Cardio Pulmonary Resuscitation

Cardiopulmonary resuscitation (CPR) is a combination of rescue breathing and chest compressions delivered to victims thought to be in cardiac arrest.CPR can support a small amount of blood flow to the heart and brain to "buy time" until normal heart function is restored. Before intubation the ratio of 30 cardiac compressions to two breaths is used in all cases (also when there are two rescuers). [Except in the case of neonates][AHA guidelines]. When a defibrillator is available, note the patient's heart rhythm and defibrillate immediately if the rhythm can be converted (AF, VF, and pulseless VT). Adrenaline is given in 1 mg doses at 3-min intervals, concentration 1:1000. Remember that the cause of cardiac arrest may be reversible: hypoxia, hypovolaemia, hypo- or hypercalcaemia, hypothermia, tension pneumothorax, cardiac tamponade, intoxication, pulmonary embolism. Aim to treat the cause, as obtaining sinus rhythm is otherwise very difficult.

 

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