心肺复苏及基础急救培训讲义ppt课件

1、CPR and Basic First Aid Training心肺复苏及根底急救培训悦安安康公益促进会急救培训中国工程组CPR 心肺复苏CPR-Cardiopulmonary ResuscitationCardio-Heart. Pulmonary-Lung. Resuscitation-revive from apparent death or unconsciousness经过辅助患者心脏和肺的功能来施行抢救。Adult CPR-Chest Compression 成人心肺复苏胸外按压Where to push: low half of the breastbone. 按压位置：胸骨下半

2、段。Chest Compression胸外按压PUSH HARD AND FAST! At least 100 times per minute. At least 5cm deep. Push straight down on the breastbone.用力按压！快速按压！至少每分钟用力按压！快速按压！至少每分钟100次，至次，至少少5厘米深。垂直按压在胸骨上。厘米深。垂直按压在胸骨上。After each compression, release the pressure to let the chest come back to normal position.每次按压后，需让胸廓充

3、分回弹后再次按压。每次按压后，需让胸廓充分回弹后再次按压。Normal Heart BeatMouth to Mouth Breathing口对口呼吸Head Tilt-Chin Lift 仰头举颏法Mouth to mouth breathing口对口呼吸Open the air way-Head Tilt-Chin Lift仰头举颏法翻开气道Do not press the soft tissues of the neck or under the chin to avoid pressing the airway.不要压迫颈部的软组织，以免压迫气道。Giving Breaths-Pinc

4、h the nose closed. Creating an airtight seal. Take a normal breath. Watch the chest rise as you give each breath. 吹气捏紧患者鼻子，嘴巴贴紧患者的嘴巴不要漏气。正常吸入后吹气并察看患者的胸部起伏。Adult CPR 1.Make sure the scene is safe.确定环境平安。2.Make sure the victim is lying on his back on a firm, flat surface.确定患者是躺在平坦而巩固的平面上。Adult CPR 3.K

5、neel at the victims side. Tap the shoulder and shout to see if the victim responds.跪在患者的一侧，拍打患者肩膀并呼喊看其有无反响。4.If the victim does not respond, yell for help. If no one comes, leave the victim to phone and get the AED if available. 假设患者无反响，应高声呼救，假设无人协助，应分开患者去打求助，取AED自动体外除颤器。Adult CPR 5. Scan victims ch

6、est and abdomen for signs of breathing, use more than 5 seconds but no more than 10 seconds.用眼睛察看患者的胸部和腹部看有无呼吸，察看至少5秒钟，不超越10秒钟。Adult CPR6.Start chest compression if no signs of breathing. 30 compressions.假设没有呼吸，马上开场胸外按压30次。7.Open the airway. Give 2 mouth-to-mouth breaths (1 second each). Compression

7、 to breathing ratio is 30 to 2. 开放气道，给予两次口对口呼吸一次一秒。胸外按压与呼吸比是30比2.Adult CPR8. Keeping CPR until AED arrives, the victim starts to move, or trained help takes over. 坚持心肺复苏直到AED到达，患者开场有反响或专业人员到达。Child CPR (1-8 yrs old)儿童心肺复苏 1-8岁if no one can help. Do 5 cycles of CPR or for 2 minutes until leave the vi

8、ctim to call for help and get the AED.假设没有人协助，先做5个循环或两分钟的心肺复苏再分开患者去打求助，取AED。Chest Compression: at least 1/3 the depth of the chest or approximately 5cm。按压深度：至少胸廓深度的三分之一或大约5cm。 Child CPRInfant CPR Infant CPR 婴儿心肺复苏 Compression depth, about 4cm deep.按压深度，大约4cm深。Basic First Aid for Trauma创伤根底急救Scenario

9、: one of your co-workers fell off from a 3 meter high ladder. A broken bone is seen in her left arm with active bleeding. 场景：他的同事从3米高的梯子上摔下来，她的左胳膊摔断了，鲜血涌了出来。General General ManagementManagementDont forget CPR!不要忘记心肺复苏！Control bleeding and cover any wounds止血，覆盖伤口。Do not move injured part不要挪动受伤部位。Adop

10、ted from St John Ambulance AustraliaAdopted from SRMTWatch for loss of circulation to foot/hand察看手脚有无丧失血供的表现。Immobilise fracture/ dislocation 骨折/脱位部位的固定。Do not eat and drink不要进食或饮水。Apply gauze and compress directly on the wound Elevate Above the HeartSqueeze a main artery if necessary. Pressure Poin

11、tsPressure points of the arm are on the inside of the arm just above the elbow and just below the armpit. Pressure points of the leg are just behind the knee and in the groin. Keep your fingers flat. The last resort: TourniquetUsed only when other ways failed and victim has life-threatening massive

12、bleeding.Fracture Immobilization骨折固定Spinal Cord Fracture- spinal cord immobilization 脊柱骨折脊柱固定 Neck Collar 颈托颈托Apply a improvised Apply a improvised collar to minimise neck collar to minimise neck movement movement 暂时自制颈托固定受伤颈部暂时自制颈托固定受伤颈部Neck Immobilization 颈部固定颈部固定Transfer Victims 转运患者Spinal Cord I

13、mmobilization -Spinal Board脊柱固定-脊柱板。Stretcher 公用担架公用担架Support head continuouslyGive plenty support at spineApply traction on the neckAsk helpers to space themselves evenly along casualtys bodyHold hip, thigh, and calf to steady legLog-Roll Techniquestudentbmj/issues/04/06/education/230.phpFracture in the arms or legs四肢骨折Stop