European Resuscitation Council. Basic Life Support & Automated External Defibrillation Course
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1 Basic Life Support & Automated External Defibrillation Course
2 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.
3 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
4 CHAIN OF SURVIVAL
5 Approach safely Check response Shout for help Open airway Check breathing Call chest compressions 2 rescue breaths
6 APPROACH SAFELY! Scene Rescuer Victim Bystanders Approach safely Check response Shout for help Open airway Check breathing Call chest compressions 2 rescue breaths
7 CHECK RESPONSE Approach safely Check response Shout for help Open airway Check breathing Call chest compressions 2 rescue breaths
8 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.
9 SHOUT FOR HELP Approach safely Check response Shout for help Open airway Check breathing Call chest compressions 2 rescue breaths
10 OPEN AIRWAY Approach safely Check response Shout for help Open airway Check breathing Call chest compressions 2 rescue breaths
11 CHECK BREATHING Approach safely Check response Shout for help Open airway Check breathing Call chest compressions 2 rescue breaths
12 CHECK BREATHING Look, listen and feel for NORMAL breathing Do not confuse agonal breathing with NORMAL breathing
13 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
14 Approach safely Check response Shout for help Open airway Check breathing Call chest compressions 2 rescue breaths
15 30 CHEST COMPRESSIONS Approach safely Check response Shout for help Open airway Check breathing Call chest compressions 2 rescue breaths
16 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
17 RESCUE BREATHS Approach safely Check response Shout for help Open airway Check breathing Call chest compressions 2 rescue breaths
18 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
19 CONTINUE CPR 30 2
20 Approach safely Check response Shout for help Open airway Check breathing Call chest compressions 2 rescue breaths
21 DEFIBRILLATION
22 Approach safely Check response Shout for help Open airway Check breathing Call 112 Attach AED Follow voice prompts
23 SWITCH ON AED Some AEDs will automatically switch themselves on when the lid is opened
24 ATTACH PADS TO CASUALTY S BARE CHEST
25 ANALYSING RHYTHM DO NOT TOUCH VICTIM
26 SHOCK INDICATED Stand clear Deliver shock
27 SHOCK DELIVERED FOLLOW AED INSTRUCTIONS 30 2
28 NO SHOCK ADVISED FOLLOW AED INSTRUCTIONS 30 2
29 IF VICTIM STARTS TO BREATHE NORMALLY PLACE IN RECOVERY POSITION
30
31 CPR IN CHILDREN Adult CPR techniques can be used on children Compressions 1/3 of the depth of the chest
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
33 ANY QUESTIONS?
34 Approach safely Check response Shout for help Open airway Check breathing Call chest compressions Approach safely Check response Shout for help Open airway Check breathing Call 112 Attach AED 2 rescue breaths Follow voice prompts
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