resuscitation the goal of resucitation is the goal of resucitation is to maintain adequate...
TRANSCRIPT
![Page 1: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/1.jpg)
![Page 2: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/2.jpg)
ResuscitationResuscitation
The goal of resucitation is The goal of resucitation is
to maintain adequate oxygenation and perfusion.to maintain adequate oxygenation and perfusion.
An sequence of events should be instituted An sequence of events should be instituted beginning with thebeginning with the ABC ABC
![Page 3: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/3.jpg)
Resuscitation (best survivalResuscitation (best survival))
Children with a respiratory arrest .Children with a respiratory arrest .
a short duration of CPR.a short duration of CPR.
and a pulse present at the time of apnea. and a pulse present at the time of apnea.
![Page 4: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/4.jpg)
Signs and symptoms suggesting the Signs and symptoms suggesting the potential need for resuscitationpotential need for resuscitation
CNSCNS lethargy ,irritability ,confusionlethargy ,irritability ,confusion
Respiratory ; Respiratory ; apnea ,grunting ,nasal flaring ,tachypnea , apnea ,grunting ,nasal flaring ,tachypnea , poor air movement ,stridor ,wheesing poor air movement ,stridor ,wheesing
![Page 5: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/5.jpg)
Signs and symptoms suggesting the potential Signs and symptoms suggesting the potential need for resuscitation (2)need for resuscitation (2)
Cardiovascular;Cardiovascular; Arrhythmia ,bradicardia, weak pulses ,poor Arrhythmia ,bradicardia, weak pulses ,poor
capillary refill , hypotention capillary refill , hypotention
Skin and mucous;Skin and mucous; Mottling , pallor , cyanosis , diaphresis , poor Mottling , pallor , cyanosis , diaphresis , poor
turgor , dry mucouse membranesturgor , dry mucouse membranes
![Page 6: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/6.jpg)
ResuscitationResuscitation
Responsiveness: Responsiveness:
Gently shake if no injuryGently shake if no injury
Speak loudlySpeak loudly
Call out for helpCall out for help
Position the patientPosition the patient
Place supinePlace supine
Keep neck immobilizedKeep neck immobilized
![Page 7: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/7.jpg)
ResuscitationResuscitation
Basic life support (BLS):Basic life support (BLS):
1.1. A A irway irway
2.2. B B reathing reathing
3.3. C C irculationirculation
Advanced life support (ADL)Advanced life support (ADL) AAirway irway BBreathing reathing CCirculation irculation DDruge&fluidruge&fluid
![Page 8: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/8.jpg)
ABCABC
An sequence of events should be An sequence of events should be instituted beginning with the ABC :instituted beginning with the ABC :
Opening Opening AAirwayirway Assessing Assessing BBreathingreathing Assessing Assessing CCirculationirculation
![Page 9: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/9.jpg)
Respiratory supportRespiratory support
Head tilt/chin lift or jaw thrust if the cervical Head tilt/chin lift or jaw thrust if the cervical spine is unstable .spine is unstable .
Looking for the rise and fall of the chest.Looking for the rise and fall of the chest.
Listening at the nose and mouth for Listening at the nose and mouth for breathingbreathing..
This should be done in the less than 10 This should be done in the less than 10 secondsseconds
![Page 10: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/10.jpg)
Rescue breathing in an infantRescue breathing in an infant
![Page 11: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/11.jpg)
Head tilt- chin lift maneuverHead tilt- chin lift maneuver
![Page 12: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/12.jpg)
Combined jaw thrust-spine stabilization maneuverCombined jaw thrust-spine stabilization maneuver
![Page 13: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/13.jpg)
Rescue breathing in a childRescue breathing in a child
![Page 14: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/14.jpg)
MaskMask
Smallest size face Smallest size face maskmask
Large enough Large enough Resuscitation BaResuscitation Bagg
Assess for mask leakAssess for mask leak Monitor patient Monitor patient
responseresponse Sellick’s maneuverSellick’s maneuver O2O2
![Page 15: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/15.jpg)
Sellick’s maneuverSellick’s maneuver
Compression of the cricoidCompression of the cricoid
cartilage backwardcartilage backward
compressing compressing the esophagus against the the esophagus against the
Vertebral to prevent aspirationVertebral to prevent aspirationOf gastric contentsOf gastric contents
![Page 16: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/16.jpg)
Indication for endotracheal intubationIndication for endotracheal intubation
Apnea , Airway obstruction unrelieved by airway opening Apnea , Airway obstruction unrelieved by airway opening maneuvers.maneuvers.
Increased work of breathing that may lead to fatigue.Increased work of breathing that may lead to fatigue.
The need for PEEP The need for PEEP
Poor airway protective reflexes .Poor airway protective reflexes .
Sedation or the need for paralysisSedation or the need for paralysis
![Page 17: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/17.jpg)
IntubationIntubation
LaryngoscopyLaryngoscopy
![Page 18: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/18.jpg)
IntubationIntubation
reoxygenate with 100% O2reoxygenate with 100% O2 Gasteric tubeGasteric tube Check devicesCheck devices Position the patient Position the patient
ETT size (mm) =16+ age in yrETT size (mm) =16+ age in yr
44
![Page 19: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/19.jpg)
ر ه هد بخداوندهاي اي دانهپرن
د، ولي آن ميدهل النهاش را داخ
.اندازدنمي
![Page 20: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/20.jpg)
Foreign body aspirationForeign body aspiration
A conscious child suspected a foreign A conscious child suspected a foreign body should be permitted to cough body should be permitted to cough spontaneously until:spontaneously until:
1.1. coughing is not effectivecoughing is not effective
2.2. Respiratory distress and stridor increaseRespiratory distress and stridor increase
3.3. the child becomes unconsciousthe child becomes unconscious
![Page 21: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/21.jpg)
![Page 22: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/22.jpg)
![Page 23: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/23.jpg)
Foreign body aspirationForeign body aspiration
Abdominal thrusts with victim
Standing or sitting( conscious)
![Page 24: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/24.jpg)
Foreign body aspirationForeign body aspiration
![Page 25: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/25.jpg)
Neonatal resuscitationNeonatal resuscitation
High –risk situations should be anticipated High –risk situations should be anticipated byby::
history of the pregnancy .history of the pregnancy .
labor and delivery.labor and delivery.
identification of signs of fetal distress .identification of signs of fetal distress .
![Page 26: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/26.jpg)
Neonatal resuscitationNeonatal resuscitation
5-10%require some degree of resuscitation5-10%require some degree of resuscitation
Goals are:Goals are:
1.1. prevent the prevent the morbidity and mortalitymorbidity and mortality with with hypoxic-ischemic injury .hypoxic-ischemic injury .
2.2. Re-establish adequate spontaneous Re-establish adequate spontaneous respiration and cardiac output respiration and cardiac output
![Page 27: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/27.jpg)
Neonatal resuscitationNeonatal resuscitation
IF Persistent cyanosis or failure to ventilate or IF Persistent cyanosis or failure to ventilate or HR < 60HR < 60
Depressed respiratory neuromuscular.Depressed respiratory neuromuscular.
Airway malformation.Airway malformation.
Lung problem (pneumothorax –diaphragmatic Lung problem (pneumothorax –diaphragmatic hernia).hernia).
Congenital heart disease.Congenital heart disease.
![Page 28: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/28.jpg)
Apgar evaluation of newbornApgar evaluation of newborn
Sign 0 1 2Sign 0 1 2
Heart rateHeart rate absent <100 >100 absent <100 >100
Respiratory effortRespiratory effort absent irregular,slow crying, good absent irregular,slow crying, good
Muscle toneMuscle tone limp some flextion active motion limp some flextion active motion
Response to catheterResponse to catheter no Grimace cough,sneeze no Grimace cough,sneeze
ColorColor blue,pale body pink completely pink blue,pale body pink completely pink
![Page 29: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/29.jpg)
.انجامد، تالش نكردن است تنها راهي كه به شكست مي
![Page 30: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/30.jpg)
Chest compressions in Infants(<1 y/o)Chest compressions in Infants(<1 y/o)
One finger below intermammary lineOne finger below intermammary line
3th&43th&4thth fingers on sternum fingers on sternum
1/3 to1/2 depth of chest1/3 to1/2 depth of chest
100 times per min.100 times per min.
5 Compressions to 1 ventilation5 Compressions to 1 ventilation
![Page 31: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/31.jpg)
Chest compressions in Infants(<1 y/o)Chest compressions in Infants(<1 y/o)
![Page 32: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/32.jpg)
Cardiac compressions Cardiac compressions ( infant)( infant)
![Page 33: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/33.jpg)
هاي براي انسانبستي وجود بزرگ، بن
ندارد زيرا آنها بر اين باورند كه:
يا راهي خواهند يافت، يا
راهي خواهند ساخت.
![Page 34: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/34.jpg)
Assess for signs of circulationAssess for signs of circulation Check pulse(3-5 sec.)Check pulse(3-5 sec.) Use brachial or femoral in infantsUse brachial or femoral in infants Use carotid in child>8 yrUse carotid in child>8 yr
Chest compressions:Chest compressions: neonate =120 1-8yr and>8 =100 neonate =120 1-8yr and>8 =100
Comprassion /ventilation:Comprassion /ventilation: neonate =3:1 1-8yr=5:1 neonate =3:1 1-8yr=5:1 >8yr=15:2 >8yr=15:2
![Page 35: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/35.jpg)
![Page 36: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/36.jpg)
PoorresponsetoventilationinneonatesANDchildrenPoorresponsetoventilationinneonatesANDchildrenmaybeduetomaybedueto
- - Loosely mask , Positioning of the tracheal tube , air in Loosely mask , Positioning of the tracheal tube , air in stomach stomach
--airway obstruction , insufficient pressure , pleural airway obstruction , insufficient pressure , pleural effusion. effusion.
asystole , hypovolemia asystole , hypovolemia pneumothorax,pneumothorax, diaphragmatic herniadiaphragmatic hernia
prolong intrauterine asphexiaprolong intrauterine asphexia
![Page 37: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/37.jpg)
Medication in Medication in Neonatal resuscitationNeonatal resuscitation
Medications rarely requiredMedications rarely required ..
Medicationshouldbeadministered:Medicationshouldbeadministered:
if if HR is < than 60 /min after 30 secHR is < than 60 /min after 30 sec of ventilation of ventilation and chest compressionsand chest compressions . .
During asystole.During asystole.
![Page 38: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/38.jpg)
Intra osseous infusionIntra osseous infusion
![Page 39: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/39.jpg)
Intraosseous infusionIntraosseous infusion
![Page 40: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/40.jpg)
Chest compressions in child(1-8 y/oChest compressions in child(1-8 y/o)) One fingerbreadth above xyphoid-sternal One fingerbreadth above xyphoid-sternal
marginmargin
Heel of handHeel of hand
Depth:2.5-4 cm.Depth:2.5-4 cm.
100 Times per min.100 Times per min.
5 Comp. / 1 Vent.5 Comp. / 1 Vent.
![Page 41: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/41.jpg)
Chest compressionsChest compressions
![Page 42: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/42.jpg)
Chest compressions in a childChest compressions in a child
![Page 43: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/43.jpg)
Chest compressions in child(>8 y/o)Chest compressions in child(>8 y/o)
Two handsTwo hands
Depth : 3-5 cm.Depth : 3-5 cm.
80-100 Times per min.80-100 Times per min.
One rescuer: 5 Comp. / 1 Vent.One rescuer: 5 Comp. / 1 Vent.
Two rescuer: 15 Comp. / 2 VentTwo rescuer: 15 Comp. / 2 Vent..
![Page 44: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/44.jpg)
Medication for cardiac arrestMedication for cardiac arrest
Epinephrine Epinephrine 0/01mg/kg iv/ io (1/10000=0/1cc/kg) 0/01mg/kg iv/ io (1/10000=0/1cc/kg)
0/1mg/kg ET (1/1000=0/1cc/kg) 0/1mg/kg ET (1/1000=0/1cc/kg)
Administer every3-5minAdminister every3-5min
Atropine Atropine 0/02mg/kg Min dose:0/1mg iv,io,ET0/02mg/kg Min dose:0/1mg iv,io,ET
Bicarbonate Bicarbonate 1mEq/kg infuse slowly if ventilation is adequate1mEq/kg infuse slowly if ventilation is adequate
Calcium gluconate Calcium gluconate 60-100mg/kg (0/6-1cc/kg) iv/io60-100mg/kg (0/6-1cc/kg) iv/io
Glucose(10%-25%)Glucose(10%-25%) 2-4cc/kg 2-4cc/kg
![Page 45: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/45.jpg)
Brain deathBrain death
No spontaneous movement or interaction with enviromentNo spontaneous movement or interaction with enviroment
No response to stimuli ( pain ,light ,sound , touch ) No response to stimuli ( pain ,light ,sound , touch )
Absence of brain stem reflexesAbsence of brain stem reflexes
Apnea .Apnea .
All of the criteria should be present at least 6-24 hr after All of the criteria should be present at least 6-24 hr after coma and apnea . coma and apnea .
Silence EEG ,no hypothermia and cardiovascular shock and Silence EEG ,no hypothermia and cardiovascular shock and drug intoxicationdrug intoxication
![Page 46: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/46.jpg)
Cardiovascular supportCardiovascular support
Chest compression must be given:Chest compression must be given:
1.1. If there is no pulse If there is no pulse
2.2. If the pulse is less than 60/min with poor If the pulse is less than 60/min with poor perfusionperfusion
Chest compressions are given without Chest compressions are given without interrupting ventilationinterrupting ventilation
![Page 47: Resuscitation The goal of resucitation is The goal of resucitation is to maintain adequate oxygenation and perfusion. to maintain adequate oxygenation](https://reader037.vdocument.in/reader037/viewer/2022102911/56649e705503460f94b6d7d0/html5/thumbnails/47.jpg)
"If you love life, life will love you back.""If you love life, life will love you back." !!