dr. jitendra patel (mbbs, md, acme, ph.d…)€¦ · holger-nelson’s push & pull method 4....
TRANSCRIPT
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Dr. Jitendra Patel (MBBS, MD, ACME, Ph.D…)
Medical Educator & Researcher
Assistant Professor, Department of Physiology
Email: [email protected] Web: www.esphys.weebly.com
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Competency
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No. PY6.5 (Respiratory Physiology)
Competency
Describe and discuss the principles of artificial respiration, oxygen therapy, acclimatization and decompression sickness.
D/L/Core K/KH/Y
AM Written/Viva voce
Integration No
Imp. Concept CPR
Phy. Trivia Mouth to mouth breathing – most effective
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OUTLINE
Pre/post Test
Introduction to BLS - CPR
Indication
Steps
Current guidelines
Video demonstration5
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FIRST MBBS 2019-20 BatchBLS – CPR: Pre/Post Test
QueNo
Pre Test(24-12-2019)
Post test(24-12-2019)
Key
1 ?
2 ?
3 ?
4 ?
5 ?
6 ?
7 ?
8 ?
9 ?
10 ?
Marks Coming soon ?/? /
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Question 1
What are the ABCD assessments of the BLS
Primary Survey?
A. Airway, Blood Pressure, Circulation, Defibrillation
B. Airway, Breathing, Circulation, Defibrillation
C. Airway, Breathing, Cardiac Arrest, Defibrillation
D. Airway, Breathing, Circulation, Drug
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Question 2
Who can perform the CPR?
A. Doctor
B. Nurse
C. Paramedical staff
D. Anyone who knows how to do it.
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Question 3
Which of the following statement is true regarding
CPR?
A. Special equipments are required to perform CPR.
B. Head should be extended and tilted to provide mouth to mouth
breathing.
C. Chest compressions and pulmonary ventilation are performed at
hospital only.
D. Chest compression can be done at any part of chest.
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Question 4
As per latest guideline of American heart
association which of the following sequence
is correct in order to provide BLS?
A. Airway, Breathing, Circulation
B. Circulation, Airway, Breathing
C. Breathing, , Airway, Circulation
D. Circulation, Breathing, Airway
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Question 5
Emergency number for medical help
provided by government___________.
A. 1500
B. 100
C. 108
D. 1098
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Question 6
Which arterial pulsations you will check
in CPR?
A. Radial
B. Brachial
C. Carotid
D. Femoral
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Question 7
One cycle of CPR consists of ___________.
A. 30 compressions then 2 breaths
B. 20 compressions then 2 breaths
C. 30 compressions then 3 breaths
D. 20 compressions then 3 breaths
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Question 8
Which basic airway skill is the most commonly
used method for providing positive-pressure
ventilation?
A. Mouth-to-mouth
B. Mouth-to-barrier device
C. Bag-mask ventilation
D. Jaw thrust without head extension
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Question 9
The target chest compression during CPR
is ____________.
A. 1 inch
B. 1.5 inches
C. 1.5 to 2 inches
D. At least 2 inches
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Question 10
Recommended chest compression rate in
CPR is __________.
A. At least 100/min
B. <100/min
C. >100/min
D. Approximate 100/min
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Key???
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Objectives of CPR
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What is BLS…?
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Introduction
CPR is a first aid, but life-saving,
emergency procedure, and must be started
without losing a second.
It is not the treatment, however.
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Introduction……
Artificial respiration (AR) alone may be needed if
breathing has stopped suddenly though the heart is
still beating (as it happens in many cases).
However, if breathing is not re-started within 3–4
minutes, the heart will also stop.
In this case, both AR and external cardiac
compression will be required.
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Conclusion
If breathing has stopped suddenly….
Artificial respiration (AR) alone may be needed
However, if breathing is not re-started within 3–4
minutes, the heart will also stop…..
Both AR and external cardiac compression will be
required = CPR
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Indications
In new born infants
Drowning
Electrical Shock
Gas Poisoning
Anaesthetic complications
Life threatening emergency etc.
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Four Life Threatening Emergencies
1. Cardiac arrest
2. Heart Attack
3. Stroke
4. Chocking
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8 Basic Steps
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How to Approach…?
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Key Changes in CPR
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OUTLINE
1. Schafer’s Prone Pressure Method
2. Sylvester’s Method
3. Holger-nelson’s Push & Pull Method
4. Mouth to Mouth Breathing
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1. Schafer’s Prone Pressure Method30
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2. Sylvester’s Method31
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3. Holger-nelson’s Push & Pull Method
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4. Mouth to Mouth Breathing33
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FIRST MBBS 2019-20 BatchBLS – CPR: key
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QueNo
Pre Test(24-12-2019)
Post test(24-12-2019)
Key
1 B
2 D
3 B
4 B
5 C
6 C
7 A
8 C
9 D
10 A
Marks Be honest Be honest 10
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