الإنعاش القلبي الرئوي
Depths, rates, ratios, pulse sites and choking.
الطوارئ والرعاية الحرجة
High-quality CPR
| Adult | Child (1 yr – puberty) | Infant (< 1 yr) | |
|---|---|---|---|
| Depth | At least 5 cm (5–6 cm) | About 5 cm (⅓ of the chest) | About 4 cm (⅓ of the chest) |
| Rate | 100–120 / min | 100–120 / min | 100–120 / min |
| Ratio — 1 rescuer | 30 : 2 | 30 : 2 | 30 : 2 |
| Ratio — 2 rescuers | 30 : 2 | 15 : 2 | 15 : 2 |
| Pulse check | Carotid | Carotid or femoral | Brachial |
| Hands | Two hands, lower half of the sternum | One or two hands | Two fingers or two-thumb encircling, just below the nipple line |
Sequence & key actions
- Scene safety first → check responsiveness and breathing (and pulse) for up to 10 s → call for help / get an AED → start compressions (C-A-B).
- Minimise interruptions; allow full chest recoil; switch compressors every 2 minutes.
- Shockable rhythm (VF or pulseless VT): defibrillate as soon as possible, then resume CPR immediately.
- Epinephrine 1 mg IV/IO every 3–5 min. Amiodarone 300 mg, then 150 mg, for refractory VF/pVT.
- Symptomatic bradycardia: atropine 1 mg IV (repeat every 3–5 min, max 3 mg), then pacing.
- Unstable tachycardia with a pulse: synchronised cardioversion. Stable SVT: vagal maneuvers → adenosine.
Choking
- Conscious adult or child who cannot speak or cough: abdominal thrusts (Heimlich).
- Infant: 5 back blows + 5 chest thrusts, repeated.
- Victim becomes unresponsive: start CPR; before breaths, look in the mouth and remove only a visible object — no blind finger sweeps.
اختبر نفسك الآن
35 سؤالاً بنمط الاختبار في الطوارئ والرعاية الحرجة، مع شرح لكل خيار. حساب مجاني بدون بطاقة.
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