Definisi :Cardiorespiratory arrest is the sudden, unexpected cessation of respiration and functional circulation.

etiologi
Low cardiac output. Hyparcapnia. Hyperkalemia. Hypoxia and vagal stimulation. 5. Stimulation of the heart. 6. Coronary occlusion. 7. Overdosage. 8. Hypothermia. 9. Hyperthermia 10. Acidosis
1. 2. 3. 4.
1.

2.

3.

Airway obstruction by vomitus, foreign body, blood, secretions, solid material, mucous plugs, laryngeal or bronchial spasm, or tumor. CNS depression: caused by stroke, head trauma, hypercapnia, barbiturates,narcotics, tranquilizers, or anesthetics. Neuromuscular failure secondary to poliomyelitis, muscular dystrophy, myasthenia, or muscle relaxant drugs.

jantung

Paru-paru

Cardiac dan respirasi

Flail chest Pneumothorax Massive atelectasis Acute pulmonary embolism Congestive heart failure Overwhelming pneumonia Gram-negative septicemia Lung burns Carbon monoxide poisoning Massive blood loss.

The risk factors for SCD are similar to those seen with coronary heart disease including: smoking, lack of physical exercise, obesity,diabete s, and family history.

Apnua, pulseness, ventrikular fibrilasi,takikardi ventrikular a. Ketiadaan respon; pasien tidak berespon terhadap rangsangan suara, tepukan di pundak ataupun cubitan. b. Ketiadaan pernafasan normal; tidak terdapat pernafasan normal ketika jalan pernafasan dibuka . c. Tidak teraba denyut nadi di arteri besar (karotis, femoralis, radialis).

Faktor resiko

Manisfestasi klinis

patomekanisme

LPD

Suatu keadaan gawat darurat di butuhkan penaganan yang cepat. Diagnosis berdasarkan gambaran klinis dan menggunakan EKG. GOLD STANDAR RABA ARTERI CAROTIS (MENGHILANG/MELEMAH) a. Ketiadaan respon; pasien tidak berespon terhadap rangsangan suara, tepukan di pundak ataupun cubitan. b. Ketiadaan pernafasan normal; tidak terdapat pernafasan normal ketika jalan pernafasan dibuka. c. Tidak teraba denyut nadi di arteri besar (karotis, femoralis, radialis).

Penatalaksanaan
CPR Menurut AHA 2010 CAB Cirkulasi Air way Breating

Basic Life support (BLS):

Airway, Breathing, Circulation, Drug (Defibrillation )

Lanjutkan dengan defibrilasi

Advanced life support (ALS):

Airway, Breathing, Circulation, Drug (Defibrillation), ECG, Fluid, Gauge, ICU

compresi 30:2

Indikasi Fibrilasi ventrikel dan takikardia ventrikel tampa nadi

Medika mentosa
Ventrikular fibrilasi Pulseless Electrical Activity Epinefrin Atropin (bradikardi a) Asistol Bradi kardia Takikardia dengan instablitas yang serius Narrowcomplex Adenosine Verapamil Diltiazem -blockers Digoxin Synchronized cardioversion

Defibrillate 3x Epinephrine Antiarrhythmic agents Lidocaine Bretylium Magnesium Procainami de

Epinephrine Atropine Consider transcutaneo us pacing Search for reversible causes and treat if possible

Atropine Dopamine Epinephrine Transcutane ous pacing Transvenous pacing

Takikardi tanpa instabilitas yg serius

Wide-complex Lidocaine Procainamide Bretylium Consider adenosine Synchronized cardioversion