 30:2 until signs of life detected.

AEDs will analyze every two minutes and prompt for a shock if needed.

ROSC (return of spontaneus circulation) • Pulse and blood pressure + • PET CO2 > 40 mmHg • Spontaneus arterial Pressure with intra arterial monitoring

Komponen R Berkualitas Tinggi untuk Penyedia BLS

Anjuran dan Larangan BLS untuk R Berkualitas Tinggi Dewasa

Algoritma Serangan Jantung Pada Pasien Pediatri untuk Satu Penolong—Pembaruan 2015

RECOVERY POSITION This position helps a semiconscious or unconscious person prevent the tongue falling back and block the airway. It also help them to breathe and permits fluids to drain from the nose and throat so they are not breathed in Do not use the recovery position if the person has a major injury, such as a back or neck injury

CHOKING

CHOKING  The obstructed airway.  It is often caused by foreign body lodged in the airway.

 The recognition and proper management of choking is of the key importance to safety at homes, restaurants, and other public places.

RECOGNIZATION OF OF CHOKING  Victim clutches at his neck, universal sign for choking.  If not sure of choking, ask victim loudly “Are you choking? Can you talk? Can you breath? Can you cough?”  Ask victim to cough as hard as his can.  If the chocking is getting worse, you will notice the victim’s coughing is becoming weak and ineffective. - Victim is unable to breath. - Victim develops harsh noise while speaking. - Victim ‘s face may become blue.

THE HEIMLICH MANEUVER

THE BACK BLOW – CHEST THRUST

TERIMA KASIH