RJP

Ni Luh Widani

PPKC 1
2010 - AHA ECC Adult Chain of Survival
PPKC 2
PPKC 3
PPKC 4
PPKC 5
 Sumbatan Jalan Nafas
Benda asing :
makanan, mainan ,
gigi palsu
Harus
dikeluarkan
Korban tidak sadar

lidah kebelakang

PPKC 6
 Mengeluarkan Benda Asing

Pada klien sadar yang tersedak

heamlik manuver
letakkan tangan
diantara PX dan umbilikus

PPKC 7
Mengeluarkan sumbatan benda
asing korban tidak sadar

Abdominat trust
PPKC 8
 Mengeluarkan benda asing

Klien hamil / obesitas

Letakkan tangan
di sternum

PPKC 9
 Mengeluarkan benda asing

Bila benda asingnya tampak
finger sweep

PPKC 10
 Choking:
Conscious Infants
Position with head downward
5 back blows
5 chest thrusts
Repeat

PPKC 11
 Open the Airway
Head-tilt/chin lift (no trauma)
The most common cause of obstruction is
the tongue!

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PPKC 13
 Open the Airway

Jaw thrust (trauma)

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 Oropharyngeal Airway

Keeps tongue from blocking the airway

Cannot be used in patients with gag
reflex

PPKC 15
 Oropharyngeal Airway
Insertion
Upside down until resistance
Rotate and advance until flange
is in contact with teeth or gums

PPKC 16
 Oropharyngeal Airway
Other methods of insertion
1. Insert right side up, and use a tongue
depressor.
2. Insert at corner of mouth and rotate 90
while
advancing.
Preferred for infants

PPKC 17
 Oropharyngeal Airway
Must use correct size
Measure from corner of
mouth to tip of ear
Too big could push, tongue
into airway
Too small, wont reach back
of throat
Have a selection of sizes available

PPKC 18
 Oropharyngeal Airway

Wrong!

PPKC 19
 Nasopharyngeal Airway

Keeps the tongue from blocking the

airway
Better tolerated by patients with gag reflex
May be used in patients
with locked jaws

PPKC 20
 Nasopharyngeal Airway
Must use correct size
Measure from tip of nose to tip of ear
Lubricate with water soluble gel
Try right nostril first

PPKC 21
 Assess for Breathing
Is the patient breathing?
Look, listen, & feel for 10 seconds

PPKC 22
 If the victim is not
breathing, give two
breaths (1 and - 2 sec.)
Pinch the nose
Seal the mouth with yours
If the first two dont go in,
re-tilt and give two more
breaths (if breaths still
do not go in, suspect
choking)

PPKC 23
 Ventilate the Patient
Mouth to mask Bag--Valve
Bag Valve--Mask Ventilations

PPKC 24
Bila KU penderita tdk baik
OKSIGEN

Kanul hidung ( 2 4 l )
O2: 24-44 %

Face mask (6-8 l)
O2 : 35 60 %
Non rebreathing mask (8-12l)
O2 : 80
90%
Pernafasan Buatan
Ventilasi mouth to mouth
O2 16 17 %
Ventilasi mouth to mask udara ekspirasi
Ambu bag

PPKC 25
Bag--Valve-
Bag Valve-Mask Ventilations
Making a good mask to face seal
Use two hands
For mouth to mask ventilation
For two person bag-valve-masking

PPKC 26
 Bag--Valve-
Bag Valve-Mask Ventilations
Two person BVM (preferred)
Good seal
No air leak around mask
Two hands on bag
Good volume delivered
Good control of breath

PPKC 27
 Bag--Valve-
Bag Valve-Mask Ventilations
One person BVM
Prone to inadequate tidal volumes
Air leaks around mask
Less air delivered by bag
Fatigue

PPKC 28
 Oxygen
For all patients with
inadequate or absent
breathing
For all patients with
difficulty breathing
For all patients in shock
For all patients with
decreased responsiveness

PPKC 29
 Circulation
Assess circulation
10 seconds
Carotid pulse in adults
and children
Brachial in infants

Observe:
Breathing, coughing,
movement, normal skin
temp. and color, improved
level of responsiveness,
pulse
Check pulse at carotid
PPKC
artery NEAREST YOU 30
 Rescue Breathing
If victim shows signs of circulation but is
not breathing:
Give one rescue breath every 5 seconds
Reassess after 1 minute and every few
minutes thereafter
Loosen restrictive clothing around the
neck
No chest compressions when there are
signs of circulation

PPKC 31
 Hand Placement for CPR

Letakkan 2-3 jari diatas sternum, lakukan kompresi 30x
kedalaman 1,5-2 inchi

PPKC 32
 Recovery Position
Used in unresponsive, uninjured patients,
breathing adequately
Gravity helps the airway to drain

PPKC 33
 Menghentikan RJP
Teraba arteri karotis, pernafasan spontan
Petugas kelelahan & tidak ada petugas yg
mengantikan dan RJP sudah dilakukan
selama 30 menit tapi tidak ada tanda-
tanda kehidupan
Klien dinyatakan meninggal

PPKC 34
 Komplikasi RJP
Fraktur iga
posisi tangan salah
Perdarahan intraabdominal
posisi
tangan salah
Distensi lambung
ventilasi berlebihan

PPKC 35