Trolley Emergency

Each health workers especially nurses in hospitals to understand and know about basic life support and advanced life support. Basic life support includes assessment of symptoms and signs of sudden cardiac arrest, heart attack, stroke and airway obstruction by foreign body, with cardiac pulmonary resuscitation (CPR) and automated external defibrillators defribilasi with (AED).
There are 4 pieces of the circle in a floor (the "Chain of Survival") to illustrate the action helper with sudden cardiac arrest with ventricular fibrillation / asphyxia. When stroke patients arrive at hospital emergency room, initial treatment should be started within 10 minutes, the CT scan must be done within 25 minutes and fibrolitik therapy was started within 60 minutes after arriving in the emergency room and within 3 hours of onset of symptoms.
The Chain Of Survival consists of:
1. Early Access
Quickly identify objec emergency and activate the emergency system (by calling someone untukmenolong)
2. Early CPR
Quickly perform CPR (CPR continue to be done until other rescuers arrived)
3. Early Defibrilation
Quickly perform defibrillation, CPR with defibrillation within 3-5 minutes early, can increase the success rate between 49% - 75%.
4. Early ACLS
Sooner done advanced life support followed by post-resuscitation aid.

LID REBREATHING

INTERFACE WITH BAG LID REBREATHING
- Provide O2 with a flow of 8-12 L / min with a concentration of 40-60%
- Design rebreathing face shield similar to a simple face shield, with the addition of O2 reservoir bag

-Air inspiration partly mixed with air expression, 1 / 3 part ekshalasi volume into the bag, 2 / 3 part ekshalasi volume through the holes on the side
ADVANTAGES:
Saving Oxygen ekshalasi of anatomic dead space
LOSSES:
- Flow rate is not fit to lead back to CO2 inhalation
- Patients are not free to eat, drink, or cough
DANGER:
- There was an aspiration if vomiting
- Emphysema subcutaneous tissue into the eye at high O2 flow
- Necrosis due to mounting face that is too tight lid
MAINTENANCE:
- Advance the patient is cleaned and dried every 2 hours
- Fume face replaced / cleaned every 8 hours
- If there is water in the bag, it must be emptied
How to Install
- Explain the procedure in patients
- Connect the hose O2 on humidifier with low flow
- The contents of O2 into the bag by closing the hole between the pouch with a lid
- Adjust straps so that the lid closes tightly and comfortably, if necessary, wear gauze pads in a depressed area
- Adjust the flow of O2 so that the bag will be filled in expiratory time and inspiration time nearly bud