心肺复苏AED应用常识

     心(xin)肺复(fu)苏及AED自(zi)动体外除(chu)颤仪要掌握以(yi)下(xia)操作要点：一(yi)(yi)(yi)是(shi)判断意识(shi)：轻拍患者(zhe)双肩、在双耳边呼(hu)(hu)唤。如果(guo)(guo)病人(ren)(ren)清醒，要继续观察，如果(guo)(guo)没有(you)反应则为(wei)(wei)昏迷(mi)，进(jin)(jin)行(xing)下(xia)一(yi)(yi)(yi)个流程。二(er)是(shi)求救(jiu)：明示(shi)身份，高声(sheng)(sheng)呼(hu)(hu)救(jiu)：“快来人(ren)(ren)啊，有(you)人(ren)(ren)晕倒了。”接(jie)着指定人(ren)(ren)员拨打(da)(da)120求救(jiu)，指定人(ren)(ren)员拿取AED自(zi)动体外除(chu)颤仪，寻求现场人(ren)(ren)员帮助，立(li)即(ji)进(jin)(jin)行(xing)心(xin)肺复(fu)苏术。三是(shi)检查及畅通呼(hu)(hu)吸(xi)(xi)道：取出(chu)口内异物，清除(chu)分泌(mi)物。用(yong)(yong)一(yi)(yi)(yi)手(shou)推前额(e)使头(tou)部(bu)尽量后仰，同时(shi)另一(yi)(yi)(yi)手(shou)将(jiang)下(xia)颏(ke)(ke)向上(shang)(shang)方(fang)抬起(qi)(qi)。四(si)是(shi)人(ren)(ren)工(gong)呼(hu)(hu)吸(xi)(xi)：判断是(shi)否有(you)呼(hu)(hu)吸(xi)(xi)：一(yi)(yi)(yi)看二(er)听(ting)三感(gan)觉（维持(chi)呼(hu)(hu)吸(xi)(xi)道打(da)(da)开的姿势，将(jiang)耳部(bu)放在病人(ren)(ren)口鼻(bi)处(chu)），一(yi)(yi)(yi)看：患者(zhe)胸(xiong)(xiong)(xiong)部(bu)有(you)无(wu)起(qi)(qi)伏；二(er)听(ting):有(you)无(wu)呼(hu)(hu)吸(xi)(xi)声(sheng)(sheng)音；三感(gan)觉：用(yong)(yong)脸颊(jia)接(jie)近患者(zhe)口鼻(bi)，感(gan)觉有(you)无(wu)呼(hu)(hu)出(chu)气流。如果(guo)(guo)无(wu)呼(hu)(hu)吸(xi)(xi)，应立(li)即(ji)给予人(ren)(ren)工(gong)呼(hu)(hu)吸(xi)(xi)2次，保(bao)持(chi)压(ya)额(e)抬颏(ke)(ke)手(shou)法(fa)，用(yong)(yong)压(ya)住额(e)头(tou)的手(shou)以(yi)拇指食指捏住患者(zhe)鼻(bi)孔，张口罩紧患者(zhe)口唇吹气，同时(shi)用(yong)(yong)眼角(jiao)注视患者(zhe)的胸(xiong)(xiong)(xiong)廓，胸(xiong)(xiong)(xiong)廓膨起(qi)(qi)为(wei)(wei)有(you)效。待胸(xiong)(xiong)(xiong)廓下(xia)降，吹第二(er)口气。五是(shi)胸(xiong)(xiong)(xiong)外心(xin)脏按压(ya)：心(xin)脏按压(ya)部(bu)位——胸(xiong)(xiong)(xiong)骨下(xia)半部(bu)，胸(xiong)(xiong)(xiong)部(bu)正(zheng)中央，两(liang)乳头(tou)连线中点。双肩前倾在患者(zhe)胸(xiong)(xiong)(xiong)部(bu)正(zheng)上(shang)(shang)方(fang)，腰(yao)挺(ting)直，以(yi)臀部(bu)为(wei)(wei)轴，用(yong)(yong)整个上(shang)(shang)半身的重量垂(chui)直下(xia)压(ya)，双手(shou)掌根重叠，手(shou)指互(hu)扣翘起(qi)(qi)，以(yi)掌根按压(ya)，手(shou)臂要挺(ting)直，胳膊肘不能打(da)(da)弯。一(yi)(yi)(yi)般来说(shuo)，心(xin)脏按压(ya)与人(ren)(ren)工(gong)呼(hu)(hu)吸(xi)(xi)比例(li)为(wei)(wei)30:2。

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