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The INTRODUCTION TO CARDIOPULMONARY RESUSCITATION(CPR)- A PRACTICAL APPROACH

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The INTRODUCTION TO CARDIOPULMONARY RESUSCITATION(CPR)- A PRACTICAL APPROACH

My name is *Amb Ajayi*, I am  your facilitator for this class.



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UNDERSTANDING THE STRUCTURE AND FUNCTION OF THE HEART AND LUNGS

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The heart and lungs are two vital organs in the human body that work together to ensure our survival. The heart, a muscular organ located in the chest cavity, is responsible for pumping oxygenated blood throughout the body, while the lungs facilitate gas exchange by taking in oxygen and expelling carbon dioxide.

Let us begin with an examination of the heart. The heart is divided into four chambers: two atria (left and right) and two ventricles (left and right). The atria receive deoxygenated blood from various parts of the body, while the ventricles pump oxygen-rich blood out to different organs. This separation ensures that oxygenated blood does not mix with deoxygenated blood.

The heart's structure also includes valves that prevent backflow of blood. The tricuspid valve separates the right atrium from the right ventricle, while on the left side, we find another valve called mitral or bicuspid valve separating left atrium from left ventricle. These valves open when pressure builds up behind them but close tightly to prevent any backward flow.

Furthermore, coronary arteries supply oxygen-rich blood to nourish cardiac muscle cells themselves. These arteries branch off from a large vessel called aorta – which carries freshly oxygenated blood out of the heart – ensuring that even this vital organ receives its own supply.

Moving on to discuss lung structure and function, we find that they are located within our chest cavity protected by ribcage. Each lung is divided into lobes - three on right side (upper, middle, lower) and two on left side (upper & lower). They are spongy organs composed of millions of tiny air sacs called alveoli where gas exchange takes place.

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When we inhale, air enters the lungs through the trachea, which branches into smaller tubes called bronchi. These bronchi further divide into smaller tubes called bronchioles that eventually lead to the alveoli. The alveoli are surrounded by a network of capillaries where oxygen from inhaled air diffuses into the bloodstream, while carbon dioxide – a waste product – moves from blood into alveoli to be expelled during exhalation.

The lungs also have a protective mechanism known as cilia. These tiny hair-like structures line the respiratory tract and help trap foreign particles such as dust or bacteria, preventing them from entering deeper into our lungs. Cilia then move these particles upwards towards our throat where they can be coughed out or swallowed.

The heart and lungs work together seamlessly to ensure proper oxygenation of our body's tissues. Deoxygenated blood returns to the heart via veins and enters the right atrium. From there, it is pumped into the right ventricle and then sent to the lungs through pulmonary arteries for oxygenation. Oxygenated blood then returns to the left atrium via pulmonary veins before being pumped out of the heart through systemic circulation.

This intricate coordination between these two organs is essential for maintaining overall health. Any disruption in their structure or function can lead to serious health issues such as heart disease or respiratory disorders like asthma or chronic obstructive pulmonary disease (COPD).

Understanding the structure and function of both the heart and lungs is crucial for comprehending how these vital organs work together to sustain life. The heart's role in pumping oxygenated blood throughout our body complements that of our lungs, which facilitate gas exchange by taking in oxygen and expelling carbon dioxide. By appreciating their intricate design and interdependence, we can better appreciate their significance in maintaining overall health and well-being.
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CPR TECHNIQUES AND GUIDELINES

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Cardiopulmonary resuscitation (CPR) is a life-saving technique that can be performed by anyone, regardless of their medical background. It involves a combination of chest compressions and rescue breaths, which help to maintain blood circulation and oxygenation in a person experiencing cardiac arrest.

CPR is crucial in emergency situations where immediate medical attention may not be readily available. It can significantly increase the chances of survival for someone experiencing cardiac arrest until professional help arrives. By understanding the basic principles behind CPR, individuals can become empowered to take action during critical moments when every second counts.

The first step in performing CPR is assessing the situation for any potential dangers. It is essential to ensure that both you and the victim are safe before proceeding with any intervention. Once safety has been established, check if the person is responsive by tapping their shoulder gently and asking if they are okay. If there is no response or only gasping sounds, it indicates a need for immediate intervention.

The next step involves calling emergency services or instructing someone nearby to do so while you begin CPR. Time plays a crucial role in saving lives during cardiac arrest, so it is important not to delay seeking professional help. In many countries, emergency services can provide instructions over the phone on how to perform CPR until paramedics arrive at the scene.

To initiate chest compressions, position yourself beside the victim's chest area and place your hands one on top of the other at the center of their chest. Interlock your fingers and ensure that your shoulders are directly above your hands for maximum effectiveness. Press down firmly with straight arms, using your upper body weight rather than just arm strength alone.

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The recommended depth for adult compressions is around 2 inches (5 centimeters), while for children, it is about 2 inches (5 centimeters) or one-third the depth of their chest. It is important to maintain a steady rhythm of compressions, aiming for a rate of 100-120 compressions per minute. This can be achieved by mentally counting "one and two and three and four" or by following the beat of the song "Stayin' Alive" by the Bee Gees.

After every 30 compressions, it is crucial to provide rescue breaths. To do this, tilt the victim's head back gently while lifting their chin upward. Pinch their nose shut with your fingers and create an airtight seal over their mouth with your own. Deliver two slow breaths into their mouth, each lasting about one second. Observe for visible chest rise as you provide these breaths.

The cycle of 30 compressions followed by two rescue breaths should be repeated continuously until professional help arrives or until signs of life are observed in the victim. It is important to note that CPR alone may not always restore normal heart rhythm but can significantly increase the chances of survival when combined with early defibrillation.

Learning CPR techniques and guidelines is essential for everyone as it equips individuals with life-saving skills that can make a significant difference during emergencies. By following simple steps such as assessing safety, calling emergency services, performing chest compressions at the correct depth and rate, and providing rescue breaths, individuals can effectively maintain blood circulation and oxygenation in someone experiencing cardiac arrest until professional help arrives. Remember that every second counts during cardiac arrest situations, so being prepared to take immediate action through CPR can save lives.
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STEP-BY-STEP APPROACH TO PERFORMING CPR ON ADULTS, CHILDREN, AND INFANTS.
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Cardiopulmonary resuscitation (CPR) is a life-saving technique that can be performed on adults, children, and infants who are experiencing cardiac arrest or have stopped breathing. It involves a series of steps that aim to restore blood circulation and oxygenation to the brain and other vital organs.

Firstly, it is important to assess the situation before starting CPR. Ensure that the scene is safe for both you and the victim. Look for any potential hazards such as fire or electrical wires that could pose a danger. If it is safe to approach the victim, check their responsiveness by tapping their shoulder and asking if they are okay. If there is no response, shout for help immediately.

The next step is to call emergency services or ask someone nearby to do so. Time is of the essence during cardiac arrest situations, so it is crucial to activate the emergency medical system as soon as possible.

Once emergency services have been contacted, begin chest compressions on the victim. For adults and children over one year old, place them on a firm surface such as the ground or floor. Kneel beside them and position your hands in the center of their chest with one hand on top of the other interlocking fingers. Compress their chest at least two inches deep at a rate of 100-120 compressions per minute.

For infants under one year old, use two fingers instead of your entire hand for chest compressions. Place your index finger and middle finger in the center of their chest just below an imaginary line drawn between their nipples. Compress their chest about 1 ½ inches deep at a rate of 100-120 compressions per minute.

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After performing thirty chest compressions, give rescue breaths to help deliver oxygen to the victim's lungs. For adults and children, tilt their head back slightly and lift their chin to open the airway. Pinch their nose shut and cover their mouth with yours, creating an airtight seal. Give two rescue breaths lasting about one second each, watching for visible chest rise.

For infants, position them on a firm surface with their head slightly tilted back. Cover both their nose and mouth with your mouth to create an airtight seal. Give two gentle rescue breaths lasting about one second each, watching for visible chest rise.

Continue alternating between thirty chest compressions and two rescue breaths until help arrives or the victim shows signs of life such as breathing normally or moving spontaneously.

It is important to note that if you are not trained in CPR or are unsure of your abilities, perform hands-only CPR by focusing solely on chest compressions until professional help arrives. Hands-only CPR can be just as effective in providing blood circulation until advanced medical care is available.

Performing CPR on adults, children, and infants requires a step-by-step approach that involves assessing the situation, calling emergency services, initiating chest compressions and rescue breaths based on age-specific guidelines. By following these steps correctly and promptly, you can significantly increase the chances of survival for someone experiencing cardiac arrest or respiratory distress.
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