Basic Life Support

–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.

•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 triplesurvival from SCA (sudden cardiac arrest)

•Early resuscitation and prompt defibrillation (within 1-2 minutes) can result in >60%survival

  1. Airway
  2. Breathing
  3. Circulation          

SEQUENCES OF PROCEDURES PERFORMED TO RESTORE THE CIRCULATION OF OXYGENATED BLOOD AFTER A SUDDEN PULMONARY AND/OR CARDIAC ARREST

1. Approach safely

    2. Check response

    3. Shout for help

    4. Open airway

    5. Check breathing

    6. Call 999(rescue)

    7. 30 chest compressions

    8. 2 rescue breaths

    Scene

    Rescuer

    Victim

    Bystanders

    Shake shoulders gently Ask “Are you all right?” If he responds

    • Leave as you find him.

    • Find out what is wrong.

    • Reassess regularly.

    1. Head tilt and chin lift.

      – lay rescuers

      – non-healthcare rescuers

    2. jaw thrust  

    – healthcare professionals

    •Look, listen and feel for NORMAL breathing

    – Severely injured mouth Stomach distension

    Mouth to stoma (tracheotomy)

    – Qualified help arrives and takes over

    – The victim starts breathing normally

    – Rescuer becomes exhausted 

    Victim revives

    Trained help arrives

    Too exhausted to continue

    Unsafe scene

    Physician directed (do not resuscitate orders)

    Cardiac arrest of longer than 30 minutes(controversial)

    Why CPR May Fail

    Delay in starting

    Improper procedures (ex. Forget to pinch nose)

    No ACLS follow-up and delay in defibrillation

    –Only 15% who receive CPR live to go home

    –Improper techniques

    Terminal disease or unmanageable disease  (massive heart attack)

    Laceration related to the tip of the sternum Liver, lung, spleen

    Aspiration

    Place victim on left side

    Wipe vomit from mouth with fingers wrapped in a cloth

    Reference

    https://www.redcross.org/take-a-class/performing-bls/what-is-bls#:~:text=Basic%20Life%20Support%2C%20or%20BLS,distress%20or%20an%20obstructed%20airway.

    https://cpr.heart.org/en/cpr-courses-and-kits/healthcare-professional/basic-life-support-bls-training

    https://docs.google.com/presentation/d/15eTicL91ZLR-diLL0gcLBFtume-G06dn/edit?usp=sharing&ouid=115997936688901882678&rtpof=true&sd=true

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