We know youve got a cool bag with some smart ideas inside, so let us know Share your bag in our Lifehacker Go Bag Show and Tell Flickr pool, shoot me a message.Cardiopulmonary resuscitation CPR is an emergency procedure that combines chest compressions often with artificial ventilation in an effort to manually preserve.Cpr Metronome Download' title='Cpr Metronome Download' />Welcome to kays medical.Our product range is now broader than ever, covering first aid, emergency response, medical supplies, biohazard decontamination as well as.Purple71/v4/ca/9a/cc/ca9accba-b34e-ec29-6056-d1c277abd1f0/sc1024x768.jpeg' alt='Cpr Metronome Download' title='Cpr Metronome Download' />Advanced Cardiac Life Support ACLS, BCLS and Cardiac Arrest Resuscitation.Full text available on circulation web site.Prehospital Stuff.BLS termination of resuscitation rule.ALS termination of resuscitation rule.Back to top. Basic Life Support.Sichuan Straddle.The quality of straddling external chest compression performed on a moving stretcher was as effective as standard external chest compression performed on the floor.By performing straddling external chest compression, time for transporting victims to the emergency department to get advanced life support may be shortened.Resuscitation. 2.Nov 8. 11. 1 1. Untrained Lay Rescuer.If a bystander is not trained in CPR, then the bystander should provide Hands Only chest compression only CPR, with an emphasis on push hard and fast, or follow the directions of the emergency medical dispatcher.The rescuer should continue Hands Only CPR until an AED arrives and is ready for use or healthcare providers take over care of the victim Class IIa, LOE B.Lay rescuers should assume cardiac arrest based on assessing unresponsiveness and absence of normal breathing ie, the victim is not breathing or only gaspingLook, Listen, and Feel was removed from the BLS algorithm Lay rescuers should not interrupt chest compressions to palpate pulses or check for ROSC Class IIa, LOE C.Trained Lay Rescuer.All lay rescuers should, at a minimum, provide chest compressions for victims of cardiac arrest.In addition, if the trained lay rescuer is able to perform rescue breaths, he or she should add rescue breaths in a ratio of 3.The rescuer should continue CPR until an AED arrives and is ready for use or EMS providers take over care of the victim Class I, LOE B.Sequence change to chest compressions before rescue breaths CAB rather than ABCHealthcare Providers.Optimally all healthcare providers should be trained in BLS.In this trained population it is reasonable for both EMS and in hospital professional rescuers to provide chest compressions and rescue breaths for cardiac arrest victims Class IIa, LOE B.This should be performed in cycles of 3.Class IIa, LOE B.The rescuer delivering ventilation can provide a breath every 6 to 8 seconds which yields 8 to 1.A compression ventilation ratio of 3.Class IIb, LOE B.Sequence change to chest compressions before rescue breaths CAB rather than ABCIncreased focus on methods to ensure that high quality CPR compressions of adequate rate and depth, allowing full chest recoil between compressions, minimizing interruptions in chest compressions and avoiding excessive ventilation is performed.Recommendation of a simultaneous, choreographed approach for chest compressions, airway management, rescue breathing, rhythm detection, and shocks if appropriate by an integrated team of highly trained rescuers in appropriate settings.The healthcare provider should take no more than 1.Class IIa, LOE C.Rescue Breaths Deliver each rescue breath over 1 second Class IIa, LOE C. Samsung Game Unlock Code Keygen Crack . Give a sufficient tidal volume to produce visible chest rise Class IIa, LOE C.Studies in anesthetized adults with normal perfusion suggest that a tidal volume of 8 to 1.Lkg maintains normal oxygenation and elimination of CO2.During CPR, cardiac output is 2.CO2 delivery to the lungs are also reduced.As a result, a low minute ventilation lower than normal tidal volume and respiratory rate can maintain effective oxygenation and ventilation.For that reason during adult CPR tidal volumes of approximately 5.L 6 to 7 m. Lkg should suffice Class IIa, LOE B.This is consistent with a tidal volume that produces visible chest rise.In summary, rescuers should avoid excessive ventilation too many breaths or too large a volume during CPR Class III, LOE B.If an adult victim with spontaneous circulation ie, strong and easily palpable pulses requires support of ventilation, the healthcare provider should give rescue breaths at a rate of about 1 breath every 5 to 6 seconds, or about 1.Class IIb, LOE C.Each breath should be given over 1 second regardless of whether an advanced airway is in place.Each breath should cause visible chest rise.Cricoid Pressure.The routine use of cricoid pressure in adult cardiac arrest is not recommended Class III, LOE B.Compressions. Correct performance of chest compressions requires several essential skills.The adult sternum should be depressed at least 2 inches 5 cm Class IIa, LOE B, with chest compression and chest recoilrelaxation times approximately equal Class IIb, LOE C.Allow the chest to completely recoil after each compression Class IIa, LOE B.Although rescuers may not recognize that fatigue is present for 5 minutes.When 2 or more rescuers are available it is reasonable to switch chest compressors approximately every 2 minutes or after about 5 cycles of compressions and ventilations at a ratio of 3.Class IIa, LOE B.Healthcare providers should interrupt chest compressions as infrequently as possible and try to limit interruptions to no longer than 1.Class IIa, LOE C.Because of difficulties with pulse assessments, interruptions in chest compressions for a pulse check should be minimized during the resuscitation, even to determine if ROSC has occurred.Because of the difficulty in providing effective chest compressions while moving the patient during CPR, the resuscitation should generally be conducted where the patient is found Class IIa, LOE C.This may not be possible if the environment is dangerous.Electrical Therapies.After shock delivery, the rescuer should not delay resumption of chest compressions to recheck the rhythm or pulse.After about 5 cycles of CPR about 2 minutes, although this time is not firm, ideally ending with compressions, the AED should then analyze the cardiac rhythm and deliver another shock if indicated Class I, LOE B.If a nonshockable rhythm is detected, the AED should instruct the rescuer to resume CPR immediately, beginning with chest compressions Class I, LOE B.Shortening the interval between the last compression and the shock by even a few seconds can improve shock success defibrillation and ROSC Thus, it is reasonable for healthcare providers to practice efficient coordination between CPR and defibrillation to minimize the hands off interval between stopping compression and administering shock Class IIa, LOE C.For example, when 2 rescuers are present, the rescuer operating the AED should be prepared to deliver a shock as soon as the compressor removes his or her hands from the victims chest and all rescuers are clear of contact with the victim.Biphasic waveforms are safe and have equivalent or higher efficacy for termination of VF when compared with monophasic waveforms.In the absence of biphasic defibrillators, monophasic defibrillators are acceptable Class IIb, LOE B.Different biphasic waveforms have not been compared in humans with regard to efficacy.Therefore, for biphasic defibrillators, providers should use the manufacturers recommended energy dose 1.J Class I, LOE B.If the manufacturers recommended dose is not known, defibrillation at the maximal dose may be considered Class IIb, LOE C.Fixed and Escalating Energy It is not possible to make a definitive recommendation for the selected energy for subsequent biphasic defibrillation attempts.However, based on available evidence, we recommend that second and subsequent energy levels should be at least equivalent and higher energy levels may be considered, if available Class IIb, LOE B.Electrode Placement Data demonstrate that 4 pad positions anterolateral, anteroposterior, anterior left infrascapular, and anterior right infrascapularare equally effective to treat atrial or ventricular arrhythmias.There are no studies directly pertaining to placement of padspaddles for defibrillation success with the end point of ROSC.All 4 positions are equally effective in shock success.Any of the 4 pad positions is reasonable for defibrillation Class IIa, LOE B.For ease of placement and education, anterolateral is a reasonable default electrode placement Class IIa, LOE C.Ten studies indicated that larger padpaddle size 8 to 1.Precordial Thump The precordial thump may be considered for termination of witnessed monitored unstable ventricular tachyarrhythmias when a defibrillator is not immediately ready for use Class IIb, LOE B, but should not delay CPR and shock delivery.
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