LP Resuscitarea cardiorespiratorieDefinitii:Oprire respiratorie = absena micrilor respiratorii.Oprire cardiac (cardio-circulatorie) = tabloul clinic generat de absena sistemic (generalizat) a circulaiei.opririrea primar respiratorii frecvent la sugar i copilprimar cardiace frecvent la adult i btrn Cauze de oprire respiratorie nec, aspiraie de corpi strini, inhalare de toxice, epiglotit, strangulareComa de orice cauz, AVClectrocuie, traumatism, etcClinicalsigns ofcardiac arrestPulselesscentralarteriesLoss of conscienceRespiratory arrestMidriasis( late sign-90sec)muscular rigidity!n"arctul miocardic#ulburrile de ritm (in"arct demiocard, ischemie, tulburri electrolitice,etc.)$ipo%olemia (exsanguinare, politraumatisme)mbolia pulmonar#amponada cardiacCauzePrimary cardiac arrest

respiratory arrest ( 0-!0 sec)"ecundary cardiacarrest first apneea

cardiac arrest (#-$0min)&'anul supra%ieuirii(Acces precoce)V* precoce+e"ibrilare precoce )VA precoceSuportul vital bazalPrima faz a !Se practic fr ec"ipament medical (#cu minile goale$)%Scoaterea victimei din mediul periculos%&valuarea strii de contien'%(lertarea serviciului medical de urgen' (telefon ))*)%Pozi'ionarea victimei%&liberarea cilor aeriene%&valuarea respira'iei spontane ()+ secunde)%espira'ia artificial (* ventila'ii)%&valuarea pulsului ()+ secunde)%,asa- cardiac e.tern ()++/minut)%!ontinu secven'a masa-0ventila'ie 1+0*%2efibrilarea automat e.tern Suportul vital bazalManagement of air%ay&345&(&( !643O (&4&7& Hiperextensia capului i nchiderea gurii% Subluxaia anterioar a mandibulei% ndeprtarea corpilor strini solizi (deget crlig) sau lic"izi (pozi'ie lateral a capului i deget 8nfurat 8n pnz) "imple air%ay ad&uncts (orop'aryngeal or nasop'aryngeal air%ays) are often 'elpful( and sometimes essential( to maintain an open air%ay) Ventilation * mout'-to-mout' +entilation* Mout'-to-nose* Mout'-to-trac'eostomy Circulation -c'est compresionVentilation9entila'ia artificial #gur-la-gur$9entila'ia artificial #gur-la-nas$9entila'ia artificial #gur-la-tra"eostom$ 9entila'ia artificial #gur-la-gur i nas$ (erul e.pirat con'ine ):-);< O*&valuarea eficien'ei ventila'iei artificiale0 observarea micrilortoracelui Deli+er eac' ,reat' o+er appro-imately # sec gi+e a +olumeof .00 ml /entilation rate: #0-#$0min During CPR %it' an unprotected air%ay( gi+e t%o +entilations after eac' se1uence of 0 c'est compressions)(0 compresions:$ +entilation)mout'-to-mout' +entilationcirculation-c'est compresion - rate #000min - deep 2-.).-!cmCPRCompress at t'e center of t'e c'est at t'e nipple lineCompress t'e c'est appro-imately #).-$ inc'es using 'eel of 'ands3e% Recommendations$ ,reat's c'est compressions4ll ,reat's (mout'-mout'( mout'-,ag( ,ag-mas5) gi+en o+er # sec see c'est riseLonger uninterrupted c'est compression Compression:6reat' (0:$) Pus' 'ard and pus' fast (#000minute) $ min of compression ,efore r'yt'm0pulse c'ec5 in pulseless arrest Pulseless /70/8: # s'oc5 (instead of stac5ed) c'ec5 pulse e+ery $ minutes