Download - Rjpo (Aha 2010)
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Basic Life Support
RESUSITASI JANTUNG PARU OTAK
RJPO)
TIM PELATIHAN KEGAWATDARURATAN
Anestesi dan Terapi Intensif
RSUD Saiful Anwar Malang/FK Univ.Brawijaya
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Sinonim
• Basic Life Support = B L S
= jalan nafas + nafas buatan + pijat jantung (A-B-C)
• Advanced Life Support = A L S
= Drug (+fluid) + E K G + Defibrilasi
• Cardio Pulmonary Resuscitation = CPR
• Cardio Pulmonary Cerebral Resuscitation
= CPCR = CPR = RJPO
= BLS + ALS
Semua tindakan akut/ segera untuk
menghentikan proses yang menuju
kematian.
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Aspek Pokok dari BLS:
1. Melputi “immediate recognition” dari henti jantungseketika,
2. “activation” dari system respon emergensi
3. Secara dini melakukan “cardiopulmonary resuscitation”(CPR), dan
4. “rapid defibrillation” dengan alat bantu defibrillator.
5. Efektif “Advanced Life Support”
6. Perawatan “terintegrasi” paska-henti jantung.
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Guideline mana ?
• Banyak guideline
• Prinsip sama
•
Penerapan klinis sama• Tergantung kebijakan tempat masing-masing
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5
Resuscitation Council of
Southern Africa (RCSA)
Resusci tat ion Coun ci l of ASIA
(RCA)
Inter American Heart Foundation
(IAHF)
KONSENSUS GUIDELINE CPR
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AHA Guidelines
• 2005 dilakukan tindakan BLS dengan teknik ABCpada prosedur CRP (Cardio PulmonaryResucitation), yaitu:
A (Airway): Menjaga jalan nafas tetap terbukaB (Breathing): Ventilasi paru dan oksigenasi adekuat
C (Circulation): Mengadakan kompresi jantung paru bilaperlu
• 2010 perubahan prosedur CPR menjadiC-A-B
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AMERICAN HEART ASSOCIATION:
2010 GUIDELINES
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Simplified Adult BLS
AHA Algorithm
2010
Korban tidak sadar
bebaskan jalan nafas
jalan nafas bebas
tidak bernafas
tidak teraba nadi
Call for help
Beri pijatan jantung
dan nafas buatan
30 pijat + 2 nafas
awam
C.
A.
B.
EVALUASI TIAP 2 MENIT
Guidelines 2005 ILCOR
raba nadi carotis
2 x tiupan awal
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Latar Belakang
Berdasarkan Survai Kesehatan Rumah Sakit(SKRT) serangan jantung (heart attack) merupakanurutan kedua yang menyebabkan kematian dan
kecelakaan merupakan urutan yang ketiga penyebabkematian di Indonesia.
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Penyebab Henti Jantung
• Cardiac
• Ischemic heart disease(myocardial infarction,stenocardia)
• Arrhythmias of differentorigin and character
• Electrolytic disorders
• Valvular disease
• Cardiac tamponade
• Pulmonary arterythromboembolism
• Ruptured aneurysm ofaorta
• Extracardiac
• airway obstruction
• acute respiratory failure
• shock
• reflector cardiac arrest
• embolisms of differentorigin
• drug overdose
• poisoning
10
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BasicLifeSupportmerupakan:
1. Usaha untuk mempertahankan kehidupan saat penderitamengalami keadaan yang mengancam nyawa dan ataualat gerak.
2. Pondasi dalam penyelamatan nyawa yang diikuti denganhenti jantung.
3. Usaha mempertahankan jalan nafas dan membantupernafasan dan sirkulasi, meliputi beberapa elemen:pengenalan dasar, pemeliharaan jalan nafas, bantuan
nafas dan kompresi dada.
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Indikasi
• Henti nafas:
Ditandai dengan tidak adanya gerakan dada dan aliranudara pernapasan dari korban / pasien
• Henti jantungPada saat terjadi henti jantung secara langsung akanterjadi henti sirkulasi, Penyebabnya:
Kardiak
Ekstra-Kardiak
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Tujuan• Mempertahankan dan mengembalikan fungsi oksigenasi organ –
organ vital
• Mempertahankan hidup dan mencegah kematian
• Mencegah komplikasi yang bisa timbul akibat kecelakaan
• Mencegah tindakan yang dapat membahayakan korban
• Melindungi orang yang tidak sadar
• Mencegah berhentinya sirkulasi atau berhentinya respirasi.
• Memberikan bantuan eksternal terhadap sirkulasi dan ventilasi darikorban yang mengalami henti
jantung atau henti napas melalui Resusitasi
Jantung Paru (RJP).
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Ketepatan Waktu Pelaksanaan
Keterlambatan Kemungkinan berhasil
1 Menit 98 dari 100
2 Menit 50 dari 100
10 Menit 1. dari 100
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Simplified Universal
BLS algorithm
AMERICAN HEART ASSOCIATION:
2010 GUIDELINES
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Langkah-langkah BLS – RJPO
• RJP dengan 1 penolong
• RJP dengan 2 penolong
Satu penolong melakukan kompresi dada, yang lain
melakukan bantuan napas.
Tujuan dilakukan 2 penolong untuk mengurangi keletihanpenolong dan kompresi dada yang tidak adekuat
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RJPO Dewasa 1 penolong
• Langkah 1 : Evaluasi Respon Korban
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• Langkah 2 : Mengaktifkan Emergency MedicalServices (EMS)
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• Langkah 3 : Memposisikan Korban
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• Langkah 4 : Evaluasi Nadi / Tanda – Tanda Sirkulasi
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Perabaan nadi carotisdari tengah ke-lateral
KAPAN DILAKUKAN ?Guideline 2010
Awam : tidak perlumeraba carotis
1-2-3-4-5
boleh diulang1-2-3-4-5
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• Langkah 5 : Kompresi Dada
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23
Saat pijat jantung,
Hitung dengan suara keras dan jelas
Total = 30 x pijatan,
disela dengan 2 x tiupan nafas
Pijat jantung nafas buatan
30:2
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• Langkah 6 : Bantuan Napas
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Langkah 7-8
EVALUASI Setelah 5 siklus atau 2 menit
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• Langkah 7 : Evaluasi Nadi / Tanda – Tanda Sirkulasi
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• Langkah 8: Evaluasi Jalan Nafas dan Pernafasan
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Posisi Recovery Dewasa
• Dilakukan pada korban tidak sadar dengan adanyanadi, napas, dan ‘tanda-tanda sirkulasi’.
• Bila tidak di dapatkan tanda-tanda trauma,
tempatkan korban pada posisi recovery.Posisi inimenjaga jalan napas tetap terbuka.
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JIKA KORBAN SUDAH BERNAFAS
NORMAL TEMPATKAN KORBAN PADA
RECOVERY POSITION
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ADULT CARDIAC ARREST ALGORITHM
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HipoksiaHipovolemiaHiperkalemiaHipotermia
Tamponade jantungTension pneumothoraxThromboemboli paruToxic overdose
B-block, Ca-block Digitalis, Tricyclic AD
Massive MI Asidosis
4 H
4 T
MA
cardiac arrest membandel ???
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VIDEO………….
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