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Volledige samenvatting EHBO - Marc Coppens (met lesnotities en afbeeldingen)

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Volledige samenvatting EHBO (bewegen en gezondheid 2) met lesnotities en afbeelding. Prof: Marc Coppens

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Uploaded on
November 17, 2021
Number of pages
86
Written in
2021/2022
Type
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Reanimatie & EHBO
BLS & AED – les 1




• Chain of survival
o vroegtijdig alarmsymptomen herkennen om hartstilstand te vermijden
o vroeg hartstilstand herkennen - starten met CPR -> om circulatie op hang te houden
o automatische defibrillator -> om hart opnieuw te starten
o op intensieve zorgen

Vroegtijdig herkennen van pijn op de borst van cardiale oorsprong
• pijnbeklemming op de borst
o dichtslippen coronaire arteriën (voorzien hart van zuurstof)
• 112
• meerderheid van de gevallen symptomen (alarm)
o 60min voordat hartstilstand voordoet
o angor: pijn op de borst
o dyspnoe: moeilijk ademen
o syncope: bewustzijnsverlies
▪ tijdens inspannen, hartkloppingen
• oudere mensen
o vnm cardiale oorsprong
o jongere bevolking: minder cardiale oorsprong
o kinderen: vooral respiratoir vlak
o cardiaal bij kinderen/jongeren: voetballers met hartproblemen
o kinderen/jongeren: groen: trauma & verkeersaccidenten






, • hartstilstand vroegtijdig herkennen
o zo vroeg mogelijk hartmassage starten

How to recognize cardiac arrest ?
• Start CPR in any unresponsive person with absent or abnormal breathing.
• Slow, laboured breathing (agonal breathing) should be considered a sign of cardiac arrest.
• A short period of seizure-like movements can occur at the start of cardiac arrest. Assess the person after the
seizure has stopped: if unresponsive and with absent or abnormal breathing, start CPR.

• hartstilstand herkennen
o bewusteloos
o ademt niet normaal
o => abnormale ademen bij bewusteloze patiënt

• correcte diagnose
o CPR bij patient die bewusteloos is en abnormaal of niet ademt
o moeilijker verlopen dan normale ademhaling
o stuipen (korte episode stuipachtige trekkingen) => hartstilstand

How to alert the emergency services ?
• Alert the emergency medical services (EMS) immediately if a person is unconscious with absent or abnormal
breathing.
• A lone bystander with a mobile phone should dial the EMS number, activate the speaker or another hands-
free option on the mobile phone and immediately start CPR assisted by the dispatcher.
• If you are a lone rescuer and you have to leave a victim to alert the EMS, activate the EMS first and then start
CPR

• vaststellen hartstilstand
o onmiddellijk starten cpr
o 112: telefonische cpr
▪ onmiddellijk hulpdiensten bellen als patiënt bewusteloos is en niet reageert




• veel mensen beginnen trainen in EHBO

,• AED
o automatische externe defribilatoren






• ventriculaire fibrillatie (VF) behandelen
o ventriculaire tachitacie
▪ niet meer in staat bloed rond te pompen => geen pols meer
o ontstaan ventriculaire defibrillatie




o




o

, • slachtoffer helpen
o eerst denken aan je eigen veiligheid





RESPONSE
• kijken of slachtoffer reageert
o probeer een reactie uit te lokken
AIRWAY
• Open the airway




o
o CPR
▪ 1. Chinlift





▪ 2. Jaw thrust
• Hoofd niet in flexie: luchtweg volledig afsluiten




o

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