Karachi: Liaquat National Hospital’s department of skill lab organized a workshop on “latest updates on basic life support and heart-saver courses” at its convention centre on Saturday.
Addressing the workshop, anesthesiologists and medical experts said that chest compressions should be the first step for professional rescuers to revive people suffering from sudden cardiac arrest.
Airway-breathing compressions (A-B-Cs) of cardiopulmonary resuscitation should be changed to compression Airways-Breathing (C-A-B), they emphasized.
Medical director Liaquat National Hospital Dr Salman Faridi said new trends are being introduced in medicine and since the world has become a global village, the access to information is very easy.
Dr SM Nadeem, a consultant anesthetist, Dr Younus Khatri, Prof of anesthesiology at Ziaddin University, and Ahmed Ali, the chief instructor of the Liaquat National’s department of skills lab, gave their presentations.
Medical experts said that for more than 40 years CPR training has been emphasized the A-B-C procedure, which instructed people to open a victim’s airway by tilting their head back and breathing into the victims month, giving chest compressions.
“This approach was causing significant delays in starting chest compressions, which are essential for keeping oxygen-rich blood circulating through the body. Changing the sequence from A-B-C to C-A-B allows rescue to begin compressions right away”, they concluded.
Dr Younus Kehatri presented video clippings on advanced cardiovascular life-support update.
“During CPR, rescuers should give chest compression faster, at a rate of at least 100 times a minute. The rescuers should push deeper on the chest, compressing at least two inches in adults and children and 1.5 inches in infants” he said.
Besides, rescuers should avoid stopping chest compressions and avoid excessive ventilation Dr Khatri added.
Dr SM Nadeem said that “in the first minutes of cardiac arrest, victims will have oxygen remaining in their lungs and bloodstream, so starting CPR with chest compression can pump that blood to the victim’s brain and heart sooner”.
Responding to questions, the experts referring to different studies said that effective teamwork techniques should be learned and practised regularly and professional rescuers should be quantitative waveform capnography ( the monitoring and measuring of carbon-dioxide output) in order to monitor CPR quality. They said that change in the CPR sequence applies to adult, children and infants, but excludes newborns.
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