BASIC LIFE SUPPORT C1
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1 C1 BASIC LIFE SUPPORT
2 Objectives To understand: The risks to the rescuer during resuscitation How to perform BLS The differences between layperson and in-hospital BLS C2
3 Risks to the rescuer C3 Eliminate or minimise risk Manual Handling Beware of environmental danger: traffic electricity gas water
4 Risks to the rescuer: poisoning Hydrogen cyanide or hydrogen sulphide gas mask and non-return Corrosive chemicals absorbed through skin and respiratory tract protective clothing C4
5 Risks to the rescuer: infection 15 documented cases of CPR related infection - mainly Neisseria meningitidis Tuberculosis Not hepatitis B or C, or CMV 3 cases of HIV transmission from highrisk cutaneous exposure C5
6 Risks to the rescuer: precautions against infection Gloves and eye protection Sharps box Face-mask with oneway valves Manikins clean regularly C6
7 Assessment Ensure safety of rescuer and victim C7
8 C8 Shake and Shout
9 Is the victim responsive? YES Check for injuries Reassess Get help C9
10 Is the victim responsive? NO Shout for help Open their airway Check for breathing C10
11 Opening the airway Head tilt Chin lift If cervical spine injury suspected: jaw thrust C11
12 Assess Breathing Look for chest movement Listen for breath sounds Feel for expired air C12 Assess for 10 seconds before deciding breathing is absent
13 Is the victim breathing? YES If safe, use recovery position Telephone for help Reassess at intervals C13
14 C14 Recovery Position 1st Stage
15 C15 Recovery Position 2nd Stage
16 C16 Recovery Position 3rd Stage
17 C17 Recovery Position 4th Stage
18 Is the victim breathing? NO Telephone for help Give two slow effective rescue breaths Make up to 5 attempts C18
19 Rescue breathing (Expired air ventilation) Occlude victim s nose Maintain chin lift Take a deep breath Ensure a good mouthto-mouth seal C19
20 Rescue breathing (Expired air ventilation) Blow steadily (2 sec) into victim s mouth Watch for chest rise Maintain chin lift, remove mouth Watch chest fall C20
21 C21 Watch for chest fall
22 C22 Finger sweep
23 Assess Circulation Look, listen and feel for normal breathing, coughing, or movement by the victim Take no more than 10 seconds C23
24 Is a circulation present? YES Continue with rescue breathing Reassess for signs of a circulation about every minute C24
25 Is a circulation present? NO Start chest compressions Continue with rescue breathing C25
26 C26 Chest compressions: Depress sternum 5-6 cm Rate: 100 per minute
27 Chest compressions C27
28 C28 One Person CPR
29 Chest compression: breath ratio 30 compressions : 2 breaths for 1-person CPR 2-person CPR C29
30 Continue resuscitation until: Qualified help arrives and takes over The victim shows signs of life You become exhausted C30
31 Mouth-to-nose ventilation If mouth-to-mouth technically difficult If mouth seriously injured Rescue from water Resuscitation carried out by a child Aesthetic reasons C31
32 Compression-only CPR Reluctance to perform mouth-to-mouth ventilation Chest compression alone better than no CPR If possible combine with head tilt Appropriate for telephone-cpr C32
33 Cervical spine injury? If possible, maintain alignment of head, neck and chest Minimum head tilt only Jaw thrust preferable Assistance often required C33
34 Choking: Back Blows C34
35 Abdominal Thrusts C35
36 C36 Any Questions?
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