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    Acls

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    trianaamalia
    This document provides information about Advanced Cardiac Life Support (ACLS) training. It addresses several questions that may be asked during an ACLS pre-test, covering topics like providing CPR to unresponsive victims, the safety of performing CPR on patients with a heartbeat, the likelihood of CPR saving a life, and signals of a heart attack. It also discusses defibrillation as the main treatment for ventricular fibrillation and outlines the proper technique for administering defibrillation, emphasizing the importance of early defibrillation to improve chances of survival.

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    Acls

    Uploaded by

    trianaamalia
    864 views39 pages
    This document provides information about Advanced Cardiac Life Support (ACLS) training. It addresses several questions that may be asked during an ACLS pre-test, covering topics like providing CPR to unresponsive victims, the safety of performing CPR on patients with a heartbeat, the likelihood of CPR saving a life, and signals of a heart attack. It also discusses defibrillation as the main treatment for ventricular fibrillation and outlines the proper technique for administering defibrillation, emphasizing the importance of early defibrillation to improve chances of survival.

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    acls

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    This document provides information about Advanced Cardiac Life Support (ACLS) training. It addresses several questions that may be asked during an ACLS pre-test, covering topics like providing CPR to unresponsive victims, the safety of performing CPR on patients with a heartbeat, the likelihood of CPR saving a life, and signals of a heart attack. It also discusses defibrillation as the main treatment for ventricular fibrillation and outlines the proper technique for administering defibrillation, emphasizing the importance of early defibrillation to improve chances of survival.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    864 views39 pages

    Acls

    Uploaded by

    trianaamalia
    This document provides information about Advanced Cardiac Life Support (ACLS) training. It addresses several questions that may be asked during an ACLS pre-test, covering topics like providing CPR to unresponsive victims, the safety of performing CPR on patients with a heartbeat, the likelihood of CPR saving a life, and signals of a heart attack. It also discusses defibrillation as the main treatment for ventricular fibrillation and outlines the proper technique for administering defibrillation, emphasizing the importance of early defibrillation to improve chances of survival.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
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    The document discusses the importance of early defibrillation for cardiac arrest patients and outlines the proper procedures for performing CPR and administering defibrillation.

    The main steps involved in performing CPR are: assessing unresponsiveness, calling for help, performing chest compressions, administering rescue breaths.

    The main causes of cardiac arrest discussed are ventricular fibrillation and pulseless ventricular tachycardia.

    ACLS

    Advanced Cardiac Life Support

    Pre-Test

    Unresponsive victims should receive


    CPR.

    TRUE or FALSE?

    Chain of Survival

    Can I get AIDS from doing


    CPR?

    Lets hope not


    There has never been a documented
    case of AIDS transmitted by CPR.

    *10.1016/j.resuscitation.2005.09
    .016

    Is it safe to perform CPR in


    patient with present heart beat?

    YES
    It is not dangerous to perform chest
    compressions even if the heart is
    still
    beating. You cannot make a patient
    any worse than he or she already is.

    *Circulation. 2007;116:e566-e568

    Will CPR always save a


    life?

    NO
    In fact, most instances of
    CPR for cardiac arrest are
    unsuccessful.

    Can I kill someone if I do CPR


    incorrectly?

    NO
    Remember, the person in cardiac
    arrest is already clinically
    dead. CPR can only help.

    The following are signals of a heart


    attack:
    A.
    B.

    Sudden and persistent chest pain or discomfort

    Breathing difficulty

    C. Nausea or vomiting
    D. Pale or bluish skin color, moist or sweaty skin
    E. All of the above

    The main dish of VF is defibrillation?

    TRUE or FALSE?

    After witnessing sudden cardiac


    arrest, which number do you tap in
    your cellphone?
    A. 118
    B. 0274-420118
    C. 0274-587333
    D. 08157936xxx
    E. 08195521xxx

    Overview ACLS
    A kind of training for physician
    Established by AHA, in Indonesia by PERKI
    Rarely taught in medical school

    Materials
    BLS
    Cardiac Arrest
    Tachycardia
    Bradycardia
    Acute Coronary Syndrome (ACS)
    Hypotension, shock, acute pulmonary
    edema
    Drugs in ACLS
    Defibrillation principles

    Science overview

    Good ACLS begins with Good


    BLS

    BLS Algorithm 2005

    BLS Algortihm 2010

    ACLS 2005

    ACLS 2010

    DEFIBRILLATION

    Backgrounds
    Why so important?
    The leading cause of cardiac arrest is
    ventricular fibrillation (VF)
    The most effective treatment for VF is
    defibrillation
    Every 1 minute delay will drop the succesful
    rate as much as 10%

    Early Defibrillation
    Concept
    What happen in VF and pulseless VT?
    Heart stops beating no circulation
    oxygen will depleted in less than 90
    seconds
    Myocardial Ischemia cell energy
    depleted

    Early Defibrillation
    Concept

    If defibrillation is performed when


    myocardial energy is depleted, the chance
    of myocardium can contract after asystole
    period is very little

    Technical concept

    What is defibrillator?
    A device that can produce controlled Direct
    Current Shock

    How does it works?


    It is simple, it SHUT DOWN and RESTART the
    heart

    Indication
    VF, Pulseless VT defibrillation
    Other tachyarrythmia : VT, VT torsade de
    pointes, atrial flutter, atrial fibrillation,
    supraventricular tachycardia
    synchronized cardioversion

    Biphasic vs Monophasic
    Biphasic is more advantageous
    The energy needed is lower
    Prevent myocardial damage

    Paddles
    Sternal paddle:
    right parasternal
    below the right
    clavicle
    Apex paddle:
    in the apex, left
    mid axillar

    TATA LAKSANA
    DEFIBRILASI

    Letakkan penderita pada posisi aman di


    tempat yang teduh dan kering dan sirkulasi
    udara yang baik. Bila dada penderita basah,
    sebaiknya keringkan dulu.

    Operator dan peralatan normalnya di sisi


    kiri penderita

    Nyalakan defibrillator agar dalam kondisi


    siap, tentukan energi yang diberikan

    Beri jelly yang cukup banyak pada paddle,


    kemudian ratakan pada kedua paddle.
    cukup banyak untuk menutupi kedua
    permukaan paddle, tapi tidak boleh
    berlebihan, supaya tidak terjadi hubungan
    pendek

    Lakukan pengisian defibrillator (charge)

    Tempelkan kedua paddle sesuai tempatnya


    masing-masing. Beri tekanan sekitar 25
    pound (12 kg) secara mantap. Pastikan
    permukaan paddle menempel dengan baik
    pada dinding dada tanpa ada rongga
    diantaranya

    Pastikan irama jantung penderita adalah


    irama VF atau VT tanpa pulsasi

    Sebelum melakukan shock berikan aba-aba


    pada seluruh anggota tim untuk tidak
    bersentuhan dengan pasien maupun
    tempat tidurnya sambil memastikan diri
    sendiri juga tidak bersentuhan. Contoh abaaba:
    - Im going to shock on three
    - One, Im clear
    - Two, you are clear
    - Three, everybody clear
    Lihat lagi apakah semua sudah aman

    Lihat monitor untuk memastikan irama


    belum berubah

    Segera tekan tombol discharge secara


    bersamaan untuk melepaskan energi listrik
    ke pasien, sambil tetap menekan paddle
    dengan mantap ke dinding dada pasien

    Segera angkat paddle lanjut RJP 5 siklus


    nilai ulang irama jantung

    The End
    Wassalamualaykum warrohmatullohi wabarokatuh

    Lets go back there,


    we miss those
    place, dont we?

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