Dr. Purwito Nugroho Sp.An, M.M.

CARDIOPULMONARY RESUSCITATION
(CPR)
Cardiopulmonary resuscitation (CPR)
is a combination of mouth-to-mouth
resuscitation and chest compressions
that delivers oxygen and artificial
circulation to a person whose heart
has stopped.

INTRODUCTION
In 1990, 3.2 million deaths from
trauma and 312 million people
worldwide are traumatized. In 2020
and is estimated to cause trauma to
the third or second leading cause of
death for all age groups. everyone
should have trained in first aid or
basic life support

INTRODUCTION
In 2010 Cardio-Pulmonary
Resuscitation (CPR) experienced a
paradigm shift by the American Heart
Association (AHA) and the
International Liaison Committee on
Resuscitation (ILCOR).
From 'AB-C' to 'CA-B' (A = Airway, B =
Breathing; C = Circulation).
the Advanced Trauma Life Support
(ATLS), ABC has not changed
paradigms.

ILCOR 2010
New CPR Sequence

ADVANCED TRAUMA LIFE SUPPORT

ATLS provides an initial assessment
within 10 steps ;
1. Preparation of pre hospital phase
(RS) and RS phase
2. Triage
3. Primary Survey (ABCDE)
4. Resuscitation
5. Supplement to the primary
survey and resuscitation

ADVANCED TRAUMA LIFE SUPPORT

6. Consider the possibility of referral
7. Secondary survey (head-to-toe
examination and history takingAMPLE)
8. Supplement to the secondary
survey
9. Monitoring and continuous reevaluation
10. Definitive therapy

PREPARATION
PRE HOSPITAL PHASE

HOSPITAL CARE PHASE

PRIMARY SURVEY
This aspect includes the A-B-C-D-E
Airway and c-spine control
Breathing
Circulation and hemorrhage control
Disability neurological examination
Exposure / environmental control

AIRWAY
MANUVER
HEAD TILT CHIN LIFT
JAW THRUST
SOUNDS
SNORING
STRIDOR
GURGLING
AIRWAY PATENT CONSIDERATION

RESUSCITATION

SECONDARY SURVEY
and enhancements
head to toe
nasogastric tube,urinary catheter
, ECG monitor.
complete blood laboratory ,
blood type-cross match, blood
gas analysis
radiological examinations
DO NOT forget to also examined
continuous monitoring of the
awareness level, vital signs,
pulse oxymetri

CONCLUSION

Both ATLS would also ILCOR 2010,

together with an initial assessment
followed by a primary survey on
every step
ABC paradigm trauma cases
CAB can be applied in cases of
non-traumatic
Both ABC would also CAB, all
stages of resuscitation actually
carried out simultaneously or
concurrently in clinical practice.

REFERENCES
1. The American Heart Association Guidelines.
International Liaison Committee on Resuscitation
2010.
2. Advanced Trauma Life Support Student Course
Manual. American Colleges of SurgeonsCommittee on Trauma 9th ed. , 2012