Thursday, November 29, 2018

CPR training at Alliance U by Narayana Hrudayalaya

With Dr. Niharika Duggal from NH ..
On the 28 Nov 2018 in Alliance University, Bangalore, along with other faculty members, staff and students,
I was fortunate enough to acquire an additional professional qualification, a qualified cardiac emergency professional certificate from the world's largest cardiac care hospital, Narayana Hrudayalaya, Bangalore

It has helped me learn to administer Cardio Pulmonary Resuscitation (CPR), and learn the use of the Automated External Defibrillator (AED) - to manually preserve intact human brain functions and help revive a fibrillating heart in the event of a cardiac arrest.

Once you find a patient unconscious, within 10-15 seconds  you start CPR .. It tells us how important is CPR to regain normal brain functioning and save a life !!

All artery blocks can lead to cardiac arrest while all cardiac arrests may not be due to artery blocks.

In all cardiac arrest the first seven and a half minutes is most crucial and precious. The patient should be given immediate first aid in the first seven and a half minutes else it may result in severe brain damage because of the blockage of oxygen to the brain cells.

It was felt that all faculty should be compulsorily going thru this course. The training involved  working on a human dummy.
Giving chest compressions on the mannequin

Click here for a video on how to carry out a CPR ..

The steps in a CPR cycle are

1. call for help and ask them to get an ambulance to take the patient to the hospital
2. get the patient to lie down on a flat floor
3. check for pulse in the carotid artery (which is in your neck by the side of the windpipe), you need to do this in maximum 5-7 seconds ..
4. Kneel next to the person and give (30 times) chest compressions with both hands at the centre of the chest (two finger width away from the breastbone) to a depth more than 5 cm, not more than 6 cms. (Sometimes rib bones do break, but it is temporary and will naturally heal considering that you are saving the patient from a permanent brain damage or even loss of life, if not treated  on time)
5. raise the chin (to open the air-pipe to take in the exhalations we give)
6. Give two quick breaths exhalations to the patient's mouth, inhaling well (our inhalations of air from our surroundings have roughly 18% Oxygen and our exhalations have approximately 15% Oxygen, which is good enough to preserve the patient's brain functions till professional medical help arrives).

Repeat this cycle (30 compressions + 2 exhalations) as many times till emergency help arrives. If an extra hand is available for help. do the chest compressions and the exhalations alternatively so that no one is tired and the treatment can be fast and effective.

CPR in Adults: Positioning Your Hands for Chest Compressions
1. Kneel next to the person. 
Use your fingers to locate the end of the person's breastbone, where the ribs come together. 
3. Place two fingers at the tip of the breastbone. 
4. Place the heel of the other hand right above your fingers (on the side closest to the person's face). 
5. Use both hands to give chest compressions.  - nih.gov

The Automated External Defibrillator (AED) instrument is used to give shock to a fibrillating heart (a fibrillating heart just vibrates but does not pump blood to the arteries) and get it running and pumping blood. It has got electrodes fitted to the body of the patient on the right chest at the top and below the left breast on the sides. The electric shock pumps in about 200 Joules of energy thru shock to the patients chest to revive the heart and bring back the rhythm.
An automated external defibrillator (AED) is a portable device that checks the heart rhythm. If needed, it can send an electric shock to the heart to try to restore a normal rhythm. AEDs are used to treat sudden cardiac arrest (SCA). SCA is a condition in which the heart suddenly and unexpectedly stops beating. - courtesy  nih.gov                                      
Its good to have an AED in the campus or office, costs about Rs 1.5 lakhs. All 108 ambulance in India have got an AED ..

Its a great idea for all faculty members in educational institutions to have this training. It cost us only INR 200/- for this high quality training we got from doctors and staff from Narayana Hrudayalaya, Bangalore.

It is a skill one needs to possess to be of help to others in society, either in a bus, train, flight, home, college, supermarket etc,.

One never knows when a cardiac arrest can affect anybody in society, it is always better to be prepared to act.

Click here for another good CPR tutorial ..

George..

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