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Dr. NICOLETA ZAMFIR

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  BOALA ISCHEMICA CARDIACA-PRIMA CAUZA DE MORTALITATE INEUROPA-40% DIN TOTAL DECESE SUB 75 DE ANI

  FRECVENTA STOPULUI CARDIAC (EUROPA):

!"#00.000 LOC. #0$7% (!$4%-SUA)  SUPRAVIETUIESC#7"#00.000 LOC.(PRIN FV) #$% (%-SUA)

  FIBRILATIA VENTRICULARA:

  5-0% - 5&-'5% (IMEDIAT DUPA PRODUCEREA COLAPSULUI)

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  IN SPITAL

  FRECVENTA:  5"#000 *+r,r-FV"TV-5%  SUPRAVIETUIRE  #7$'% (*,*+ r*/r1+)  FV"TV-7%  AEP$ ,22*1+-##$5%

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CAUZE: - OBSTRUCTIA CAILOR AERIENE :3r2*r,$ *r,/,$ ,,1,6+$ 12*r3*8+(,2*/ r23)$+1,9+$3/r+2+ + 8+3,*,*+

  -LEZIUNI PULMONARE SI ALE CUTIEI TORACICE

  AFECTAREA SNC: AVC$ *63,*$*r,/,$ +*3.

 

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  DEFINITIE:;/,r*+, ,*r,1,$ r,, 2+2*+*,*, 3,r+ ,,r+ r/, r, + 1, +*12/*/+1r + 1 1, +r2,+ 3 1323*+ 2, +323*+.;

  CAUZE:-BOLI CARDIACE    -BOLI PULMONARE    -BOLI E<TRACARDIACE 

  -CAUZE METABOLICE$ TO<ICE$MEDICAMENTOASE.

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  INCIDENTA: -0$#-0$%  CAUZE:- BOALA CORONARIANA ISCHEMICA    -C,r/,* 

  -A/,1 +1+3*r3+ 3,r,3+    -V,181,*    -M3,r*+$ 1 2 ,/,1

3=+*,1+

    -M+3,/+*+  >IDENTIFICAREA PACIENTILOR LA RISC PENTRU

MSC  ICD

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RECUNOASTEREA PERSOANELOR LA RISCPENTRU STOP- SIMPTOME: r+r+ *r,33,    23,    ,1*,*

MONITORIZARE>    2++  RECUNOASTEREA RAPIDA A STOPULUI CARDIAC   TIMPUL IN CARE SE POATE INTERVENI CU

SUCCES 

  -5 MINUTE (2r,8+*r+ ?,r,+3+*+ +r1=3+)  SCR RESUSCITABIL" SCR NERESUSCITABIL  DNR- NU RESUSCITA>

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RISCURI- CARE TIN DE MEDIU-TRAFIC  -ELECTRICITATE  -@AZ  -APA  -OTRAVIREA-ACID CINHIDRIC$ HIDRO@EN SULFURAT

  -INFECTII 2-, r,r*,* 3,9r + 3*,/,r+-VHB$ HIV PROTECTIA INDIVIDUALA LA EFECTUAREA MANEVRELOR

MEDICALE>

 

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  DEFINITIE:**,1*,*+, /,+8r+1r +r+223*,r+ ?,3*+ ?,r, /+3,/+*+$,,r,*+$ 2, 29*8+

  CINE TREBUIE SA FACA BLS

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  SE APRECIAZA : CONSTIENTA    RESPIRATIA  NU SE APRECIAZA CIRCULATIA>

  CONSTIENTr,2+ 1, 2*/1 8+r,1 2 r+r2    + +8+ 2, + ,r+3,*,

r+2r,*,  INCONSTIENT

  RESPIRA NU RESPIRA"RESPIRAANORMAL

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S3*r, 2*r=,

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  C*,r+, 1+91r  S*,1r+, ,=2*31  A3r,r+, r/1 ,G*r

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  S*r=, ,G*r  A+9, 83*/, +3*

r2,1 +1+r,- 31+ ,+r++  V+r3, r+2r,,

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  H+r+6*+2,3,1

  R3,r+,

/,1+  D,3 2+

223+,91+9+ +31,

8+r*+r,13+r83,1:S16,,

/,1+

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  Cr,r+, =*,1 ,3,8* 3,1+

S+ 8, +?+3*,/, +*r +r*,r+,3r1r 2*r219$ 891

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  Pr8 +6,21+*r,3+1

  A231*, 2+*1r+2r,+

  S/ + r,9 ,+r1+6r,*   T,*+ ,3+2*+,

*r++ 2 r+9+ /,/1* + #0 2+3+ 3,r+ J*rK ,3,3+*1 r+2r 2,

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  D,3 2*,, +r/*+$ ,+9, 83*/, *r- 9+ 1,*+r,1 + 2=r,

  S, ,G*r  R++8,1, +r3 2*,r+, ,3+*1

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P9, 1,*+r,1 + 2=r,

F,9, I

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P9, 1,*+r,1 + 2=r,F,9, II

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P9, 1,*+r,1 + 2=r,F,9, III

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P9, 1,*+r,1 + 2=r,F,9, IV

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  S13*, ,G*r 3,13,*  A13, 1 ,1/+ 9, 3+*r,1 ,

*r,3+1 3+,1,1* /K +,2r,  3++ 3/r+21+ *r,33+ 1, ?r+38+

+ #00"/*  D +?+3*,r+, , 0 + 3/r+2

,/2*r, 8+*1,

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A2, + 2*+r:A2*?+1 3K* ,3+2*, 2

3,r+ 5-' 3/R*/: #00 "/*

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C/r+21+

*r,33+

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  P+2, ,21

83*/+   +- r,r3,*

  I2r, ,K3

  3+r3, 2 ,13,3K* /, +*, 9+1++ 3+1+ ,1+ 83*/+

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  E6r, 3* (#2+3) =r,83*/+

  V+r3, ,3 2+r3 +*1

  P2*r,- r,

r3,*  V+r3, /3r1+

*r,3+1

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V+r3,r+, r+8+r *r,3+1

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R+223*,r+ 3,r1/,r+?+3*,* + 2=r

+r2,

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  0 3/r+2 : 8+*1,

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  A*3 3, 2* ?3*+ 3r+3*$3/r+21+ *r,33+ ,2=r +r?9+3r,r, 2 3+r+r,1 + 0%

r/,1.

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I'

D,3, ,3+*1 ,r+ 2, r+9*+ 2+/+ +8,*,$ 2, ,3, +62*, 8r+ $ 2+ 3++ RCP/+,*.

 C/r+21+ 2*+r,1+ +?+3*,*+ + ,3+* ,3,r /, 3, ,*+ +2*+ * r,1 2,r3, +?+3*+ 38+.

P+ + ,1*, ,r*+$ *,r9+r+, ,=2*312*1 3,r,3 2 , 3++r RCP 8r ,8+, +?+3*+=,*8 2=r ,2r, 2r,8+*r 2 +3$ *r+++8*,*+.

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  R+223*,r+, + ,9 8, *r+r*

+*r r++8,1,r+, 83*/+ numai ,3 ,3+,2*, 8, r+9+*, r+2r,r/,1+.

 

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  CK 2,18,*r1 r+*+ 2, +2*+ /21*,*++ , ,/2*r, 8+*1, =r-1,-=r

  C/r+21+ 8r ,13,*+ ?r *r+r+r+ 3 ?r+38+ + #00"/*

  Or3+ r+223*,r+ + /, , +3,* 3 r+223*,r+>

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  S2+*+ ,G*r1 3,13,* r+,/,+8r+1+ + r+223*,r+

  V3*/, ,r+ 2+/+ 8*,1+  S,18,*r1 2+ +9+,9

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Obstrucţia căiloraeriene superioare

 5 18*r *+r23,1,r+ S+ 8, 8+r3, +r+,

+92*r3+ +3,  18*r D,3 2-, *+92*r3, r 18*r

  *+r23,1,r+ 8r +?+3*  5 3/r+2 ,/,1

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C/r+2,/,1+

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Pacient inconştient?

E1+r,r+, 31r ,+r++N r+2r r/,1

RCP 30 : 2P,, 1, 22r+, +r1,*r1

E8,1,r+,

R*/1

Se indicăşoc

Nu se

indicăşocD+r1, o

singură dată#50 00

?,93'0

/?,93RCP /

0 :

lgoritmul!"

S13*, ,G*r

RCP /0 :

PK 1, r+1,r+,r+2r,1r r/,1+

 Tr/*+ +r1,*r 2+/,*/

S13*, ,G*r r ##

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S +1+=+/:  C+ +2*+ +r1,r+,  I3,1+ +r1r  C/ 2+ ,13 3 + 2=r,3r1+$ ?12:

  +r1,*r /,,1   +r1,*r 2+/,*/,* +6*+r

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  D++3+*,r+, r1,+ 2, rr+, FV"TV 1, 5 2+3+

+ 1, ,13,r+, 31;  C+, /, /,r+ ,r*+ , /3,r1 +1,r9,*  C*r11 r+1,* + 3*r+ ,3+/,Q+r-1

,*r,1

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Succesul depinde detransmiterea curentului lamiocard 

U, +1+3*r3 ++ +:   P9, +1+3*r91r   I/+,, *r,2*r,33 

 E+r=, *r,2/2   D/+21+ *r1 83*/+

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D++ +:  Mr/+, +1+3*r91r 

C*,3*1 +1+3*r - *+=/+*  Pr+2+, 3*1 + 3*,3*  F,9, r+2r,+

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  C/+*+ Sr2, + ++r=+ C+2,*r E1+3*r9

  M+1+ M,,1 A*/,* C /?,93 2, ?,93

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M?,93+ B?,93+

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  N+3+2* /, ++r=+ +*r+r1,r+ , 3+2,*,r+ ,*+r /, /3 2* /, ,r+ /, 3/ +

*r,2r*,*  3r1+ ?,93+ 00 , r,* /,

/,r+ + 233+2 38+r2, FV"TV+3K* 3r1+ /?,93+ 3 00

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  P+r2,11 /+3,1 3 2,r3, + ,r,3*3, RCP *r++ 2*r*$ +3J,* ,*r9,* 2 +?+3*+9+ +r1,r+,;

 

I*+r8,11 *r+ 31,2 ,13,r+,31 *r++ 2 + /, /3 + /*+  *,*+ 2+3*,r+1+ 2*,11;

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  A,19+,9 r*/13,r,3

  Pr+=*+23 ,13,r+,31

  A 2+33*,*++*rr+3,*+r+,r*/1 3+ 2+r+*+,9 +*r+r1,r+$ + K1, #00%

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A8,*,G+:  N+3+2* /, r+=*r+

+2*+ +3+2,r *+rr+*,r+, EC@  C8+,1+ +*r +r1,r+, +

r/-,G*r; 

Pr=r,/+ + +r1,r+ +*r 13

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S+ ,13 +1+3*r9,+98  S+ r/r+23

2*r31+ ,-8+

  S+ ?,3+ ,,19, EC@,*/,*  S+ 3,r3 ,*/,*

,3 r*/1 3,r,3 2+r+*+,9 1, +r1,r+

  "- *r+3+r+ + /1/,,1

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  R"!#C"R" P#$"%PR"&SOC

-P,9, *r+ rr+, 3/r+21r *r,33+ 2,/2*r,r+, 231 (,9, r+-23) *r++//,19,*

-3J,r 2 *,r9+r+ + 5-#0 2+3+ 8, 23+,2,2, r+2*+ 231. - P,9,  pre-soc poate fi usor redusă la mai pu*in de 5 secunde prin

continuarea compresiilor toracice pe +r,, 3,r+

+r1,*r1 2+ 3,r3.

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  E1+3*r9 2+ 8r plasa la distan*ă de aceste

dispozitive (la cel pu*in 8 cm)sau se va folosi o pozi*ionare 

,1*+r,*8 , +1+3*91r (,*+r-1,*+r,12, ,*+r-2*+rr)

E8,1, 83*/,

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r*311 BLS

BLS

D,3 DEA +2*+ 21 /+,*

C/*, +r1,*r1 + ONA*,, +1+3*r9Ur/, 2*r31+ 8+r,1+"89,1+

ANALIZ

S+ r+3/,

3r1+

N 2+ r+3/,

3r1+# 23#50-'0 ?,93

'0 /?,93

D,3 +62*3r31,+

RCP 0: /*+

A1=r*/

DEA

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I/13$ ,r*+,+r,*r1:

  I+*3,r+, r*/1

EC@  3r3,r+, ,,r,*1

,13,r+, 3r1r 

P,*+ ?12* +*r3,r8+r2, 23r

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  N + 3,* ,/+1+ ,+1+ ,3++, /K

  3r3, ,+1+1+ /,

,13,r+, 1r + *r,3+1+ 83*/+  E8*, 3*,31 r+3* 2, r+3*  *+r=+ *,*+ r/+1+ + 13J+ +

+ *r,3+1+ ,3+*1  +r*, 2r2+1+ + 6=+

9, +r1r (# /+*r)

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  Pr/1$ r+3/ 2 r/,*,r+1+ 23r/?,93+ 8r + '0   I 3,91 +r1,*,r+1r ?,93+ r/1

23 8, + #50-00 ?3*+ + ,,r,*$

,r r/,*,r+1+ 3 ++r= r=r+28 /,/,r ,, 1, '0   31 8, r/,* /+,* + RCP 0: */

+ /*+$ ?,r, , +8,1, r*/1 2,

121 3+*r,1  D,3 +r1,r+, r+2*,1+*+ 3r31,,

,3+*1 FV"TV ,,r+ $ 3++ 3 ++r=, 3,r+ , ,8* 233+2

,*+rr

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E8,1,r+, r*/1 2+ 8, ?,3+ r,, +3,r+ /*+ + RCP ,r+8,1,r+, 121 3+*r,1 /, 2*,*, ,,r*+ r*/ 3,r+ ,r

*+, 2=+r, r+9+*, 3r31,*+.  D,3, */1 3+1r /. + RCP

,,r+ r*/ 3/,*1 3 r+9+*,3r31,*+$ 2+ 8r *r+r+3/r+21+ *r,33+ +3,* ,3,83*/, ,r+ 2+/+ 8*,1+ r+9+*+

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  FV"TV ,=2*3,*+ EC@ şi  2+/+ + 2*3,r,3

  S+1+3*, 8+11 3r+3* +++r=+

  3r3, ,+1+1+ 3+, ?2* ,13,*+ + *r,3+1+,3+*1

  S*r=, ,*++;  V+r3,r+, 89,1 , 9+  V+r3,r+, /*r1  A13,r+, 31

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 TV ?r 12 2+ *r,*+,9 r+r1,r+ 31,23 ?12

r*311FV

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