| Cardio-Pulmonary Resuscitation |
Kardiopulmonêre resussitasie |
| For those already familiar with CPR, a summary of recent changes is at the European Resuscitation Council website. |
Vir diegene wat reeds vertroud is met KPR, 'n opsomming van onlangse veranderinge is op die webwerf van die Europese Resussitasieraad. |
| This summary summarizes changes under the categories : basic adult resusc, automated defibrillators, advanced adult , advanced paediatric ; |
Hierdie opsomming som veranderinge op onder die kategorieë: basiese volwasse resusc, outomatiese defibrillators, gevorderde volwassene, gevorderde pediatriese; |
| advanced adult is subdivided to order of CPR/defibrillation is |
gevorderde volwassene word onderverdeel volgens volgorde van KPR/defibrillasie is |
| a) defib first in professional witnessed arrest, |
a) defib eerste in professionele getuie arrestasie, |
| b) defibrillation technique is one shock and CPR for 2 minutes before other shocks , |
b) defibrillasietegniek is een skok en KPR vir 2 minute voor ander skokke, |
| c) doubtful fine VF is not worth shocking delay of CPR, |
c) twyfelagtige boete VF is nie skokkend vertraging van KPR werd nie, |
| d) adrenaline 1mg after 2nd shock or non VF/VT / rate is 3-5 minutely, |
d) adrenalien 1mg na 2de skok of nie VF/VT / tempo is 3-5 minute, |
| e) vf/vt - amiodarone (load 300mg +/- 150mg, 900mg /24h) XOR lignocaine (max 3mg/kg/hr), |
e) vf/vt - amiodaroon (lading 300mg +/- 150mg, 900mg /24h) XOR lignocaine (maks. 3mg/kg/hr), |
| f) PE/thrombolysis/prolonged CPR 60-90 minutes , |
f) PE/trombolise/langdurige KPR 60-90 minute, |
| 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). |
g) hipotermie tot 32deg vir 12-24 uur beslis vir buite hospitaal VF/VT, en dalk vir alle ander (in hospitaal almal, buite hospitaal nie VF/VT). |
| The principles might be: minimize circulation downtime ( a, b, |
Die beginsels kan wees: minimaliseer sirkulasie-stilstand (a, b, |
| c), provide drugs better or earlier (d e |
c), verskaf dwelms beter of vroeër (d e |
| f), more tenacity in rescue ( f and |
f), meer volharding in redding ( f en |
| g) . |
g) . |
| ABC - airway , breathing , compression. |
ABC - lugweg, asemhaling, kompressie. |
| This in general describes conceptual categories, but is also the sequence of management in CPR: airways first, breathing next, compression of the heart. |
Dit beskryf in die algemeen konseptuele kategorieë, maar is ook die volgorde van hantering in KPR: lugweë eerste, asemhaling volgende, kompressie van die hart. |
| The exception is when immediate defibrillation is available, AND equipment to diagnose ventricular tachyarrythmia or ventricular fibrillation is available. |
Die uitsondering is wanneer onmiddellike defibrillasie beskikbaar is, EN toerusting om ventrikulêre tagyaritmie of ventrikulêre fibrillasie te diagnoseer beskikbaar is. |
| 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. |
Dan is die volgorde: waargeneem onverwagte ineenstorting + bekende geskiedenis dui op ventrikulêre fibrillasie: bv.het gekla oor borsongemak -> heg toerusting aan -> diagnoseer VF (outomaties of handmatig) -> heg defibrillasieblokkies aan -> laai toerusting aan 200J (of wag outomaties) -> waarsku omstanders -> defibrilleer. |
| If manual, defibrillate x 3 , before resuming normal CPR sequence if still in ventricular fibrillation. |
Indien handmatig, defibrilleer x 3 , voordat normale KPR-volgorde hervat word indien nog in ventrikulêre fibrillasie. |
| This is taken from an observed successful resuscitation of a witnessed arrest , as applied by an experienced provincial emergency specialist nurse. |
Dit is geneem uit 'n waargenome suksesvolle resussitasie van 'n getuie inhegtenisneming, soos toegepas deur 'n ervare provinsiale noodspesialisverpleegster. |
| 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. |
Dit het 'n mate van kontras met die aanbevole DRABCD-volgorde soos per Riglyn 7, Februarie 2006, van die Australiese Resussitasieraad, maar is soortgelyk aan die Europese Riglyne Opsomming van Veranderinge 2005. |
