2. Masuri de Prim Ajutor(Bls)
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MASURI DE PRIM AJUTOR (BLS) Primul ajutor Proceduri de ingrijire medicala simple, de urgenta aplicabile de catre neprofesionisti pana la sosirea personalului medical de specialitate. Se face referinta atat la “laici”, cat si la personalul de pe ambulante sau alti “first responders”. NU INLOCUIESTE UN TRATAMENT MEDICAL COMPETENT Aspecte etice OUT OF HOSPITAL SETTINGS To initiate resuscitation Not to initiate resuscitation To terminate resuscitation IN HOSPITAL RESUSCITATION To initiate resuscitation Not to initiate resuscitation To terminate resuscitation To withdraw life support Approximativ 700,000 stopuri cardiace pe an in Europa Supravietuirea la externare de aprox 5-10% CPR efectuat de martori: interventie vitala inaintea sosirii echipajelor de urgenta – dubleaza sau tripleaza supravietuirea dupa SCR subit Resuscitarea precoce si defibrilarea prompta (in decurs de 1-2 minute) poate duce la supravietuiri de >60%. Basic life support secventa de proceduri efectuate pentru a restabili circulatia sangelui oxigenat dupa un SC/R Compresii sternale si ventilatie pulmonara efectuate de oricine care stie cum sa o faca, oriunde, imediat, fara alt echipament . dispozitive de protectie (se continua in prezentarea PPT protocolul resuscitarii) Continue resuscitation until Qualified help arrives and takes over The victim starts breathing normally Rescuer becomes exhausted Pediatric BLS
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Transcript of 2. Masuri de Prim Ajutor(Bls)
MASURI DE PRIM AJUTOR(BLS)
Primul ajutorProceduri de ingrijire medicala simple, de urgenta aplicabile de catre neprofesionisti pana la
sosirea personalului medical de specialitate. Se face referinta atat la “laici”, cat si la personalul de pe ambulante sau alti “first responders”.
NU INLOCUIESTE UN TRATAMENT MEDICAL COMPETENTAspecte eticeOUT OF HOSPITAL SETTINGS To initiate resuscitation Not to initiate resuscitation To terminate resuscitationIN HOSPITAL RESUSCITATION To initiate resuscitation Not to initiate resuscitation To terminate resuscitation To withdraw life support
Approximativ 700,000 stopuri cardiace pe an in Europa Supravietuirea la externare de aprox 5-10% CPR efectuat de martori: interventie vitala inaintea sosirii echipajelor de urgenta –
dubleaza sau tripleaza supravietuirea dupa SCR subit Resuscitarea precoce si defibrilarea prompta (in decurs de 1-2 minute) poate duce la
supravietuiri de >60%.Basic life supportsecventa de proceduri efectuate pentru a restabili circulatia sangelui oxigenat dupa un SC/RCompresii sternale si ventilatie pulmonara efectuate de oricine care stie cum sa o faca,
oriunde, imediat, fara alt echipament. dispozitive de protectie
(se continua in prezentarea PPT protocolul resuscitarii)Continue resuscitation until
Qualified help arrives and takes over The victim starts breathing normally Rescuer becomes exhausted
Pediatric BLS Sequence of action Trained rescuers for ABLS: adult sequence with the exception that they should perform 5 initial breaths 1 min of CPR
THAN Go for help
CHEST COMPRESSIONS- children Lower third of the sternum Avoid abdominal compressions- locate xiphisternum Compress one finger’s breadthabove this Compression to depress the sternum approx 1/3 of the depth of the chest Release the pressure Repeat at a rate of 100/min After 15: head tilt, chin lift 2 effective breaths Lone rescuers may use a ratio 30:2
CHEST COMPRESSIONS- children over 1 year The heel of the hand over the lower third of the sternum Lift the fingers- pressure not applied on the ribs Arm straight Compressions- 1/3 of the depth of the chest
Pediatric FBAO No abdominal thrusts for choking infants Risk because of the horizontal position of the ribs- upper abdominal viscera more exposed
to trauma
