Cardiopulmonary Resuscitation Shortnote for Medical student (Version 1.

5)

2010

Basic Life Support

Circulation carotid artery 5-10
2
100
Airway Head-tilt chin-lift
Jaw trust
Breathing
30 : 2
Defibrillation Autonmated
External Defibrillators (AED) Defibrillators
Advance Life Support

Airway
oropharyngeal airway, nasopharyngeal airway,
combitube
CPR
Breathing Bag
mask ventilation
Circulation

1
_______________________________________________________

1.
2.

respirator bag 2

3.

Pneumothorax tube one lung (Displacement)

monitor ECG
Differentials 5H5T

4.

(Displacement)
mask bag

5.

obstruction suction

6.

Equipment failure

 1 Pulseless Arrest

ECG Paddle

defibrillations chest
compression
(
shock;
10 )

Electrode gel shock

paddle

paddle 1

Flat Line protocol VF

leads 2 leads ( leads
paddle lead II
lead III ; 2) amplitude ECG

On IV IO Endotracheal
route dose IV
ET LEAN : Lidocaine, Epinephrine,
Atropine, Naloxone 2-2.5 dose
IV

1 Paddle

charge paddle


1- :

2 flatline Paddle

Drugs
-

Adrenaline 1 mg V q 3-5 min ( 4 min

2 cycle) VF/pulseless VT
2 ( shock 2-3 )

Amiodarone (300 mg IV 5DW 20-30 mL

150 mg IV dose 5-10 )
refractory VF/pulseless VT , Lidocaine
1-1.5mg/kg IVP/IO 0.5-0.75mg/kg
dose 5-10

2- :
3- :

:

-

shock ECG
shockable rhythms

 2 Bradycardia

approach ABC
Unstable 5 (
bradycardia)
Hypotension : BP < 90/60 mmHg 20%
baseline
Acute altered mental status :

Sign of shock : capillary refill > 2 sec
Ischemic chest discomfort :
coronary
Acute Heart Failure :
Neck vein
engorge, lung crepitation both lung

Atropine Infranodal block

Mobiiz II Third degree AV block
Dopamine/Epinephrine
External Pacing

stable
External pacemaker
1.
2.
3.
4.
5.
6.
7.
8.

pace mode
mode Demand mode
Rate 70-80/min
Output 150 mA on pace

output
capture
Output Pacing Threshold 10%
10 mA
pacer (

femoral pulse)
BP sign of unstable
stable

 3 Tachycardia

vagal maneuver carotid sinus massage

stable

bruit

o non dominate ()
o carotid sinus vertrabral body

adenosine

with aberrancy

double syringe

SVT VT

technique (rapid push)

6 12 mg ECG
Adenosine SVT Defibrillator
WPW AF with WPW

guideline (box 6) adenosine stable

wide QRS tachycardia (monomorphic) SVT

o 10

Airway Breathing
SPO2

3 flatline Paddle