12 Skills Lab Resusitasi Jantung & Paru

Summary

In this video, Dr. Wisnu demonstrates the critical steps involved in performing cardiopulmonary resuscitation (CPR). He explains how CPR is essential for restoring breathing and circulation to a patient whose heart has stopped, emphasizing the urgency of acting within 4-6 minutes to prevent brain damage or death. The video walks through the process of assessing consciousness, breathing, and circulation, followed by chest compressions and ventilation. Dr. Wisnu also demonstrates the correct hand placement, compression depth, and ventilation technique, ensuring the correct ratio of compressions to ventilations. The session concludes with instructions on positioning a patient in recovery after successful resuscitation.

Takeaways

• 😀 Resuscitation of the heart and lungs (RCP) is a life-saving procedure aimed at restoring breathing and circulation.
• 😀 Immediate action is critical, as stopping blood flow and respiration can lead to brain damage or death within 4-6 minutes.
• 😀 The first step in RCP is ensuring the scene is safe before assessing the victim’s consciousness, respiration, and circulation.
• 😀 To check consciousness, gently call and tap the patient's shoulder while simultaneously assessing their breathing.
• 😀 Circulation is assessed by palpating the trachea and checking for pulse within 10 seconds. If absent, the heart has stopped.
• 😀 If the victim is unresponsive and in cardiac arrest, activate the emergency system and call for help.
• 😀 To perform chest compressions, kneel beside the patient and place the hands on the lower breastbone, applying compressions using the shoulder's strength.
• 😀 Compressions should be performed at a rate of 100-120 per minute, with a depth of 5 cm and allowing chest recoil between compressions.
• 😀 Each cycle involves 30 compressions followed by 2 ventilations. After 5 cycles, reassess the patient's pulse.
• 😀 Ventilation should be delivered using a tight seal around the patient's nose and mouth, ensuring effective chest rise during the breath.
• 😀 If the patient regains circulation (ROSC), place them in a recovery position by positioning their left arm up, right arm and leg bent, and tilting the body to the left side.

Q & A

What is resusitasi jantung paru (RCP)?

Resusitasi jantung paru (RCP) is the first aid technique used to restore breathing and circulation in cases where they have stopped, which can lead to brain damage or death within 4 to 6 minutes.

Why is it crucial to perform RCP immediately in cases of cardiac and respiratory arrest?

Immediate RCP is critical because if the blood circulation and respiratory systems stop, it can cause brain damage and death within just 4 to 6 minutes.

What is the first step when encountering a patient who is unconscious?

The first step is to ensure that the environment is safe, then check the patient's consciousness, respiration, and circulation.

How can you check a patient's consciousness?

To check a patient's consciousness, call out to them and gently tap or shake their shoulder to see if they respond.

What is the method for checking a patient's respiration?

Respiration is checked by placing your face near the patient's mouth and observing if there is any airflow or breathing.

How do you check for circulation in an unconscious patient?

Circulation is checked by palpating the trachea area and then shifting your fingers laterally by about 2 cm to check for a pulse in the carotid artery, all within 10 seconds.

What should you do if no pulse is detected during the circulation check?

If no pulse is detected, it indicates cardiac arrest, and you should immediately call for help to activate the emergency system.

How should you position yourself to perform chest compressions?

Kneel at the left or right side of the patient, place two fingers just above the xiphoid process, and position your dominant hand beneath, with the non-dominant hand on top, locking the hands together.

What is the compression rate and depth during RCP?

The compression rate should be between 100 and 120 compressions per minute, with a depth of 5 cm, ensuring full recoil of the chest wall between compressions.

What is the correct ratio of chest compressions to ventilation during RCP?

The correct ratio is 30 chest compressions to 2 ventilations.

How do you perform positive pressure ventilation during RCP?

To perform positive pressure ventilation, ensure the mask fits tightly over the patient's nose and mouth, then use your thumb and index finger to seal the mask, while three other fingers support the jaw. Ensure proper head extension to open the airway.

What should you do if there is no pulse after performing 5 cycles of compression and ventilation?

If no pulse is detected after 5 cycles of chest compressions and ventilation, continue performing another set of compressions and ventilations.

How do you position a patient after ROSC (Return of Spontaneous Circulation)?

After ROSC, the patient should be placed in the recovery position by lifting the left arm, bending the right arm and right leg, and tilting the body to the left side.