| Adult manual resuscitrator procedures |
| 2016-01-07 |
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Adult cardiopulmonary resuscitation procedures
A preparation before operation,
1, the operator prepared: Dress clean, serious attitude, quick response.
2, prepare items: simulation, simple respirator, cardboard or hard Banchuang, gauze, bending plate, flashlight, pen, nursing records, watches.
3 environmental preparation: from the dangerous environment or the curtain.
Two, operation method and procedure (C - A---B)
1, to observe the surrounding environment, to determine the safety, oral "environmental security, can operate". (start time) 2, to determine patient consciousness: pat with shoulders, bending and respectively on the left and right ear loudly call "Hey, what's the matter with you?" , to determine whether the unconscious, such as unconsciousness, oral "loss of consciousness", shouted for help, seek help from others, record time.
3, to judge artery pulsation: touch of carotid artery (right hand food, two fingers in the air, by the Adam's apple to medial sliding 2-3 cm examination of carotid artery pulsatility, judgment time less than 10 seconds, oral "artery pulsation disappeared."
4, patient positioning: supine on a solid plane or on board. 5, unlock the collar, belt. 6, chest compressions (C):
Operation position: press your hands in patients with right according to individual height and patient position level using a footstool or kneeling position.
II press site: sternum in the lower 1 / 3, adult for two nipple connection with the sternum midpoint crossing or index finger, middle finger along the costal margin to touch to the xiphoid process on two horizontal refers to the place.
3 press posture: perpendicular to the long axis and the sternum arms, palms root overlap, cross hand clasping fingers, fingers can not touch the chest wall, arms elbow Bengzhi, to the hip movement of the fulcrum, the vertical downward force. The pressing depth: sternum subsidence 3.8-5 cm. The press frequency: at least 100 times per cent.
The pressing and relax time to relax when the proportion is 1:1, the root of palm can not leave the press position.
7, open airway (a): 1 hands light turn head, one side of the head of a patient, oral examination, gauze wrapped around their fingers, removal of the foreign body or partial dentures (suspected cervical spine fracture except).
II airway opening: the upward lift Chin - the left palm edge is placed in the patient's forehead and back below the applied force, make the head thrown back, also right index finger, middle finger tip put in the mandible below near the midpoint of 2 cm, the chin raised ahead, make the head after the full Yang, mandibular angle and ear lobe attachment and body is 90 degrees (suspected have cervical spine fractures using a jaw support method).
8, artificial respiration (2) (B):
Mouth to mouth resuscitation: breath, with operator lips tightly wrapped with lips smooth blowing, pay attention to do not leak, maintain airway patency operation, gas is blown into the patient's mouth to the lungs and make up in the chest; after blowing, leave lips and loosen the pinch fingers tight nostrils, so that exhaled breath. And side turned to inhalation of fresh air, observe the conditions of the patients with chest rise and fall simultaneously, and then the second blowing, blowing time is greater than a second, each of the blowing 500-600 ml. 9, so repeatedly, the completion of the five cycle, the respiratory cycle. 10, to judge the effectiveness of cardiopulmonary resuscitation (CPR) respiration and carotid pulse, limb circulation and pupil), oral judgment finishing with clothes. Such as cardiopulmonary resuscitation, oral "patients with cardiopulmonary resuscitation success, further life support". (end time)
11, the operator oral operation is completed".
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