One-handed unarmed cardiopulmonary resuscitation process?

1. Arrive at the patient, and the rescue position is correct.

2. The movements and postures are standardized and conform to the regulations.

3. Yell "Hey, wake up, what's wrong with you?" Pat the patient on the shoulder and ask for a loud and clear voice.

(2) Observe breathing

1. Action standard, clear: while counting, observe the patient's mouth, face and chest with both eyes, put the palm of your right hand above the xiphoid process of the patient's sternum and freeze it, and observe the patient's breathing.

2. The counting sound is loud and clear; "Count 1100, 1200 ..." Loudly 1500.

(3) Start the emergency system.

1. Dictate loudly "The patient has no response, no spontaneous breathing, and is ready for rescue."

2. Dictate loudly "Prepare to rescue items"

(4) Judgment period

1.？ Touching the patient's carotid artery quickly with index finger and middle finger, action standard and manipulation standard

2. The counting sound is loud and clear; "Count 1100, 1200 ..." Loudly 1700.

3. Speak loudly "The patient's carotid pulse has disappeared, and prepare for chest compressions."

(6). Resuscitation posture

1. Dictate loudly "Put the patient on a hard surface, straighten his body in a standard supine position, and keep his body straight and undistorted".

2. Speak loudly "unbutton your coat, loosen your belt and fully expose your chest."

(7) Chest compression

1. Press positioning: positioning technique positioning: the midpoint of the connecting line between the nipples on both sides.

2. Perform chest compressions for ***30 times, and from the 25th time, say aloud "25, 26, 27, 28, 29, 30" (note that the pressing position is correct 2; Correct pressing gesture 2; Correct pressing posture 2; Pressing frequency is correct 2; Correct pressing depth 2; The press should be continuous 2. )

(8). Open the airway

1. Standardized operation, gentle movements and humanistic care.

2. Balloon masks are moderately inflated.

3. Check and clean the oral cavity and turn the patient's head to one side. Dictate loudly and use gauze to remove foreign bodies, secretions, dentures, etc. In the patient's mouth and nose. "

4. Mouth loudly "lift your chin with both hands to open the airway and keep the airway unobstructed"

(9) Artificial respiration

1. Use E-C operation to fix balloons and masks.

2. The balloon is ventilated twice without air leakage.

3. Breathe slowly every time 1 sec, and pay close attention to the patient's chest. Seeing chest fluctuation is an effective indicator of artificial respiration.

4. Two air changes should be completed within 5 seconds.

(10) electric shock defibrillation

Say "defibrillator ready, prepare for defibrillation" loudly.

1. Power on: Say loudly "Turn on the defibrillator and adjust it to the monitoring position" and select the knob correctly.

2. Connection: Wipe the patient's chest skin with gauze, keep it clean, and place the electrode plate correctly.

3. View: (1) Observe and analyze the screen waveform of the defibrillator.

(2) Carefully observe the oscillogram of the defibrillator for 3 seconds.

(3) Oral loudly "Ventricular fibrillation, prepare for defibrillation"

4. Select the energy (1) and dictate loudly "Turn the function key knob to the defibrillation position (asynchronous by default)".

(2) Dictate loudly "Choose defibrillation energy: unidirectional wave 360J or bidirectional wave 200J"

5. Apply conductive adhesive (1) and hold one electrode handle in each hand.

(2) Apply conductive paste evenly as far as possible, and it is forbidden to apply it to the electrode pads.

6. Defibrillation position confirm (1) the correct electrode handle position.

(2) Press the handle hard to make the electrode contact with the patient's skin well and seamlessly.

7. Charging (1) Press the charging button on the handle and say "defibrillator starts charging" loudly.

(2) Keep your eyes on the defibrillator screen.

8. Discharge (1) and stare at the defibrillator screen: the defibrillator will give an alarm when it is fully charged.

(2) Oral loudly "After charging, everyone leaves and begins defibrillation"

(3) Press the discharge button with both thumbs at the same time to complete defibrillation. At this time, the electrode plate must be taken out of the patient's chest after the energy is released, and the defibrillator screen should always be paid attention to.

(4) Keep a close eye on the screen of the defibrillator and dictate loudly, "After defibrillation, the patient still has ventricular fibrillation, and continue to perform chest compressions."

Continuous operation of cardiopulmonary resuscitation for 5 cycles (the specific scoring rules are the same as before)

(1 1) evaluation of the effect of cardiopulmonary resuscitation: quickly evaluate the effect of cardiopulmonary resuscitation, mainly to judge the patient's breathing and carotid pulse, which takes no more than 10 second.

1. Touch the patient's carotid artery quickly with the index finger and middle finger of his left hand and count "one thousand one hundred, one thousand two hundred ..." loudly.

2. When counting, observe the patient's mouth to chest with both eyes, put the palm of the right hand above the xiphoid process of the patient's sternum and freeze it, and observe the patient's breathing.

3. Say loudly, "The patient still has no breathing and carotid pulse, and continue to perform chest compressions."

Then perform 5 cycles of 30: 2 chest compressions (the specific scoring rules are the same as before).

4. Re-evaluate and dictate loudly that "the patient's spontaneous breathing and carotid pulse have recovered, cardiopulmonary resuscitation has succeeded, and he is ready to transfer to another hospital."

5. Get up and raise your hand to signal "Report, adult one-handed cardiopulmonary resuscitation operation is completed"