ADULT BASIC LIFE SUPPORT (BLS)
OLEH : EDY ARIEF BASUKI, Amd. Kep
time saving is life saving!
Pendahuluan • Approximately 700,000 cardiac arrests per year in Europe • Survival to hospital discharge presently approximately 5-10% • Bystander CPR vital intervention before arrival of emergency services – double or triple survival from SCA (sudden cardiac arrest) • Early resuscitation and prompt defibrillation (within 1-2 minutes) can result in >60% survival
Cellular Oxygen Deficit • Brain Cell: the viability of the brain defines human life – dysfunction after 10-30 seconds – start of irreversible damage in 5-20 minutes – 5 minutes is the period during which brain glucose stores and ATP are used up Safar, 1986
The evidence evaluation process… • International Liaison Committee on Resuscitation (ILCOR) Formed in 1992 Consists of most of the world’s resuscitation councils Collects, discusses and debates scientific evidence • Guidelines 2000 2005 2010 2015 • ILCOR 2015 39 Countries 232 participants
Bila Kita Menemukan • Orang itu tidak sadar • Tidak bergerak • Tidak bernafas • Apa sikap kita ? • Penolong ? • Penonton ?
Penolong • Hampiri orang yang tidak sadar • Panggil korban dengan tepuk bahu
• Panggil bantuan / minta pertolongan
• Tenadahkan kepala orang yang tidak sadar
• Head tilt and chin lift
• jaw thrust
lihat apa bernafas atau tidak
• BILA TIDAK NAFAS SEGERA PIJAT JANTUNG • 100-120x/menit
Dalamnya 5-6 cm
Irama teratur
Tangan Tegak lurus
Relaksasi / recoill Titik tumpu yg benar PIJAT JANTUNG YANG BENAR
12
Just To Know AED
ATTACH PADS TO CASUALTY’S BARE CHEST
ANALYSING RHYTHM DO NOT TOUCH VICTIM
SHOCK INDICATED
• Stand clear • Deliver shock
Bila sudah nafas dan sudah ada denyut jantung
penonton
TERIMA KASIH