BLS JUL 2007

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Presentation Transcript

Slide 1: 

ADULT BASIC LIFE SUPPORT (BLS)

OBJECTIVES : 

OBJECTIVES Students should be able to demonstrate: How to assess the collapsed victim How to perform chest compression and rescue breathing How to place an unconscious breathing victim in the recovery position.

BACKGROUND : 

BACKGROUND Approximately 700,000 cardiac arrests per year in Europe Survival to hospital discharge presently approximately 5-10% Bystander CPR vital intervention before arrival of emergency services – double or triple survival from SCA (sudden cardiac arrest) Early resuscitation and prompt defibrillation (within 1-2 minutes) can result in >60% survival

CHAIN OF SURVIVAL : 

CHAIN OF SURVIVAL

BASIC LIFE SUPPORT : 

BASIC LIFE SUPPORT SEQUENCES OF PROCEDURES PERFORMED TO RESTORE THE CIRCULATION OF OXYGENATED BLOOD AFTER A SUDDEN PULMONARY AND/OR CARDIAC ARREST CHEST COMPRESSIONS AND PULMONARY VENTILATION PERFORMED BY ANYONE WHO KNOWS HOW TO DO IT, ANYWHERE, IMMEDIATELY, WITHOUT ANY OTHER EQUIPMENT Protective devices

Slide 6: 

Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths

APPROACH SAFELY! : 

APPROACH SAFELY! Scene Rescuer Victim Bystanders Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths

CHECK RESPONSE : 

CHECK RESPONSE Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths

CHECK RESPONSE : 

Shake shoulders gently Ask “Are you all right?” If he responds Leave as you find him. Find out what is wrong. Reassess regularly. CHECK RESPONSE

SHOUT FOR HELP : 

SHOUT FOR HELP Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths

OPEN AIRWAY : 

OPEN AIRWAY Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths

OPEN AIRWAY : 

OPEN AIRWAY Head tilt and chin lift - lay rescuers - non-healthcare rescuers No need for finger sweep unless solid material can be seen in the airway

OPEN AIRWAY : 

OPEN AIRWAY Head tilt, chin lift + jaw thrust - healthcare professionals

CHECK BREATHING : 

CHECK BREATHING Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths

CHECK BREATHING : 

CHECK BREATHING Look, listen and feel for NORMAL breathing Do not confuse agonal breathing with NORMAL breathing

AGONAL BREATHING : 

AGONAL BREATHING Occurs shortly after the heart stops in up to 40% of cardiac arrests Described as barely, heavy, noisy or gasping breathing Recognise as a sign of cardiac arrest Erroneous information can result in withholding CPR from cardiac arrest victim

Slide 17: 

Approach safely Check response Shout for help Open airway Check breathing Call 155 / 112 30 chest compressions 2 rescue breaths

FOREIGN-BODY AIRWAY OBSTRUCTION (FBAO) : 

FOREIGN-BODY AIRWAY OBSTRUCTION (FBAO) Approximately 16 000 adults and children receive treatment for FBAO in the UK yearly

ADULT FBAO TREATMENT : 

ADULT FBAO TREATMENT

BACK BLOWS : 

BACK BLOWS

ABDOMINAL THRUSTS : 

ABDOMINAL THRUSTS

30 CHEST COMPRESSIONS : 

30 CHEST COMPRESSIONS Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths

CHEST COMPRESSIONS : 

Place the heel of one hand in the centre of the chest Place other hand on top Interlock fingers Compress the chest Rate 100 min-1 Depth 4-5 cm Equal compression : relaxation When possible change CPR operator every 2 min CHEST COMPRESSIONS

RESCUE BREATHS : 

RESCUE BREATHS Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths

RESCUE BREATHS : 

RESCUE BREATHS Pinch the nose Take a normal breath Place lips over mouth Blow until the chest rises Take about 1 second Allow chest to fall Repeat

RESCUE BREATHS : 

RESCUE BREATHS RECOMMENDATIONS: - Tidal volume 500 – 600 ml - Respiratory rate give each breaths over about 1s with enough volume to make the victim’s chest rise - Chest-compression-only continuously at a rate of 100 min

CONTINUE CPR : 

CONTINUE CPR 30 2

Slide 28: 

Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths

DEFIBRILLATION : 

DEFIBRILLATION

Slide 30: 

Call 112 Approach safely Check response Shout for help Open airway Check breathing Attach AED Follow voice prompts

AUTOMATED EXTERNAL DEFIBRILLATOR (AED) : 

AUTOMATED EXTERNAL DEFIBRILLATOR (AED) Some AEDs will automatically switch themselves on when the lid is opened

ATTACH PADS TO CASUALTY’S BARE CHEST : 

ATTACH PADS TO CASUALTY’S BARE CHEST

ANALYSING RHYTHM DO NOT TOUCH VICTIM : 

ANALYSING RHYTHM DO NOT TOUCH VICTIM

SHOCK INDICATED : 

SHOCK INDICATED Stand clear Deliver shock

SHOCK DELIVEREDFOLLOW AED INSTRUCTIONS : 

SHOCK DELIVEREDFOLLOW AED INSTRUCTIONS 30 2

NO SHOCK ADVISEDFOLLOW AED INSTRUCTIONS : 

NO SHOCK ADVISEDFOLLOW AED INSTRUCTIONS 30 2

IF VICTIM STARTS TO BREATHE NORMALLY PLACE IN RECOVERY POSITION : 

IF VICTIM STARTS TO BREATHE NORMALLY PLACE IN RECOVERY POSITION

Slide 39: 

Approach safely Check response Shout for help Open airway Check breathing Call Emergency System 30 chest compressions 2 rescue breaths Approach safely Check response Shout for help Open airway Check breathing Call Emergency System Attach AED Follow voice prompts

CONTINUE RESUSCITATION UNTIL : 

CONTINUE RESUSCITATION UNTIL Qualified help arrives and takes over The victim starts breathing normally Rescuer becomes exhausted

REPETITION : 

REPETITION 1. Name adult basic life support sequences of actions. 2. What is the manoeuvre for keeping the airway open called? 3. What is the numeral combination of chest compression and rescue breaths in adult basic life support? 4. Where do you place your hands while performing chest compressions? 5. How would you describe „agonal breathing“? 6. What is the telephone number of emergency response system? 7. Name 2 techniques applied in severe airway obstruction?

Slide 42: 

THANK YOU Consultations: Monday 3.30 – 4.00pm