Bantuan Hidup Dasar Dan Triage
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Transcript of Bantuan Hidup Dasar Dan Triage
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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