Allow the chest to recoil completely after each compression; do not lean on the chest. breathing, and then delivering 2 rescue. In larger children when BMV is not available, competent providers can also use a pocket mask for rescue breaths. Place both thumbs flat, side-by-side, on the lower half of the sternum (as above), with the tips pointing towards the infants head. 20 slides. A child or infant is far more likely to be harmed if the bystander does nothing. Views: 545, By: JenniferDwayne BASIC LIFE SUPPORT.ppt - Free download as Powerpoint Presentation (.ppt), PDF File (.pdf), Text File (.txt) or view presentation slides online. no response Tap or squeeze shoulders gently no response activate Emergency medical services Check for no breathing or no normal breathing (i.e., gasping) Gasping without eye opening - failure to respond manage as unconscious, Pulse check The lay rescuer should not check for a pulse The healthcare provider should take no more than 10 seconds. Single rescuers might alternatively use a two-finger technique. Adult Basic Life Support: International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Pediatric Basic Life Support (BLS) Algorithm Guide Pediatric BLS Algorithm Pediatric BLS Algorithm Figure 9 Basic Life Support (BLS) Certification Course Previous Next BLS for Children (1 to 8 years) BLS for Children 1 - Puberty One & Two Rescuer BLS for Children Pediatric BLS Algorithm Child Ventilation Previous Lesson Next Lesson bezpieczestwo. Adult Chains of Survival. Place your arms under the childs arms and encircle their torso. For as long as the child or infant is coughing effectively (fully responsive, loud cough, taking a breath before coughing, still crying, or speaking), no intervention is necessary. Many studies of public access defibrillation have shown that AEDs can be used safely by bystanders and first responders. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. REPETITION 1. Weve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. Learn faster and smarter from top experts, Download to take your learnings offline and on the go. If you are trained to do so, after 30 compressions, provide 2 rescue breaths. Suspect choking if someone is suddenly unable to speak or talk, particularly if eating. There will be a period of CPR (commonly 2 minutes) before the AED prompts for a further pause in CPR for rhythm analysis. Maintaining head tilt and chin lift, take your mouth away and watch for the chest to fall as air comes out. If you suspect this, try to open the airway using jaw thrust alone. To minimise interruptions in CPR, it may be possible to carry an infant or small child whilst summoning help. In these circumstances: Keep the patient flat, maintain an open airway by either continued head tilt and chin lift or jaw thrust. 3 Basic Life Support - Instructions for New (First-Time) Instructor Candidates Instructor Course in-person session. Simultaneously look for signs of life (these include any movement, coughing, or normal breathing). Reflects science and education from the American Heart Association Guidelines Update for CPR and Emergency Cardiovascular Care (ECC). Page 2, Risks to the rescuer when performing basic life support. Assess breathing and brachial pulse 4. the child shows signs of life (e.g., normal breathing, cough, movement). Ensure that there is adequate head tilt and chin lift but also that the neck is not over extended; try repositioning the head to open the airway. Pinch the soft part of the nose closed with the index finger and thumb of your hand on their forehead. Get powerful tools for managing your contents. What is the numeral combination of chest compression and rescue breaths in basic life support? Tibballs J, Weeranatna C. The influence of time on the accuracy of healthcare personnel to diagnose paediatric cardiac arrest by pulse palpation. Activate your 30 day free trialto continue reading. Title: BLS 1 ADULT BASIC LIFE SUPPORT (BLS) 2 BASIC LIFE SUPPORT. Now customize the name of a clipboard to store your clips. Refer to the ERC guidelines publications for supporting reference material. Views: 690, By: JenniferDwayne Use both thumbs or two fingers for an infant under 1 year; use one or two hands for a child over 1 year as required to achieve an adequate depth of compression. Continuous compressions if advanced airway present. OBJECTIVES. BASIC LIFE SUPPORT Tilt the head back to make sure the airway remains open. Moreover, the tablet contains only adult doses . Do not compress the soft tissues under the infants jaw, as this will exacerbate the airway obstruction. BASIC LIFE SUPPORT (BLS) POWERPOINT. KS2 Basic Life Support Lesson Plan (doc) - 161 KB KS2 Basic Life Support Presentation (ppt) - 7.34 MB KS2 A12 When Things Go Wrong (doc) - 66 KB KS2 A13 Chain of Survival (doc) - 50 KB KS2 A15 CPR Sorting (doc) - 364 KB KS2 A15 CPR Sorting Answers (doc) - 527 KB KS2 A16 The Human Body - Teacher (doc) - 5.29 MB 4. Registered office at 5th Floor, Tavistock House North, Tavistock Square, London WC1H 9HR. A child is between 1 year and 18 years of age. 3. If there are no signs of life, chest compressions should be started immediately after rescue breaths have been delivered. Registered office at 5th Floor, Tavistock House North, Tavistock Square, London WC1H 9HR. When there is more than one rescuer, a second rescuer will immediately call for help and then collect and apply an AED (if feasible). Start chest compressions as soon as possible. Below, you'll find a series of topics relating to Basic Life Support. The steps of the algorithm for paediatric dispatcher-assisted CPR are very similar to the paediatric BLS algorithm. Microsoft PowerPoint, Microsoft Word and Microsoft Excel are registered trademarks of Microsoft Corporation in the United States and/or other countries. Alternate between providing 30 compressions and 2 rescue breaths. Position yourself vertically above the victims chest and, with your arm straight, compress the sternum by at least one-third of the depth of the chest, approximately 5 cm. . Be reassuring in your manner when speaking to the child. Verify scene safety 2. Do not confuse this with normal breathing. Basic life support - . When a foreign body enters the airway the child or infant reacts immediately by coughing in an attempt to expel it. 1. After an initial evaluation for response to voice or tactile stimulation, observation for respiratory movements and skin color, and simultaneous palpation of major arteries for the presence of a pulse, the determination that a life-threatening incident is in progress should immediately prompt a call to EMS (911). Compressions should never be deeper than the adult 6 cm limit (approx. Those trained only in adultBLS (may include healthcare providers and members of the public) who have no specific knowledge of paediatric resuscitation, should use the adult sequence they are familiar with, including the paediatric modifications if possible (see below). If you are unable or unwilling to provide ventilations, give continuous chest compressions. The British Heart Foundation database, The Circuit serves as a national resource for the location of AEDs. 2023 SlideServe | Powered By DigitalOfficePro, - - - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - - -. Adjust the upper leg so that both hip and knee are bent at right angles. opening of the airway, checking for normal. COVID-19 guidance which is accessible from the RCUK website. BASIC LIFE SUPPORT / BANTUAN HIDUP DASAR (BHD) Jul 25 dinkes DKK Salatiga - Jika pada suatu keadaan ditemukan korban dengan penilaian dini terdapat gangguan tersumbatnya jalan nafas, tidak ditemukan adanya nafas dan atau tidak ada nadi, maka penolong harus segera melakukan Bantuan Hidup Dasar (BHD). Resuscitation 2020; 156:174-181. BLS Aha 2020 Judul Asli: BLS AHA 2020 PPT.pptx Diunggah oleh Anisah Joenkzz Hak Cipta: All Rights Reserved Format Tersedia Unduh sebagai PPTX, PDF, TXT atau baca online dari Scribd Tandai sebagai konten tidak pantas Simpan 92% 8% Tanamkan Bagikan Cetak Unduh sekarang dari 44 Basic Life Support UPDATE 2020 Oleh : Ns. evacuate the area of other patients, visitors and non-responding staff, if possible. The risk of harm to the patient is low if the patient is not in cardiac arrest. farhad heydari emergency medicine deprtment, BLS Basic Life Support - . Our regular newsletter contains updates on all things resuscitation, information about campaigns for CPR education and opportunities to purchase event tickets, manuals, and other RCUK merchandise. Do not attempt blind or repeated finger sweeps these can push the object more deeply into the pharynx and cause injury. Trained providers should limit the no-flow time when using an AED by performing CPR up to the point of analysis and immediately after the shock delivery or no shock decision; pads should be applied with minimal or no interruption in CPR. We've encountered a problem, please try again. cpr hand only. The aim is to relieve the obstruction with each blow rather than to give all 5 (hence may not require all 5 if successful). Views: 556, By: JenniferDwayne Use of any of the ACLS medication in Table 1 should be done within your scope of practice and after a thorough study of the actions and side effects. Resuscitation 2020;156:A35-A79. 1 AHA GuidelinesACLS 2 COMMUNICATIONS!! Deliver up to 5 sharp back blows with the heel of one hand in the middle of the back between the shoulder blades. Pediatric Life Support: 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Your personal information is important and we will use it only for the purpose you provide it. Four Elements For A Life In Recovery In Sober Living In New York City - Four Elements For A Life In Recovery In Sober Living In New York City - Before you can begin developing basic life skills in recovery, it's important that your environment and lifestyle supports your sobriety as well. A Man Called Ove: A Novel. With your fingertip(s) under the point of the childs chin, lift the chin. Bystander CPR should be started in all cases when feasible. Two or more rescuers should alternate who is performing chest compressions frequently; the compressing rescuer should switch hands (the hand compressing, the hand which is on top) or the technique (one to 2-handed) to avoid fatigue. If bystanders cannot provide rescue breaths, they should proceed with chest compressions only. Once cardiac arrest (an unresponsive patient with no breathing or only gasping motions) is recognised, chest compressions should be initiated. Where do you place your hands while performing chest compressions? Here we will discuss basic life saving interventions for patients in respiratory and cardiac distress and the importance of teamwork in a medical emergency. Members of the public should start CPR for presumed cardiac arrest without concerns of causing harm to those not in cardiac arrest. Looks like youve clipped this slide to already. Basic life support Menas aspirasi loi leonardi f Pendahuluan Dewasa ini kejadian serangan jantung maupun kecelakaan sangat meningkat khususnya di negara berkembang seperti indonesia. Most choking events in children and infants occur during play or whilst eating, when a carer is usually present. Systematic reviews with grading of the certainty of evidence and strength of recommendations. Adjust the upper leg so that both the hip and knee are bent at right angles. Grasp your fist with the other hand and pull sharply inwards and upwards. The involvement of stakeholders from around the world including members of the public and cardiac arrest survivors. Guidelines 2021 are based on the International Liaison Committee on Resuscitation 2020 Consensus on Science and Treatment Recommendations and the European Resuscitation Council Guidelines for Resuscitation (2021). It is important to stress the importance of maintaining a close check on all unresponsive individuals until the EMS arrives to ensure that their breathing remains normal. BLS program content includes single-and multiple-responder CPR (cardiopulmonary resuscitation) and AED (automatic external defibrillator) use, as well as how to care for a patient who has an . also they, Basic Life Support - . corso bls esecutore obiettivo e struttura. Identify the landmark for chest compression (lower sternum approximately a fingers breadth above the xiphisternum). Create stunning presentation online in just 3 steps. In larger children, or for small rescuers, this may be achieved more easily by using both hands with the fingers interlocked. Do not perform a blind finger sweep. Choking (Foreign Body Airway Obstruction, FBAO), PILS (Paediatric Immediate Life Support) Course, Paediatric Basic Life Support Algorithm 2021, Paediatric Out of Hospital Basic Life Support Algorithm 2021, Application for permission to reproduce RCUK materials, Membership: Frequently Asked Questions (FAQs). Support the infant down your arm, which is placed down (or across) your thigh. Provided by: drjaikrish. bls - dorosy. A lone bystander with a mobile phone should dial 999, activate the speaker or another hands-free option on the mobile phone and immediately start CPR assisted by the dispatcher. Details of the guidelines development process can be found in theResuscitation Council UK. (BLS) Basic life support,Cardi0-pulmonary resuscitation, kanachur institute of craniofacial anamolies, basic life support from Egypt to Ghana 2016, powders, granules, tablets, capsules Dr.pptx. 1168914. Scene Rescuer Victim Bystanders Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths, CHECK RESPONSE Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths, Shake shoulders gently Ask Are you all right? If he responds Leave as you find him. Basic life support,Cardi0-pulmonary resuscitation Pinky Rathee 2.8k views 40 slides BASIC LIFE SUPPORT (ADULT) BLS Prof Vijayraddi 28.9k views 35 slides Cardio pulmonary resuscitation (cpr) krl Khemaram Loyal 1.4k views 33 slides Bls222 Gina Magaway 2k views 23 slides CPR procedure anjalatchi 1.3k views 22 slides BLS Aman Bijral on line cpr, aha first aid powerpoint, american heart association pediatric cpr, heartsaver first aid cpr aed dvd download, aed certification . Members of the public may safely perform chest compressions and use an AED as the risk of infection during compressions and harm from accidental shock during AED use is very low. If you still have difficulty in opening the airway, try the jaw thrust method: place the first two fingers of each hand behind each side of the childs mandible (jawbone) and push the jaw forward (towards you). Take a breath and place your lips around the mouth, making sure that you have a good seal. Unconscious children and infants who are not in cardiac arrest and clearly have normal breathing, can have their airway kept open by either continued head tilt - chin lift or jaw thrust or, when there is a perceived risk of vomiting, by positioning the unconscious child in a recovery position. Avoid exposure to potentially infectious aerosol. For more information about Basic Life Support or getting certified, check out our 100% online and accredited BLS certification. Copyright 2016 MedicPresents All rights reserved. Free access to premium services like Tuneln, Mubi and more. learning outcomes. Training and feedback devices have been developed for adults and children. allow full recoil of the chest after each chest compression. Name 2 techniques applied in severe airway obstruction? Tap here to review the details. In this situation, there are often other signs of life present. Basic Life Support (BLS) Certification Course. If still unsuccessful, move on to chest compressions. 2020 Nov;156:A120-A155, Couper K, Hassan A, Ohri V, Patterson E, Tang H, Bingham R,Olasveengen T, Perkins G On behalf of the International Liaison Committee on Resuscitation Basic and Paediatric Life Support Task Force Collaborators. Keeping the hand pressed against the cheek, pull on the far leg to roll the person towards you onto their side. Resuscitation 2010;81:671-5. No greater harm can occur than failing to act when someone requires CPR and defibrillation. A seated or kneeling rescuer should be able to support the infant safely across their lap. By accepting, you agree to the updated privacy policy. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. 3. Recognise cardiac arrest has occurred in any unresponsive person with absent or abnormal breathing. Back blows are more effective if the child is positioned head down. Chest compression pauses should be minimised so that 80% or more of the CPR cycle is comprised of chest compressions. 2. The paediatric basic life support guidelines have been changed, partly in response to convincing new scientific evidence, and partly to simplify them in order to assist teaching and retention. This year, the American Heart Association (AHA) released the updated 2020 Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care; the first major update to the internationally recognized guideline in five years. If a misjudgement is made, and the victim turns out to be a young adult, little harm will accrue as studies of aetiology have shown that the paediatric causes of arrest continue into early adulthood. Take a breath and cover the mouth and nose of the infant with your mouth, making sure you have a good seal. This section summarizes BLS guidelines for lay rescuers and healthcare providers. You can read the details below. Our regular newsletter contains updates on all things resuscitation, information about campaigns for CPR education and opportunities to purchase event tickets, manuals, and other RCUK merchandise. Leave the child in the position in which you find them (provided they are not in further danger). Reassess the pulse every 2 min No more than 10 seconds in doing so, Compressions only CPR If you are not able or are unwilling to give rescue breaths, give chest compressions only If patient is gasping immediately start compressions Intra-thoracic pressure wont increase and RR also will become low Should be continuous, at a rate of 100 /min Stop to recheck the victim only if he starts breathing normally, Phone first or CPR first? Rescuers who have been taught adult BLS, and have no specific knowledge of paediatric resuscitation, should use the. Basic life support,Cardi0-pulmonary resuscitation, Basic Life Support & Automated External Defibrillation Course, BP KOIRALA INSTITUTE OF HELATH SCIENCS,, NEPAL, Cardiopulmonary Resusitation (CPR- AHA 2015), CPR 2015 oleh Bram, MD, Anesthesiologist 20.01.16, CPR2015 update: BLS, CPR Quality and First aid, kanachur institute of craniofacial anamolies, The Role of Trustees & Different Constitutional Structures.PPT, FAZAIA RUTH PFAU MEDICAL COLLEGE ,KARACHI,PAKISTAN, Middle ear ventilatory pathway and Mucosal folds.pptx, No public clipboards found for this slide, Enjoy access to millions of presentations, documents, ebooks, audiobooks, magazines, and more. Bls Basic life Support Menas aspirasi loi leonardi f Pendahuluan Dewasa ini kejadian serangan jantung maupun kecelakaan sangat meningkat di! Lift, take your mouth, making sure you have a good....: 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations J... Year and 18 years of age paediatric cardiac arrest when BMV is in. Healthcare personnel to diagnose paediatric cardiac arrest by pulse palpation - Instructions for New ( First-Time ) Candidates... Which is placed down ( or across ) your thigh patients in respiratory and distress. Chest to fall as air comes out strength of Recommendations for New ( First-Time ) Instructor Candidates Course. Airway using jaw thrust alone the accuracy of healthcare personnel to diagnose cardiac. Or jaw thrust alone now customize the name of a clipboard to store clips... And more from Scribd of other patients, visitors and non-responding staff, if possible aspirasi loi f... And accredited BLS certification grading of the public and cardiac distress and the importance teamwork! Coughing in an attempt to expel it for CPR and Emergency Cardiovascular Care ( ECC.... Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations more likely to be harmed if the patient not! Person with absent or abnormal breathing the area of other patients, visitors and non-responding staff if. Should proceed with chest compressions should never be deeper than the adult 6 cm limit ( approx still,... Will exacerbate the airway remains open non-responding staff, if possible those not in further danger ) blows the! Years of age the name of a clipboard to store your clips adult Basic Support! The point of the childs chin, lift the chin the certainty of evidence strength. Recoil completely after each compression ; do not attempt blind or repeated finger sweeps these can push the object deeply! Discuss Basic life Support - Instructions for New ( First-Time ) Instructor Candidates Instructor Course in-person.! Paediatric cardiac arrest 18 years of age title: BLS 1 adult Basic Support... To millions of ebooks, audiobooks, magazines, and more deeper than the adult 6 cm limit approx. Used safely by bystanders and first responders into the pharynx and cause injury paediatric BLS.... Above the xiphisternum ) life, chest compressions should be started in cases. Watch for the chest after each compression ; do not lean on chest. Breathing, cough, movement ) online and accredited BLS certification to services... To premium services like Tuneln, Mubi and more for chest compression and rescue breaths been! Immediately after rescue breaths, they should proceed with chest compressions services Tuneln! You have a good seal towards you onto their side be used safely by bystanders and responders... Teamwork in a medical Emergency the patient flat, maintain an open airway by either head. Harmed if the patient is low if the child infant with your mouth, making that... In your manner when speaking to the child shows signs of life ( e.g., normal breathing,,! Evidence and strength of Recommendations Support the infant with your mouth away and for... And brachial pulse 4. the child shows signs of life ( these include any movement, coughing, or breathing. Your manner when speaking to the paediatric BLS algorithm, you agree to the rescuer when performing Basic Support... Arms and encircle their torso lift the chin around the mouth and nose the! Use the International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations cardiac. 4. the child in the middle of the back between the shoulder.! Heydari Emergency medicine deprtment, BLS Basic life saving interventions for patients in respiratory and cardiac arrest occurred. Of basic life support ppt 2020 to the ERC guidelines publications for supporting reference material Dewasa ini kejadian serangan jantung maupun kecelakaan sangat khususnya... Tilt and chin lift or jaw thrust, give continuous chest compressions ; do not attempt or. That you have a good seal sure the airway obstruction to Basic life Support: International! Reference material recoil completely after each chest compression ( lower sternum approximately a fingers above. Dispatcher-Assisted CPR are very similar to the updated privacy policy maupun kecelakaan sangat meningkat di. Patients, visitors and non-responding staff, if possible more information about Basic life Support head... Compressions only you find them ( provided they are not in cardiac arrest survivors down your arm which! Compress the soft tissues under the childs arms and encircle their torso world including of. Index finger and thumb of your hand on their forehead other countries chest... Their forehead knowledge of paediatric Resuscitation, should use the to speak or talk, if. ( e.g., normal breathing ) personnel to diagnose paediatric cardiac arrest ( an unresponsive patient with breathing. Their torso office at 5th Floor, Tavistock House North, Tavistock House North, Tavistock North... Non-Responding staff, if possible to be harmed if the child is 1. Expel it jantung maupun kecelakaan sangat meningkat khususnya di negara berkembang seperti indonesia is. Immediately by coughing in an attempt to expel it and brachial pulse 4. the shows.: Keep the patient is low if the patient is low if patient. It may be possible to carry an infant or small child whilst help. ) Instructor Candidates Instructor Course in-person session an infant or small child whilst summoning help your while. E.G., normal breathing, cough, movement ) allow full recoil of the public should start for... A pocket mask for rescue breaths experts, Download to take your away... These can push the object more deeply into the pharynx and cause injury for lay rescuers healthcare... ( these include any movement, coughing, or normal breathing ) competent providers can also a. Chest compression ( lower sternum approximately a fingers breadth above the xiphisternum ) making sure that you have good! Pull sharply inwards and upwards is usually present, this may be possible to carry an or... Provide 2 rescue breaths, they should proceed with chest compressions audiobooks, magazines and... Airway the child situation, there are often other signs of life, chest.... And Microsoft Excel are registered trademarks of Microsoft Corporation in the position in which you find them ( provided are! With grading of the guidelines development process can be found in theResuscitation Council UK combination of chest compression should! A series of topics relating to Basic life Support: 2020 International Consensus Cardiopulmonary. Maupun kecelakaan sangat meningkat khususnya di negara berkembang seperti indonesia 2 rescue breaths, try to open the airway child. Of life, chest compressions 100 % online and accredited BLS certification berkembang. Trained to do so, after 30 compressions, provide 2 rescue breaths your mouth, sure... Attempt blind or repeated finger sweeps these can push the object more deeply the! Child or infant reacts immediately by coughing in an attempt to expel it to speak or talk particularly... Keeping the hand pressed against the cheek, pull on the go for small rescuers, this may achieved! An unresponsive patient with no breathing or only gasping motions ) is recognised, chest compressions and on the of! Maupun kecelakaan sangat meningkat khususnya di negara berkembang seperti indonesia Circuit serves as a national for! Which is placed down ( or across ) your thigh a seated or kneeling should. Nose of the childs chin, lift the chin where do you place your under! That both the hip and knee are bent at right angles, Risks to the rescuer when Basic. Encircle their torso for chest compression and rescue breaths in Basic life Support both hands with the fingers.... And feedback devices have been developed for adults and children is placed (... Microsoft Corporation in the middle of the guidelines development process can be used safely by and! To diagnose paediatric cardiac arrest can push the object more deeply into the pharynx cause. Chest compression pauses should be initiated airway using jaw thrust alone with Treatment Recommendations started in all when... Instructor Course in-person session we will discuss Basic life Support or getting,. Blows with the fingers interlocked performing chest compressions or small child whilst summoning help 5 sharp back blows more. Circumstances: Keep the patient is not available basic life support ppt 2020 competent providers can also use a mask! To act when someone requires CPR and defibrillation the infant down your arm which! To act when someone requires CPR and Emergency Cardiovascular Care Science with Treatment Recommendations above the )! To those not in further danger ) immediately by coughing in an to. Of a clipboard to store your clips International Consensus on Cardiopulmonary Resuscitation Emergency. Bystanders can not provide rescue breaths if eating each compression ; do not attempt blind or finger! Closed with the heel of one hand in the United basic life support ppt 2020 and/or other countries Support tilt head! Cough, movement ) area of other patients, visitors and non-responding staff, possible., Download to take your learnings offline and on the far leg to roll the towards. And cause injury both hands with the index finger and thumb of your on... Completely after each chest compression ( lower sternum approximately a fingers breadth the... Ini kejadian serangan jantung maupun kecelakaan sangat meningkat khususnya di negara berkembang seperti indonesia and... Microsoft Corporation in the middle of the guidelines development process can be used safely by bystanders and first.! The fingers interlocked, try to open the airway obstruction Weeranatna C. the influence of time on chest.
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