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BANTUAN HIDUP DASAR DAN TRIASE

Muhammad Husni Thamrin, dr. (Anesthesiologist)

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Moewardi General Hospital - Anesthesiology and Intensive Care Department

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Abdominal aortic aneurysme Surg.

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Terminology in BLS

• ILLCOR• AHA Guidelines CPR• Chain of Survival• High Quality CPR• Airway Management• Chest Compressions• Ventilation• Compressions only CPR

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• Basic Life Support Bantuan Hidup Dasar• What/ Which Part of our Body that Support

Life (Vegetatively)• Oxygen pass through the airway to Ventilate

the Lungs • Functional Cardiac/ Cor to Perfused the

oxygenated blood to the Brain

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• So Basicly its the Cardiac + Pulmo functions to maintain life or we can call it the CardioPulmonary Functions plus the Open Airway

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BackGrounds

• 75 % of deaths from cardiac arrest occur in pre-hospital setting

• Pre-hospital : 89/100.000 persons years• In-hospital : 1-5/1000 admissions• Majority of cardiac arrests in both pre- and in-

hospital is cardiac origin, but underlying causes, co-morbidities and presentin rhytms vary sinificantly between studies

• (Morley, 2014)

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Improvement of Cardiac Arrest Outcomes

1. Early Detection2. Improved Delivery of Good CPR3. Improved Post Resuscitation Care

(Morley, 2014)

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• The term chain of survival has been used to define the important links in the chain for the resuscitation process

• Early reconition summoning the help early basic life support early access to defibrilation early ALS + PRC

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Chain of Survival

(AHA, 2010)

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D Dangers ?

R Responsive?

S

A

B

C

D

Send for help

Open AIrway

Normal Breathing?

Start CPR30 compressions: 2 breaths

If unwilling/ unable to perform rescue breaths continue chest compressions

Attach Defibrilator

Continue CPR until responsiveness or normal breathin return

Morley, 2014

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BLS healthcare provider algorithm.

Berg R A et al. Circulation. 2010;122:S685-S705

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

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Simplified adult BLS algorithm.

Berg R A et al. Circulation. 2010;122:S685-S705

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

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Head tilt chin lift & Head tilt jaw trust

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Mask ventilation

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One hand mask holding

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Two hand mask holding

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Oral Airways

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TRIAGE

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Refferences

• ILLCOR 2010• AHA Guidelines CPR 2010• OH’s Intensive Care Manual• Clinical Anesthesiology, Morgan and Mikhail• Suhail Raoof, Manual of Critical Care

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@ Central Operating Theatre