cpr menurut guideline aha dan erc (adhan piddini)

8/18/2019 CPR Menurut Guideline AHA Dan ERC (Adhan Piddini)

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Oleh :

Adhan piddini

I1A010065

Pembimbing :

dr. Andri Lumban T Sp. An


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DefnisiCardiopulmonary resuscitation (P!"

resusi#asi $ardi%pulm%ner& adalah sebuahlang$ah darura# 'ang dapa# menagapernapasan dan den'u# an#ung sese%rang.

P! memban#u sis#em peredaran darahpasien dengan memas%$ %$sigen melalui

mulu# pasien dan memberi$an $%mpresi dadaun#u$ memban#u an#ung mem%mpa darah


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)apan #ida$ mela$u$anP!Si#uasi 'ang membaha'a$an pen%l%ng

Ada #anda pas#i $ema#ian (lebab ma'a#*ri+%rm%r#is" $a$u ma'a#*rig%r m%r#is&

A ,idera 'ang #ida$ memung$in$an $%rban $%rban

hidup seper#i $epala #erlepas dari badan

-a'i 'ang lahir dalam $eadaan meninggal


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)apan berhen#i !es#%ra#i%n %/ ee,#i+e" sp%n#ane%us ,ir,ula#i%n

are is #rans/erred #% a #eam pr%+iding ad+an,edli/e supp%r#

The res,uer is unable #% ,%n#inue be,ause %/ehaus#i%n

!eliable and +alid ,ri#eria indi,a#ing irre+ersibledea#h are me#" ,ri#eria %/ %b+i%us dea#h areiden#ifed" %r ,ri#eria /%r #ermina#i%n %/ resus,i#a#i%nare me#.


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hain %/ sur+i+alPengenalan ,ardia, arres# dan a$#i+asi sis#em

resp%n emergensi

P! dini 'g mene$an$an $%mpresi dadaDefbrilasi ,epa# i$a ada indi$asi

Ad+an,e li/e supp%r# 'ang e/e$#i/

Pera2a#an p%s#3,ardia, arres# 'ang

#erin#egrasi


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Pengenalan arres#4eliha# $%laps mendada$ a#au pada $%ndisi

$ri#is

Panggil dan #epu$A2am bila #ida$ resp%n a$#i/$an sis#em

emergensi

#enaga medis #ida$ resp%n #ida$

berna/as a#au na/as abn%rmal asumsi,ardia, arres# a$#i/$an sis#em emergensi

pemeri$saan nadi #ida$ di#e$an$an su$ar 10 de#i$ s#ar# P!


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© ERC 2010


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© ERC 2010


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)%mpresi dadaLe#a$$an $%rban pd p%sisi da#ar dan $eras

Telen#ang pen%l%ng berlu#u# disamping dada

Sa#u pergelangan #angan pen%l%ngdipertengahan dada $%rban dan pergelangan

sa#un'a dia#as pergelangan #angan 'g per#amaS#ernum di#e$an 2 inchi (5cm)-iar$an re$%il se,ara penuh" baru di#e$an

$embali

!a#e 70*mn# !OS180*mn# mening$a#$an #ing$a# sur+i+al minimal >100x/mnt


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© ERC 2010


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© ERC 2010


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© ERC 2010


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-isa dila$u$an %leh 1 pen%l%ng namundianur$an lebih dari 8 pen%l%ng sehinggadapa# memberi$an rasi% $%mpresi : +en#ilasi 930 : 2 selama 5 siklus (2 menit)

indari interupsi" bila in#erupsi ba#asima$simal


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Air2a' brea#hingPasien tanpa #rauma ser+i$al

headtilt " chinli%t

Pasien dengan #rauma ser+i$al

&awtrust #anpa e$s#ensi $epala


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© ERC 2010


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© ERC 2010


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© ERC 2010


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© ERC 2010


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© ERC 2010


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© ERC 2010


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Bradycardia Algorithm.

Neumar R W et al. Circulation. 2010;122:S72!S7"7

Copyright © American Heart Association, Inc. All rights reserved.


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#achycardia Algorithm.

Neumar R W et al. Circulation. 2010;122:S72!S7"7



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Jangan dipakai jika reflex muntah masih !"

#erajat A dan $ dari A$%& atau 'C( ) *+"


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idak merangsang muntah

Hati-hati pada pasien dengan fraktura asis cranii

&kuran u/ de0asa 1 mm atau jari kelingking kanan


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ST segmen# ele+a#i%n 2i#h > 2a+e /%rma#i%n in #he pre,%rdialleads (=136& ? #he high la#eral leads (I and a=L&.!e,ipr%,al ST depressi%n in #he in/eri%r leads (mainl' III anda=@&.


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$ater%al cardiac arre&t algorithm.

'a%de% (oe) # * et al. Circulation. 2010;122:S+2!S+"1



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,ediatric B*S Algorithm.

Berg $ - et al. Circulation. 2010;122:S+"2!S+7



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,ediatric B*S Algorithm.

Berg $ - et al. Circulation. 2010;122:S+"2!S+7



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,A*S ,ul&ele&& Arre&t Algorithm.

/lei%ma% $ E et al. Circulation. 2010;122:S+7"!S0+


Recommendations


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Component Adults Children Infants

Recognition Unresponsive (for all ages)

No breathing, not

breathing normally

(eg, only gasping)

No breathing or only gasping

No pulse palpated within ! seconds ("C# $nly)

C#R %e&uence CA' CA' CA'

Compression Rate At least !!min

Compression epth At least * inches (+

cm)

At least A# epth

About * inches (+ cm)

At least A# epth

About inches (- cm)

Chest .all Recoil Allow Complete Recoil 'etween Compressions "C#s Rotate

Compressors /very * minutes

Compression

Interruptions

0inimi1e Interruptions in Chest Compressions Attempt to limit

interruptions to less than ! seconds

Recommendations


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Airway "ead tilt2chin lift ("C# suspected trauma3 4aw thrust)

Compression to

5entilation Ratio

(until advanced airway

placed)

!3* ( or * rescuers) !3* %ingle Rescuer

+3* * "C# Rescuers

!3* %ingle Rescue

+3* * "C# Rescue

5entilations3 .hen

rescuer Untrained or

6rained and Not

#roficient

Compressions $nly

5entilations with

advanced airway

("C#)

breath every 789 seconds (98! breathsmin) Asynchronous wit

chest compressions About second per breath 5isible Chest Ris

efibrillation Attach and use A/ as soon as available: 0inimi1e interruptions

chest compressions before and after shoc;, resume C#R beginnin

with compressions immediately after each shoc;


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cpr menurut guideline aha dan erc (adhan piddini)

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