| Cardio-Pulmonary Resuscitation |
Resisitasyon Kadyak-Pulmonè (RCP) |
| For those already familiar with CPR, a summary of recent changes is at the European Resuscitation Council website. |
Pou moun ki deja konnen RCP, yon rezime chanjman resan yo disponib sou sit entènèt Konsèy Ewopeyen an pou Resisitasyon. |
| This summary summarizes changes under the categories : basic adult resusc, automated defibrillators, advanced adult , advanced paediatric ; |
Rezime sa a rezime chanjman anba kategori sa yo: resisitasyon adilt debaz, defibrilatè otomatik, resisitasyon adilt avanse, resisitasyon pitit avanse. |
| advanced adult is subdivided to order of CPR/defibrillation is |
Resisitasyon adilt avanse se divize selon lòd RCP/defibrilasyon an. |
| a) defib first in professional witnessed arrest, |
Defibrilasyon premye nan arestasyon temwen pwofesyonèl.
|
| b) defibrillation technique is one shock and CPR for 2 minutes before other shocks , |
Teknik defibrilasyon an se yon chòk epi RCP pandan 2 minit anvan lòt chòk yo. |
| c) doubtful fine VF is not worth shocking delay of CPR, |
Si VF dout, li pa vo bay yon chòk, reta nan RCP. |
| d) adrenaline 1mg after 2nd shock or non VF/VT / rate is 3-5 minutely, |
Adrenaline 1mg apre 2yèm chòk oswa si pa gen VF/VT, to administrasyon an se 3-5 minit. |
| e) vf/vt - amiodarone (load 300mg +/- 150mg, 900mg /24h) XOR lignocaine (max 3mg/kg/hr), |
VF/VT - Amiodarone (chaj 300mg +/- 150mg, 900mg /24h) OU lignocaine (maksimòm 3mg/kg/h). |
| f) PE/thrombolysis/prolonged CPR 60-90 minutes , |
PE/thromboliz / RCP pwolonje 60-90 minit. |
| g) hypothermia to 32deg for 12-24 hours definitely for out of hospital VF/VT, and maybe for all others ( in hospital all, out of hospital non VF/VT). |
Ipotèmi jiska 32 degre pandan 12-24 èdtan, definitif pou VF/VT sòti nan lopital, epi petèt pou tout lòt ka (nan lopital tout, sòti nan lopital pa gen VF/VT). |
| The principles might be: minimize circulation downtime ( a, b, |
Prensip yo ka ye: minimize tan dòmi sikilasyon (a, b, ...) |
| c), provide drugs better or earlier (d e |
Bay medikaman pi bon oswa pi bonè |
| f), more tenacity in rescue ( f and |
Plis tenasite nan sove |
| g) . |
. |
| ABC - airway , breathing , compression. |
ABC - chemen respiratwa, respire, konpresyon |
| This in general describes conceptual categories, but is also the sequence of management in CPR: airways first, breathing next, compression of the heart. |
Sa a an jeneral dekri kategori konsèptè, men se tou sekans nan jere RCP: premye sèvi ak chemen respiratwa, apre sa respire, konpresyon kè a. |
| The exception is when immediate defibrillation is available, AND equipment to diagnose ventricular tachyarrythmia or ventricular fibrillation is available. |
Eksepsyon an se lè defibrilasyon imedya disponib, EPI ak ekipman pou dyagnostike takiaritmiyè ventrikilè oswa fibrilasyon ventrikilè disponib. |
| Then the sequence is : observed unexpected collapse + known history suggests ventricular fibrillation: e.g. was complaining of chest discomfort -> attach equipment -> diagnose VF ( automatic or manual) -> attach defibrillation pads -> charge equipment to 200J (or wait automatic) -> warn bystanders -> defibrillate. |
Lè sa a, sekans lan se: efondreman inatandi obsève + istwa ki konnen ki endike fibrilasyon ventrikilè: pa egzanp, li t ap plenyen de doulè nan pwatrin -> tache ekipman -> dyagnostike VF (otomatik oswa manyèl) -> tache pad defibrilasyon yo -> chaje ekipman an nan 200J (oswa tann otomatik) -> avèti moun alantou -> defibrile. |
| If manual, defibrillate x 3 , before resuming normal CPR sequence if still in ventricular fibrillation. |
Si se manyèl, defibrile x 3, anvan rekòmanse sekans nòmal RCP si gen fibrilasyon ventrikilè toujou. |
| This is taken from an observed successful resuscitation of a witnessed arrest , as applied by an experienced provincial emergency specialist nurse. |
Sa a soti nan yon resisitasyon ki te obsève avèk siksè nan yon arestasyon ki te temwen, jan li te aplike pa yon enfimyè espesyalize nan ijans pwovensyal avèk eksperyans. |
| It has some contrast to the recommended DRABCD sequence as per Guideline 7, February 2006, of the Australian Resuscitation Council, but is similar to the European Guidelines Summary of Changes 2005. |
Li gen kèk diferans ak sekans DRABCD rekòmande selon Gid 7, Fevriye 2006, Konsèy Resisitasyon Ostralyen an, men li sanble ak Rezime Chanjman Gid Ewopeyen 2005 yo. |
