The community response to cardiac arrest remains critical to saving lives. Here we will discuss basic life saving interventions for patients in respiratory and cardiac distress and the importance of teamwork in a medical emergency. CHECK RESPONSE, SHOUT FOR HELP Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths, OPEN AIRWAY Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths, 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 Head tilt, chin lift + jaw thrust - healthcare professionals, CHECK BREATHING Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths, CHECK BREATHING Look, listen and feel for NORMAL breathing Do not confuse agonal breathing with NORMAL 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, 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) Approximately 16 000 mature and children receive treatment for FBAO in the UK yearly, 30 CHEST COMPRESSIONS Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths, 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 Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 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 RECOMMENDATIONS: - Tidal volume 500 600 ml - Respiratory rate give each breaths over about 1s with enough volume to make the victims chest rise - Chest-compression-only continuously at a rate of 100 min, Call 112 Approach safely Check response Shout for help Open airway Check breathing Attach AED Follow voice prompts, AUTOMATED EXTERNAL DEFIBRILLATOR (AED) Some AEDs will automatically switch themselves on when the lid is opened, SHOCK INDICATED Stand clear Deliver shock, SHOCK DELIVERED FOLLOW AED INSTRUCTIONS 30 2, NO SHOCK ADVISED FOLLOW AED INSTRUCTIONS 30 2, IF VICTIM STARTS TO BREATHE NORMALLY PLACE IN RECOVERY POSITION, 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, CONTINUE RESUSCITATION UNTIL Qualified help arrives and takes over The victim starts breathing normally Rescuer becomes exhausted. Rotate compressor every 2 minutes or if fatigued. Two or more rescuers should alternate who is performing chest compressions frequently; the compressing rescuer should switch hands (the hand compressing, the hand which is on top) or the technique (one to 2-handed) to avoid fatigue. Bystander cardiopulmonary resuscitation (CPR) and use of an automated external defibrillator (AED) increase the chances of survival by two to four-fold and are a critical part of UK governments strategies to improving survival from cardiac arrest. the child shows signs of life (e.g., normal breathing, cough, movement). lifeguards, first aiders). chain of survival basic life support (bls), Basic Life Support Certification - Bls certification needs to be obtained from just acknowledged organizations. Removal of foreign body airway obstruction: A systematic review of interventions. In an infant, this may require the support of a small pillow or a rolled-up blanket placed behind their back to maintain the position. CPR should be continued till : Qualified help arrives and takes over Return of spontaneous circulation (ROSC) The patient recovers An authorised person pronounces life extinct Rescuer becomes exhausted, Special occasion - Pregnancy CPR in pregnant victim: - In pregnant woman the uterus causes pressure on the major abdominal organs when she lies flat, reducing the venous return to the heart - give pelvic tilt to left using pillow/wedge as blood supply to fetus should not be jeopardized, Special occasion - chocking Responsive Adult/Child Abdominal thrusts until object is removed or victim becomes unresponsive Unresponsive Adult/Child Lower them to the ground and begin the steps of CPR Look in the mouth before each breath If you see the object, you can remove it, Early defibrillation Early defibrillation implies that defibrillation carried out within 5 mins of cardiac arrest Survival decreases by 10% for every minute that passes without defibrillation, AED(Automated External Defibrillator) AEDs are computerized devices that allow laypersons to attempt defibrillation safely. If back blows do not relieve the airway obstruction, and the child is still conscious, give chest thrusts to infants or abdominal thrusts to children. Cough CPR/ Prone CPR Cough cpr-Recommended only for awake monitored victim getting VF/VT Prone cpr when supine position cannot be given blood pressure is raised in prone CPR than supine CPR. Deliver up to 5 chest thrusts. If back blows are ineffective, give up to 5 abdominal thrusts: Stand behind the person and put both your arms around the upper part of their abdomen. if not in a single room, consider moving the patient, if practical. If there is any doubt or if they were treated with abdominal thrusts, urgent medical follow up is mandatory. 3. Views: 607. Preferably use a two-thumb encircling technique for chest compression in infants be careful to ensure complete chest recoil after each chest compression. Ensure that nobody is touching the person whilst the AED is analysing the heart rhythm. Activate your 30 day free trialto unlock unlimited reading. A small child may be placed across the rescuers lap as with an infant. 70 slides. basic life support certificate. Back blows are more effective if the child is positioned head down. Free access to premium services like Tuneln, Mubi and more. If calling 999 preferably use the speaker function of a mobile phone. bezpieczestwo. If the person becomes unresponsive, start CPR. However, if a healthcare worker wishes to also check for a pulse this should be done simultaneously with the breathing assessment). BASIC LIFE SUPPORT (BLS) POWERPOINT. Basic Life SupportCPR 2 CPR Combines rescue breathing and chest compressions Revives heart (cardio) and lung (pulmonary) functioning Use when there is no breathing and no pulse Provides O2 to the brain until ACLS arrives 3 How CPR Works Effective CPR Compression and Chest Return. 2020;156:A35-A79. Events are therefore frequently witnessed, and interventions are most often initiated when the child or infant is conscious. Follow the spoken (and/or visual) prompts from the AED. Update CPR guideline 2020 restart the hearth to restore the brain . Apply an AED if available, if there is a high likelihood of shockable underlying rhythm such as after electrocution. Place the arm nearest to you out at right angles to the body, elbow bent with the hand palm uppermost. Place the arm nearest to you out at right angles to the body with the hand palm uppermost. If more than one rescuer is present, continue CPR whilst the pads are being attached. To minimise interruptions in CPR, it may be possible to carry an infant or small child whilst summoning help. Guidelines 2021 prioritises supporting members of our communities to have the confidence, knowledge and skills to act when someone sustains an out of hospital cardiac arrest. Make up to 5 attempts to achieve effective breaths. Compress to a depth of at least 5 cm but not more than 6 cm. Approximately 50% of the whole chest compression cycle should be the relaxation phase (one cycle is from the start of one compression to the next). BASIC LIFE SUPPORT / BANTUAN HIDUP DASAR (BHD) Jul 25 dinkes DKK Salatiga - Jika pada suatu keadaan ditemukan korban dengan penilaian dini terdapat gangguan tersumbatnya jalan nafas, tidak ditemukan adanya nafas dan atau tidak ada nadi, maka penolong harus segera melakukan Bantuan Hidup Dasar (BHD). Compress the sternum one fingers breadth above this. Get powerful tools for managing your contents. Transcript and Presenter's Notes. Yann Martel. presenta:. If the child or infants coughing is becoming ineffective and or the clinical condition is deteriorating (decreasing consciousness, quiet cough, inability to breathe or vocalise, cyanosis), ask for bystander help and determine the child or infants conscious level. Basic Life Support (BLS) Certification Course. Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. Open the mouth a little but maintain the chin lift. Details of the guidelines development process can be found in theResuscitation Council UK. Victims who have had early and correct BLS intervention will be better oxygenated and are more likely to respond to advanced techniques to revive them, thereby increasing their chance of survival. Test your knowledge by taking the BLS pretest / practice exam below. Find out what is wrong. Pediatric Basic Life Support Pedia BLS ---rbt2016--- * Ventilation - CAN BE PROVIDED WITH MOUTH-TO-MOUTH, MOUTH-TO-NOSE, OR WITH A BAG AND MASK. For trauma victims, leave the child or infant lying flat and open and maintain the airway using a jaw thrust, taking care to avoid spinal movement. Presentation Transcript. objectives. Basic Life Support (BLS) | Emergency Medicine Specialist | Dr. Mohammed Imran Soherwardi - Aster RV Aster Hospitals, Bangalore 300K views 2 years ago Newborn Life Support - ERC Guidelines. If bystanders cannot provide rescue breaths, they should proceed with chest compressions only. It is important to stress the importance of maintaining a close check on all unresponsive individuals until the EMS arrives to ensure that their breathing remains normal. Clench your fist and place it between the umbilicus (navel) and the ribcage. Despite broad study inclusion criteria, the review identified only small case series, manikin studies, and cadaver studies, which were limited to a single device type. A single trained rescuer should first proceed with rescue manoeuvres (unless able to call for help on a mobile phone simultaneously). Proceed to the next step while waiting for an answer. Resuscitation Council (UK) Trading Ltd is registered as a Company limited by guarantee in England & Wales No. We've encountered a problem, please try again. Assess the child or infants clinical condition. This led to the International Liaison Committee on Resuscitation (ILCOR) Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Basic Life Support (BLS) Dr. Akash Bhatt 994 views 87 slides BASIC LIFE SUPPORT (BLS) Ashwini Maurya 1.5k views 36 slides CPR Rajeevj8 402 views 62 slides Basic Life Support Sherif Elbadrawy 20.1k views 65 slides cardiopulmonary resuscitation for students Shahnaali 3.9k views 65 slides Basic life support Kerolus Shehata 1.7k views THANK YOU Consultations: Monday 3.30 4.00pm, The New Advanced Cardiac Life Support Guidelines. Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. This should start with the first person on scene, who is often a bystander (i.e. Call out, or send, for help if it is still not available. Although ventilation remains a particularly important component of CPR in children, rescuers who are unable or unwilling to provide breaths should be encouraged to perform at least compression-only CPR. BLS Basic Life Support per operatori laici - . Ensure the position is stable. learning outcomes. Allow the chest to recoil completely after each compression; do not lean on the chest. Resuscitation 2020; 156:174-181. Adult Basic Life Support Demonstration of how to give basic life support to anyone acutely injured or ill. Cardiac support, Advanced Trauma Life Support. It is possible that part of the object may remain in the respiratory tract and cause complications. breaths followed by cycles of 30 chest. If one is unsuccessful, try the others in rotation until the object is cleared. Compression rate: 100-120 compressions per minute. To decrease the number of changes in rescuer position, a 30:2 C:V ratio might be preferable for a lone rescuer. of basic life support in paediatric cardiopulmonary arrest is summarised in Figure 4.1. Lift the fingers to ensure that pressure is not applied over the childs ribs. If choking has not been relieved after 5 abdominal thrusts, continue alternating 5 back blows with 5 abdominal thrusts until it is relieved, or the person becomes unresponsive. Resuscitation 2020:153: 219-226. Continue rescue breathing, if necessary, until the child starts breathing effectively on their own. 3. breathing, and then delivering 2 rescue. Lee Goldman MD, in Goldman-Cecil Medicine, 2020. You can read the details below. (who checks). Below, you'll find a series of topics relating to Basic Life Support. 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