BANTUAN HIDUP DASAR/

BASIC LIFE SUPPORT

 Danger

• Detect dangers

• Protect yourself

• EMS’s assistance – Yes / No

 Response

Brain damage starts in 4-6 minutes. Brain damage is

certain after 10 minutes without CPR.

 Tap and shout. Is there any response? Look at Are you

the person’s chest and face. Is the person breathing
normally? (in less than 10 seconds). alright?

 AVPU: Alert – Voice – Pain – Unresponsive.

 Send someone to call for help

 Send someone to call and tell him to come back.

 The caller should give dispatch the patient’s location, what happened, how
many people are injured, and what is being done.
 Circulation

• Check for the pulse in no more 10 seconds:

• If the pulse present but no breathing, start rescue
breathing. Reassess pulse every 2 minutes.
• If unsure a pulse is exist >>> start chest compression
 Do not waste more critical time searching for a pulse
CHEST COMPRESSIONS

• Place the heel of one hand in

the centre of the chest
• 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
 30 : 2

Handley A.J., Koster R., Monsieurs K., Perkins G.D., Davies S., Bossaert L.: European
Resuscitation Council Guidelines for Resuscitation 2005. Section 2. Adult basic life support
and use of automated external defibrillators Resuscitation (2005) 67S1, S7—S23
AIRWAY

Approach safely
Check response
Shout for help
Head Tilt – Chin Lift

Check breathing
Call 112
30 chest compressions
Jaw Thrust
2 rescue breaths
AIRWAY OPENING BY
NECK EXTENSION

Campbell
 Cervical spine injury

• Jaw thrust (no for lay rescuer) for open

airway
 Breathing

 Give 2 effective breaths lasting 1 second

each (chest rise and fall).
RESCUE BREATHS

• Pinch the nose

• Take a normal breath
• Place lips over mouth
• Blow until the chest
rises
• Take about 1 second
• Allow chest to fall
• Repeat
 CONTINUE CPR

30 2
The use of protective devices is
recommended
 Go on combining 30 chest compressions
with 2 rescue breaths.

Only stop when:

• Professional help takes over

• You are exhausted
• The victim starts breathing normally
Defibrillation

 Early defibrillation is very critical, especially

in cardiac arrest.
 The sooner you provide defibrillation with
the AED, the better the victim's chances of
survival.
AUTOMATIC EXTERNAL DEFIBRILATION (AED)

1. Turn machine on. 4. Stand clear. Do

not touch the
patient when
AED analyzes.

2. Bare the chest. 5. Push the shock

Dry it if wet. button when
Shave it if there AED advises.
is excessive hair.

6. Continue CPR
3. Follow directions 30:2 until signs
shown on pads of life detected.
for placement.

AEDs will analyze every two minutes and prompt for a shock if needed.
 ROSC (return of spontaneus
circulation)
• Pulse and blood pressure +
• PET CO2 > 40 mmHg
• Spontaneus arterial Pressure with intra
arterial monitoring
Komponen CPR Berkualitas Tinggi untuk Penyedia BLS
Anjuran dan Larangan BLS untuk CPR Berkualitas Tinggi Dewasa
 Algoritma Serangan Jantung
Pada Pasien Pediatri untuk Satu Penolong—Pembaruan 2015
 RECOVERY POSITION

This position helps a

semiconscious or
unconscious person
prevent the tongue
falling back and block
the airway. It also help
them to breathe and
permits fluids to drain
from the nose and
throat so they are not
breathed in
Do not use the recovery position if the person has a major injury, such as a
back or neck injury
CHOKING
 CHOKING
 The obstructed airway.
 It is often caused by foreign body lodged in the airway.
 The recognition and proper management of choking is of the key importance
to safety at homes, restaurants, and other public places.
 RECOGNIZATION OF OF CHOKING

 Victim clutches at his neck, universal sign

for choking.
 If not sure of choking, ask victim loudly
“Are you choking? Can you talk? Can you
breath? Can you cough?”
 Ask victim to cough as hard as his can.
 If the chocking is getting worse, you will
notice the victim’s coughing is becoming
weak and ineffective.
- Victim is unable to breath.
- Victim develops harsh noise while
speaking.
- Victim ‘s face may become blue.
THE HEIMLICH MANEUVER
THE BACK BLOW – CHEST THRUST
TERIMA KASIH