1、CPR and Basic First Aid Training心肺復(fù)蘇及根底急救培訓(xùn)悅安安康公益促進(jìn)會(huì)急救培訓(xùn)中國(guó)工程組CPR 心肺復(fù)蘇CPR-Cardiopulmonary ResuscitationCardio-Heart. Pulmonary-Lung. Resuscitation-revive from apparent death or unconsciousness經(jīng)過(guò)輔助患者心臟和肺的功能來(lái)施行搶救。Adult CPR-Chest Compression 成人心肺復(fù)蘇胸外按壓Where to push: low half of the breastbone. 按壓位置：胸骨下半

2、段。Chest Compression胸外按壓PUSH HARD AND FAST! At least 100 times per minute. At least 5cm deep. Push straight down on the breastbone.用力按壓！快速按壓！至少每分鐘用力按壓！快速按壓！至少每分鐘100次，至次，至少少5厘米深。垂直按壓在胸骨上。厘米深。垂直按壓在胸骨上。After each compression, release the pressure to let the chest come back to normal position.每次按壓后，需讓胸廓充

3、分回彈后再次按壓。每次按壓后，需讓胸廓充分回彈后再次按壓。Normal Heart BeatMouth to Mouth Breathing口對(duì)口呼吸Head Tilt-Chin Lift 仰頭舉頦法Mouth to mouth breathing口對(duì)口呼吸Open the air way-Head Tilt-Chin Lift仰頭舉頦法翻開(kāi)氣道Do not press the soft tissues of the neck or under the chin to avoid pressing the airway.不要壓迫頸部的軟組織，以免壓迫氣道。Giving Breaths-Pinc

4、h the nose closed. Creating an airtight seal. Take a normal breath. Watch the chest rise as you give each breath. 吹氣捏緊患者鼻子，嘴巴貼緊患者的嘴巴不要漏氣。正常吸入后吹氣并察看患者的胸部起伏。Adult CPR 1.Make sure the scene is safe.確定環(huán)境平安。2.Make sure the victim is lying on his back on a firm, flat surface.確定患者是躺在平坦而鞏固的平面上。Adult CPR 3.K

5、neel at the victims side. Tap the shoulder and shout to see if the victim responds.跪在患者的一側(cè)，拍打患者肩膀并呼喊看其有無(wú)反響。4.If the victim does not respond, yell for help. If no one comes, leave the victim to phone and get the AED if available. 假設(shè)患者無(wú)反響，應(yīng)高聲呼救，假設(shè)無(wú)人協(xié)助，應(yīng)分開(kāi)患者去打求助，取AED自動(dòng)體外除顫器。Adult CPR 5. Scan victims ch

6、est and abdomen for signs of breathing, use more than 5 seconds but no more than 10 seconds.用眼睛察看患者的胸部和腹部看有無(wú)呼吸，察看至少5秒鐘，不超越10秒鐘。Adult CPR6.Start chest compression if no signs of breathing. 30 compressions.假設(shè)沒(méi)有呼吸，馬上開(kāi)場(chǎng)胸外按壓30次。7.Open the airway. Give 2 mouth-to-mouth breaths (1 second each). Compression

7、 to breathing ratio is 30 to 2. 開(kāi)放氣道，給予兩次口對(duì)口呼吸一次一秒。胸外按壓與呼吸比是30比2.Adult CPR8. Keeping CPR until AED arrives, the victim starts to move, or trained help takes over. 堅(jiān)持心肺復(fù)蘇直到AED到達(dá)，患者開(kāi)場(chǎng)有反響或?qū)I(yè)人員到達(dá)。Child CPR (1-8 yrs old)兒童心肺復(fù)蘇 1-8歲if no one can help. Do 5 cycles of CPR or for 2 minutes until leave the vi

8、ctim to call for help and get the AED.假設(shè)沒(méi)有人協(xié)助，先做5個(gè)循環(huán)或兩分鐘的心肺復(fù)蘇再分開(kāi)患者去打求助，取AED。Chest Compression: at least 1/3 the depth of the chest or approximately 5cm。按壓深度：至少胸廓深度的三分之一或大約5cm。 Child CPRInfant CPR Infant CPR 嬰兒心肺復(fù)蘇 Compression depth, about 4cm deep.按壓深度，大約4cm深。Basic First Aid for Trauma創(chuàng)傷根底急救Scenario

9、: one of your co-workers fell off from a 3 meter high ladder. A broken bone is seen in her left arm with active bleeding. 場(chǎng)景：他的同事從3米高的梯子上摔下來(lái)，她的左胳膊摔斷了，鮮血涌了出來(lái)。General General ManagementManagementDont forget CPR!不要忘記心肺復(fù)蘇！Control bleeding and cover any wounds止血，覆蓋傷口。Do not move injured part不要挪動(dòng)受傷部位。Adop

10、ted from St John Ambulance AustraliaAdopted from SRMTWatch for loss of circulation to foot/hand察看手腳有無(wú)喪失血供的表現(xiàn)。Immobilise fracture/ dislocation 骨折/脫位部位的固定。Do not eat and drink不要進(jìn)食或飲水。Apply gauze and compress directly on the wound Elevate Above the HeartSqueeze a main artery if necessary. Pressure Poin

11、tsPressure points of the arm are on the inside of the arm just above the elbow and just below the armpit. Pressure points of the leg are just behind the knee and in the groin. Keep your fingers flat. The last resort: TourniquetUsed only when other ways failed and victim has life-threatening massive

12、bleeding.Fracture Immobilization骨折固定Spinal Cord Fracture- spinal cord immobilization 脊柱骨折脊柱固定 Neck Collar 頸托頸托Apply a improvised Apply a improvised collar to minimise neck collar to minimise neck movement movement 暫時(shí)自制頸托固定受傷頸部暫時(shí)自制頸托固定受傷頸部Neck Immobilization 頸部固定頸部固定Transfer Victims 轉(zhuǎn)運(yùn)患者Spinal Cord I

13、mmobilization -Spinal Board脊柱固定-脊柱板。Stretcher 公用擔(dān)架公用擔(dān)架Support head continuouslyGive plenty support at spineApply traction on the neckAsk helpers to space themselves evenly along casualtys bodyHold hip, thigh, and calf to steady legLog-Roll Techniquestudentbmj/issues/04/06/education/230.phpFracture in the arms or legs四肢骨折Stop