- •Criteriа of estimation of carrying out of cpr
- •The technique of record of the electrocardiogram
- •Carrying of cpr in children over 5 years
- •Immobilization of limb injuries
- •Active management of the labor’s afterbirth period
- •The main receptions at a bladder catheterisation (by elastic rubber catheter)
- •Stomach probing
- •Konikotomia
Criteriа of estimation of carrying out of cpr
Task for student: carry out imitation of carrying out of CPR simultaneously describing your actions to examiner aloud
Information for examiner: estimate please student separately by each from enumerated below points by balls
№ |
Criteria of an estimation |
Estimation on points |
||
1 |
To put a patient on back, to take off or unbutton a clothes, by handkerchief or by gauze to clean oral cavity. |
10 |
5 |
0 |
2 |
To stand on right side from patient, to lead right hand under his neck, to put left hand on forehead and maximum to unbend head. |
10 |
5 |
0 |
3 |
By right hand to move jaw forward as lower teeth were infront of upper |
10 |
5 |
0 |
4 |
To press patient’s nose, to make inspiration, to press lips to his lips, twice to blow in patient’s mouth. |
10 |
5 |
0 |
5 |
To put hands on low third part of sternum |
10 |
5 |
0 |
6 |
For increasing pressing on chest to put hands correctly on sternum: hands are put on each other, on dorsal surface of first hand |
10 |
5 |
0 |
7 |
To carry out pressing on sternum by quick push so that it down on 4-6 cm |
10 |
5 |
0 |
8 |
After each push to take off hands from sternum for straightening of the chest. |
10 |
5 |
0 |
9 |
After each 15 pushes of cardiac massage make 2 blowing by methods «mouth – in mouth» or «mouth – in- nose». |
10 |
5 |
0 |
10 |
Frequency of alternation of cycles of pushes of cardiac massage and breathing: if 1 person - 15:2, if 2 persons –5:1. Or each 5 cycles make 1 inspiration by respiratory sac Ambu. To carry out resuscitation until appearance signs of breathing and pulse. Absence of signs of efficacy of cardiac massage in 15 min. might be as basis for stop resuscitation. |
10 |
5 |
0 |
The technique of record of the electrocardiogram
The task for the student: record electrocardiogram simultaneously describe aloud to the examiner that you do.
The information for the examiner: estimate, please, the student separately on each of below resulted items on points.
№ |
Criteria of an estimation |
Estimation on points |
||
1. |
Has correctly arranged the patient (on a back). The patient is undressed up to a belt, shins are released from clothes. Began research from 10-15 minutes of rest and not earlier than in 2 hours after meals. |
10 |
5 |
0 |
2. |
Has correctly arranged electrodes providing good contact of electrodes to skin: |
10 |
5 |
0 |
3. |
А) The right hand - red color. Б) The left hand - yellow color. В) The left leg - green color. Г) The right leg (grounding) - black color. |
20 |
10 |
0 |
4. |
Has correctly arranged electrodes on Wilson: А) V 1 - 4 i/c space by a right edge of sternum Б) V 2 - 4 i/c space by a left edge of sternum В) V 3 - at a level of 4-th rib on left l. parasternalis Г) V 4 - 5 i/c space on left l. clavicularis media Д) V 5 - 5 i/c space on the left l. axillaris Е) V 6-5 i/c space on l. axillaris media |
20 |
10 |
0 |
5. |
Has established speed of record (50 mm/sec or 25 mm/sec). |
10 |
5 |
0 |
6. |
Has lead calibration (standard pressure 1 mV, usually equal 10 mm) |
10 |
5 |
0 |
7.
|
Has lead record all over again in standard leads then in chest leads In each lead has written down not less than 4 cycles PQRST |
10 |
5 |
0
|
8. |
After end of research on a paper tape has written down a surname, name of patient, age, date and time of research. |
10 |
5 |
0 |