113

‫اية النساء‬

CPR By Dr.Tarik Sarhan

CPR By Dr.Tarik Sarhan
CPR By Dr.Tarik Sarhan
CPR By Dr.Tarik Sarhan
‫املصادر الغربية ترد فضل استعمال املنفاخ ‪ -‬وهو الشكل البدائي لجهاز أمبو املستعمل‬
‫ً‬
‫حاليا في اإلنعاش التنفس ي ‪ -‬إلى (جمعية انعاش األشخاص الغرقى في أمستردام أوال‬

‫‪CPR By Dr.Tarik Sarhan‬‬

‫ومن ثم استعمل في (الجمعية اإلنسانية امللكية) في إنجلترا عام ‪.1771‬‬
‫الواقعة املختصرة التالية مأخوذة من كتاب (ابن أبي أصيبعة) والنسخة اإلنجليزية منه‬
‫بعنوان‪Classes of Physicians :‬والعربية (طبقات األطباء)‬

‫كتب في القرن الثالث عشر‬

‫املؤلف عاش بصورة رئيسية في القاهرة ومات عام ‪.1270‬م‪.‬‬

 ‫‪CPR By Dr.Tarik Sarhan‬‬
‫يروي ابن أبي أصيبعة‪( :‬جاء في سيرة صالح بن بهلة أن طبيب هارون الرشيد والذى‬
‫كان يعالج ابن عمه إبراهيم‪ ,‬جاءه ليخبره أن به رمق ينقض ي وقت صالة العشاء‪.‬‬

‫وهنا تدخل جعفر بن يحيى وقال‪ :‬يا أمير املؤمنين إن صالح بن بهلة عالم في الطب‬
‫ويحسن إحضاره‬

‫فأمر الرشيد بإحضار صالح وتوجيهه إليه ورده بعد منصرفه من عند ابن عمه‪.‬‬
‫ففعل ذلك جعفر‬
 ‫‪CPR By Dr.Tarik Sarhan‬‬
‫وقد التمس صالح بن بهلة أن يقابل الرشيد بالذات ليخبره عن حال ابن عمه إبراهيم‪ .‬فقال‬
‫صالح للرشيد‪ :‬أنا أشهدك يا أمير املؤمنين‪ .‬وأشهد على نفس ي من حضرك أن ابن عمك‬
‫إبراهيم إن توفي في هذه الليلة‪ ,‬فإن كل دابة لي فحبيس في سبيل هللا‪ ,‬وكل مال لي فصدقة على‬
‫املساكين‪ ,‬ولم أقل ما قلت إال بعلم‪.‬‬

‫وملا كان وقت صالة العشاء ‪ ,‬جاء نعي إبراهيم ابن عم الرشيد‪ ,‬فأخذ يكيل اللوم لصالح بن‬
‫بهلة‪ ,‬فلم يناطقه إلى أن سطعت روائح املجامر‪ ,‬صاح عند ذلك صالح‪ :‬هللا هللا يا أمير املؤمنين‪,‬‬
‫حيا‪ ,‬فوهللا ما مات فأطلق لي الدخول عليه وحدي ثانية‪ ,‬فأذن له بذلك‪.‬‬‫أن تدفن ابن عمك ً‬
 ‫وأتى صالح بمنفخة‬
‫من الخزانة ونفخ في‬
‫أنف إبراهيم مقدار‬

‫‪CPR By Dr.Tarik Sarhan‬‬

‫ثلث ساعة‬

‫وعاش إبراهيم بعد‬

‫ذلك ً‬
‫دهرا‪ ,‬ثم تزوج‬ ‫اضطرب بعدها‬
‫العباسة بنت‬ ‫بدنه وجلس أمام‬
‫املهدي وو لي مصر‬ ‫الرشيد‪.‬‬
‫وفلسطين‪.‬‬
 CPR By Dr.Tarik Sarhan
Basic Life Support &
Automated External
Defibrillation
 OBJECTIVES
At the end, we should be able to demonstrate:

How to perform chest compression and

CPR By Dr.Tarik Sarhan

rescue breathing.

How to operate an automated

external defibrillator safely.

How to place an unconscious breathing

victim in the recovery position.
 CPR Facts
In many communities,
the time interval from EMS

CPR By Dr.Tarik Sarhan

call to EMS arrival is
7-8 minutes or longer.

This means that in the first

minutes after collapse, the
victim’s chance of survival is
in the hands of bystanders.”
(AHA Guidelines )
 CPR Facts
About 75 percent to 80
percent of all out‐of

CPR By Dr.Tarik Sarhan

hospital cardiac arrests
happen at home

So being trained to
perform (CPR) can
mean the difference
between life and death
for a loved one.”
AHA Guidelines
 CPR Facts

CPR By Dr.Tarik Sarhan

Many victims can
survive if bystanders
act immediately whil But successful resuscitation is
e VF is still present. unlikely
once the rhythm deteriorates
to asystole AHA Guidelines
 CPR Facts
• Effective bystander CPR, provided
immediately after cardiac arrest, can

CPR By Dr.Tarik Sarhan

double a victim’s chance of survival
• Early resuscitation and prompt
defibrillation (within 1-2 minutes) can
result in >60% survival

AHA Guidelines
 Golden minutes

CPR By Dr.Tarik Sarhan

 Golden minutes

CPR By Dr.Tarik Sarhan

 Golden minutes

CPR By Dr.Tarik Sarhan

 Golden minutes

CPR By Dr.Tarik Sarhan

 Golden minutes

CPR By Dr.Tarik Sarhan

 CHAIN OF SURVIVAL

CPR By Dr.Tarik Sarhan

 CHAIN OF SURVIVAL

CPR By Dr.Tarik Sarhan

 Approach safely
Check response

CPR By Dr.Tarik Sarhan

Shout for help
Open airway
Check breathing
Call 123
30 chest compressions
2 rescue breaths
 DR ABCD

CPR By Dr.Tarik Sarhan

DR ABCD
D = Danger
R = Response
S = Shout for Help
A = Airway
B = Breathing
C = Circulation, Chest , Comp
D = Defibrillation if indicated
 APPROACH SAFELY!

Approach safely
Making sure

CPR By Dr.Tarik Sarhan

Check response
you and the
Shout for help
victim is free
of danger Open airway
Check breathing
Call 123
30 chest compressions
2 rescue breaths
CHECK RESPONSE

Approach safely

CPR By Dr.Tarik Sarhan

Check response
Shout for help
Open airway
Check breathing
Call 123
30 chest compressions
2 rescue breaths
CHECK RESPONSE

Shake shoulders gently

CPR By Dr.Tarik Sarhan

Ask “Are you all right?”
If he responds
• Leave as you find him.
• Find out what is wrong.
• Reassess regularly.
SHOUT FOR HELP

Approach safely

CPR By Dr.Tarik Sarhan

Check response
Shout for help
Open airway
Check breathing
Call 123
30 chest compressions
2 rescue breaths
OPEN AIRWAY

Approach safely

CPR By Dr.Tarik Sarhan

Check response
Shout for help
Open airway
Check breathing
Call 123
30 chest compressions
2 rescue breaths
 OPEN AIRWAY

CPR By Dr.Tarik Sarhan

 OPEN AIRWAY

CPR By Dr.Tarik Sarhan

 OPEN AIRWAY

CPR By Dr.Tarik Sarhan

 OPEN AIRWAY

CPR By Dr.Tarik Sarhan

 OPEN AIRWAY

CPR By Dr.Tarik Sarhan

 OPEN AIRWAY

CPR By Dr.Tarik Sarhan

 OPEN AIRWAY

CPR By Dr.Tarik Sarhan

 OPEN AIRWAY

CPR By Dr.Tarik Sarhan

CHECK BREATHING

Approach safely

CPR By Dr.Tarik Sarhan

Check response
Shout for help
Open airway
Check breathing
Call 123
30 chest compressions
2 rescue breaths
CHECK BREATHING

• Look, listen and

feel for NORMAL

CPR By Dr.Tarik Sarhan

breathing
– Look for chest
movement.
– Listen at the victim's
mouth for breath sounds.
– Feel for air on your
cheek
 CHECK BREATHING
• In the first few minutes after cardiac arrest,
a victim may be barely breathing, taking
infrequent, noisy, gasps.

CPR By Dr.Tarik Sarhan

– Do not confuse this with normal
breathing.
– Recognize as a sign of cardiac arrest
• Look, listen, and feel for no more than 10
sec to determine if the victim is breathing
normally.
• If you have any doubt whether breathing is
normal, act as if it is not normal.
• Checking the carotid pulse (or any other
pulse)has proved to be an inaccurate
method for confirming the presence or
absence of circulation.
 Approach safely

CPR By Dr.Tarik Sarhan

Check response
Shout for help
Open airway
Check breathing
Call 123
30 chest compressions
2 rescue breaths
30 CHEST COMPRESSIONS

Approach safely

CPR By Dr.Tarik Sarhan

Check response
Shout for help
Open airway
Check breathing
Call 123
30 chest compressions
2 rescue breaths
CHEST COMPRESSIONS
• Place the heel of one
hand in the centre of
the chest

CPR By Dr.Tarik Sarhan

• Place other hand on
top
• Interlock fingers
• Compress the chest
– Rate 100-120 min-1
– Depth 5-6 cm
– Equal compression :
relaxation
• When possible
change CPR operator
every 2 min
 CHEST COMPRESSIONS

CPR By Dr.Tarik Sarhan

 push hard, push fast
Effective CPR
• Rate of 100-120 compressions per minute),

CPR By Dr.Tarik Sarhan

• Depth of 5 - 6 cm)
• The compressor should allow for full chest recoil
following each compression.

compression = relaxation

 To improve venous return

 Reduce intrathoracic pressure
 Improve coronary perfusion
 CHEST COMPRESSIONS

CPR By Dr.Tarik Sarhan

 CHEST COMPRESSIONS
• Minimize the number and length of interruptions
• Try to limit interruptions to 10 seconds or less

CPR By Dr.Tarik Sarhan

unless necessary for specific interventions such as
 Ventilation (until an advanced airway is
placed)
 Rhythm check
 Shock delivery
Rescuers should not check the rhythm or a pulse immediately
after shock delivery—they should immediately resume CPR,
beginning with chest compressions, and should check the
rhythm after 5 cycles (or about 2 minutes) of CPR.
 CHEST COMPRESSIONS

CPR By Dr.Tarik Sarhan

RESCUE BREATHS

Approach safely

CPR By Dr.Tarik Sarhan

Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
RESCUE BREATHS
• Pinch the nose
• Take a normal
breath

CPR By Dr.Tarik Sarhan

• Place lips over
mouth
• Blow until the chest
rises
• Take about 1
second
• Allow chest to fall
• Repeat
Breathing: Mouth To Nose
(when to use)

• Can’t open mouth

CPR By Dr.Tarik Sarhan

• Can’t make a good
seal
• Severely injured
mouth
• Stomach distension
 Pocket Masks

CPR By Dr.Tarik Sarhan

 Mask ventilation
One hand mask holding

CPR By Dr.Tarik Sarhan

 Mask ventilation
Two hand mask holding

CPR By Dr.Tarik Sarhan

30
CONTINUE CPR

CPR By Dr.Tarik Sarhan

 Approach safely
Check response

CPR By Dr.Tarik Sarhan

Shout for help
Open airway
Check breathing
Call 123
30 chest compressions
2 rescue breaths
 DEFIBRILLATION

CPR By Dr.Tarik Sarhan

 Approach safely
Check response

CPR By Dr.Tarik Sarhan

Shout for help
Open airway
Check breathing
Call 123
Attach AED
Follow voice prompts
 SWITCH ON AED

• Some AEDs will

CPR By Dr.Tarik Sarhan

automatically switch
themselves on when
the lid is opened
ATTACH PADS TO
CASUALTY’S BARE CHEST

CPR By Dr.Tarik Sarhan

ANALYSING RHYTHM
DO NOT TOUCH VICTIM

CPR By Dr.Tarik Sarhan

SHOCK INDICATED

• Stand clear

CPR By Dr.Tarik Sarhan

• Deliver shock
 SHOCK DELIVERED
FOLLOW AED INSTRUCTIONS

CPR By Dr.Tarik Sarhan

30 2
 NO SHOCK ADVISED
FOLLOW AED INSTRUCTIONS

CPR By Dr.Tarik Sarhan

30 2
UNSAFE SCENE

CPR By Dr.Tarik Sarhan

CPR By Dr.Tarik Sarhan
IF VICTIM STARTS TO
BREATHE NORMALLY PLACE
IN RECOVERY POSITION

CPR By Dr.Tarik Sarhan

CPR By Dr.Tarik Sarhan
 Approach safely Approach safely

CPR By Dr.Tarik Sarhan

Check response Check response
Shout for help Shout for help
Open airway Open airway
Check breathing Check breathing
Call 123 Call 123
30 chest compressions Attach AED
2 rescue breaths Follow voice prompts
CPR By Dr.Tarik Sarhan
 CPR
Chest compression with
mouth‐to‐mouth

CPR By Dr.Tarik Sarhan

breathing
Chest compression with
mask‐to‐mouth
breathing
Chest compression only
(without breathing)
 What is it?

CPR By Dr.Tarik Sarhan

 What is it?

CPR By Dr.Tarik Sarhan

 Hands‐Only CPR
• On March 31, 2008, the American Heart
Association changed its guidelines to

CPR By Dr.Tarik Sarhan

include hands‐only CPR, a new version
using chest compressions only.
• Hands‐only CPR is intended for
• Untrained rescuers
• and only for witnessed cardiac arrest.
 Hands‐Only CPR

CPR By Dr.Tarik Sarhan

 Hands‐Only CPR
“Bystanders who witness the sudden

CPR By Dr.Tarik Sarhan

collapse of an adult should immediatel
y call x‐x‐x and start what we call Han
ds‐Only CPR.
High‐quality chest compressions by pu
shing hard and fast in the middle of th
e victim’s chest, without stopping u
ntil emergency medical services (EMS
) responders arrive….”
 CPR By Dr.Tarik Sarhan
CPR. A lifesaving action.
Two steps to save a life.

Don’t be afraid…
Your actions can only help.
 High-Quality CPR Components
for BLS Providers
Scene safety
• Make sure the environment is safe for rescuers and victim

CPR By Dr.Tarik Sarhan

Recognition of cardiac arrest
• Check for responsiveness
• No breathing or only gasping (ie, no normal breathing)
• No definite pulse felt within 10 seconds
• (Breathing and pulse check can be performed simultaneously in less than 10
seconds)

Activation of emergency response system

• If you are alone with no mobile phone, leave the victim to activate the
emergency response system and get the AED before beginning CPR
Otherwise, send someone and begin CPR immediately;
• use the AED as soon as it is available
Compression and ventilation
CPR By Dr.Tarik Sarhan
 ‫مر إبراهيم بن إسحاق بسوق البصرة فاجتمع إليه الناس‬
‫وقالوا له ‪ :‬يا أبا إسحاق‪ ..‬ما لنا ندعوا فال يستجاب لنا ‪!!....‬؟؟‬

‫أشيـ ــاء‪:‬‬ ‫قال‪ :‬ألن قلــوبــكم ماتت بعش ــرة‬

‫‪‬األول ‪:‬عرفتم هللا تعالى ‪ ....‬فلم تؤدوا حقه‬
‫‪‬الثاني ‪:‬زعمتم أنكم تحبون رسوله صلى هللا عليه وسلم ‪ ..‬وتركتم سنته‬
‫‪‬الثالث ‪:‬قرأتم القرآن ‪ ....‬ولم تعملوا به‬
‫‪‬ال ـ ـرابع‪ :‬أكلتم نعمة هللا تعالى ‪ ....‬ولم تؤدوا شكرها‬
‫‪‬الخامس ‪:‬قلتــم أن الشيطان عدوكم ‪ ....‬ووافقتم ــوه‬
‫‪‬السادس ‪ :‬قلتــم أن الجنـة حـق ‪ ....‬ولم تعملـوا لها‬
‫‪‬الس ــابع ‪:‬قلتــم أن النـار حـق ‪ ....‬ولم تهربوا منهــا‬
‫‪‬الث ــامن ‪:‬قلتــم أن املـوت حـق ‪ ....‬ولم تستعــدوا له‬
‫‪‬الت ــاسع ‪ :‬إذا انتبهتم من النوم ‪.‬اشتغلتم بعيوب الناس ونسيتم عيوبكم‬
‫‪‬الع ــاشر ‪ :‬دفنتــم أموتاكم ‪ ....‬ولم تعتبـروا بهم‬
 ‫مفسدات القلب‬

‫كثرة الخلطة‬ ‫‪‬‬

‫وركوب بحر التمني‬ ‫‪‬‬
‫وحب الدنيا‬ ‫‪‬‬
‫والتعلق بغيرهللا‪،‬‬ ‫‪‬‬
‫وكثرة الطعام‬ ‫‪‬‬
‫وكثرة املنام‪.‬‬ ‫‪‬‬
 ‫حياة القلب‬

‫ذكر هللا تعالى ‪ ,.‬قال النبي صلى هللا علية وسلم‬

‫(مثل الذي يذكر ربة والذي اليذكر مثل الحي وامليت )‬
‫قراءة القران بتدبر‬
‫ذكر املوت و زيارة القبور‬
‫إذ إن ذاكر املوت قصير أمله‪ ,‬كثير عملة ‪ ,‬قليلة ذنوبة‬
‫قال سعيد بن جبير رحمة هللا تعالى ‪.‬‬
‫(لو فارق ذكر املوت قلبي لخشيت أن يفسد علي قلبي )‬
‫الجلوس الى العلماء و الصالحين واإلطالع على أعمالهم الصالحة‬
‫قيام الليل‬
‫االنكسار الى هللا والذل له‬
 ‫‪Tarik Saber Sarhan‬‬
‫)‪(tssicu‬‬
‫‪www.tssicu.tk‬‬
‫‪tssicu@gmail.com‬‬
‫‪tssicu@icloud.com‬‬
‫‪tssicu@live.com‬‬
‫‪tssicu@inaya.edu.sa‬‬

‫وءاخر دعوانا أن الحمد هلل رب العالمين وصل اللهم على سيدنا محمد وعلى اله وصحبه كلما ذكره الذاكرون وغفل عن ذكره الغافلون‬
‫شكرهللا لكم‬