Emergency Life Support (ELS) Course
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1 V1 Approved by Resuscitation Committee - July 2018 Course Resuscitation Services UK Ltd
2 Topics The ABCDE Approach Handout, Podcast & Scenario teaching/assessment Medical Emergency conditions Slide set and scenario teaching/assessment Anaphylaxis, Asthma, Bleeding, Chest pain, Choking, Hypoglycaemia (A) Epilepsy, Stroke (B) Equipment & Drugs Slide set & Equipment familiarisation session Oxygen, high concentration mask & pulse oximeter Medications - GTN, Aspirin, Salbutamol (nebuliser mask), Glucogel, Emerade Suction & OP Airways
3 Topics Adult CPR & AED AED, CPR mask & protective face shields Recovery Position Demonstration, practice & Assessment Paediatric Modifiers for BLS Handout / Discussion Policy & Documentation SBAR Local protocols Annual training
4 Plan Introduction (10 minutes) Documents Assessment, Evaluation, ABCDE, Paediatric modifiers Power point Presentation & Podcast (30 minutes) ABCDE Assessment & treatment guide Common medical emergencies Equipment Familiarisation & Documentation Equipment Familiarisation session (30 minutes) Practical workshop with ELS equipment ABCDE Scenarios (60 minutes) Minimum of one per candidate, including Recovery Position & all conditions (A) CPR & AED (40 minutes) Demonstration, practice & Assessment Closure (10 minutes)
5 ELS Learning outcomes By the end of this session: Be able to do a full ABCDE assessment of a casualty Know the common medical emergencies that occur within the mental health setting and what treatment is expected at an ELS level Be familiar with the contents of an ELS emergency bag, know what each item is for and how to use it Recognise cardiac arrest & be able to do Adult CPR with AED use safely Know the modifications of the adult CPR guidelines that should be used on children to improve their chances of survival Be able to complete an SBAR document Be aware of the local resuscitation protocol and policy requirements
6 From Resuscitation Council UK
7 Podcast ABCDE Assessment & treatment guide Assess for Safety Check response If unresponsive & not breathing start CPR Airway Breathing Circulation Disability Examine/Expose
8 Medical Emergency conditions Anaphylaxis Symptoms Adrenaline auto-injector Check visually it is undamaged & Expiry date Hold in fist and aim for side of thigh Massage the area afterwards
9 Medical Emergency conditions Asthma Signs & Symptoms ELS Treatment Salbutamol needs to be prescribed DO NOT lie them flat unless unconscious DO NOT take them outside for fresh air
10 Medical Emergency conditions Bleeding PPE Sit or lie person down Examine Elevate Pressure (Direct or indirect) Dress
11 Medical Emergency conditions Chest pain Signs & Symptoms ELS Treatment GTN & Aspirin needs to be prescribed
12 Medical Emergency conditions Choking Cough! 5 Back Blows 5 Abdominal Thrusts From Qualsafe First Aid Made Easy
13 Choking baby 5 Back Blows 5 Chest Thrusts
14 Medical Emergency conditions Choking For baby, child or adult if they become unresponsive during treatment for choking BEGIN CPR
15 Medical Emergency conditions Hypoglycaemia Signs & Symptoms ELS Treatment Glucogel does not need to be prescribed
16 Medical Emergency conditions Epilepsy Signs & Symptoms ELS Treatment Midazolam/Diazepam needs to be prescribed
17 Medical Emergency conditions Stroke
18 Recovery Position ABCDE Assessment Start CPR if not breathing normally
19 Equipment AED and immediate access
20 Equipment Airways CPR Mask Suction High concentration Oxygen mask Pulse oximeter & pen torch
21 Oxygen
22 In-hospital Resuscitation Collapsed/sick patient Shout for HELP and assess patient Signs of life? NO YES Call resuscitation team Assess ABCDE Recognise and treat Oxygen, monitoring, IV access CPR 30:2 With oxygen and airway adjuncts Apply pads/monitor Attempt defibrillation if appropriate Call resuscitation team if appropriate Advanced Life Support when resuscitation team arrives Hand over to resuscitation team
23 Paediatric modifiers The following minor modifications to the adult sequence will, however, make it even more suitable for use in children: Give five initial rescue breaths before starting chest compressions Compress the chest by at least one-third of its depth: For a baby under 1 year, use two fingers (4cm) For a child over 1 year, use one or two hands to achieve an adequate depth (5cm) If you are on your own, perform resuscitation for about 1 minute before going for help
24 Policy & Documentation SBAR
25 Policy & Documentation Local protocols Must be approved Must be laminated Must be displayed
26 July 2018 Course Any Questions?
27 ELS Summary By the end of this session: ABCDE assessment of a casualty Common medical emergencies that occur within the mental health Contents of an ELS emergency bag Recognise cardiac arrest Adult CPR and AED Recovery Position CPR Modifications for children SBAR document Local resuscitation protocol Annual Training
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