BLS-AED-

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Slide 1:

Basic Life Support & Automated External Defibrillation Course

OBJECTIVES:

OBJECTIVES At the end of this course participants should be able to demonstrate: How to assess the collapsed victim. How to perform chest compression and rescue breathing. How to operate an automated external defibrillator safely. 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 Early resuscitation and prompt defibrillation (within 1-2 minutes) can result in >60% survival

CHAIN OF SURVIVAL:

CHAIN OF SURVIVAL

Slide 5:

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

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

Slide 14:

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

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

CONTINUE CPR:

CONTINUE CPR 30 2

Slide 20:

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

DEFIBRILLATION:

DEFIBRILLATION

Slide 22:

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

SWITCH ON AED:

SWITCH ON 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 DELIVERED FOLLOW AED INSTRUCTIONS:

SHOCK DELIVERED FOLLOW AED INSTRUCTIONS 30 2

NO SHOCK ADVISED FOLLOW AED INSTRUCTIONS:

NO SHOCK ADVISED FOLLOW AED INSTRUCTIONS 30 2

IF VICTIM STARTS TO BREATHE NORMALLY PLACE IN RECOVERY POSITION:

IF VICTIM STARTS TO BREATHE NORMALLY PLACE IN RECOVERY POSITION

CPR IN CHILDREN:

CPR IN CHILDREN Adult CPR techniques can be used on children Compressions 1/3 of the depth of the chest

Slide 32:

AED IN CHILDREN Age > 8 years use adult AED Age 1-8 years use paediatric pads / settings if available (otherwise use adult mode) Age < 1 year use only if manufacturer instructions indicate it is safe

ANY QUESTIONS?:

ANY QUESTIONS?

Slide 34:

Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths Approach safely Check response Shout for help Open airway Check breathing Call 112 Attach AED Follow voice prompts