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Basic Life Support & Automated External Defibrillation Course

Basic Life Support & Automated External Defibrillation Course. At the end of the winter term participants should be able to demonstrate: How to assess the collapsed victim. How to perform chest compression and rescue breathing.

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Basic Life Support & Automated External Defibrillation Course

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  1. Basic Life Support & Automated External Defibrillation Course

  2. At the end of the winter term participants should be able to demonstrate: 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. OBJECTIVES

  3. Most frequent causes of cardiac arrest Poruchy rytmu pri AIM

  4. Most common causes of cardiac arrest • 1. place IHD...Myocardial infarct, • Trauma • Poisoning • Drowning • Hypotermia... Venticular fibrilation

  5. Basic life support • Advanced life support 1961: Peter Safar

  6. CHAIN OF SURVIVAL 112

  7. Airway Breathing Circulation (CAB) BASIC LIFE SUPPORT (BLS)

  8. Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths

  9. Scene Rescuer Victim Bystanders APPROACH SAFELY! Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths

  10. CHECK RESPONSE Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths

  11. 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.

  12. SHOUT FOR HELP Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths

  13. OPEN AIRWAY Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths

  14. Campbell AIRWAY OPENING BYNECK EXTENSION

  15. Cervical spine injury • Jaw thrust (no for lay rescuer) for open airway

  16. CHECK BREATHING Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths

  17. Look, listen and feel for NORMAL breathing Do not confuse agonal breathing with NORMAL breathing CHECK BREATHING

  18. 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 AGONAL BREATHING

  19. Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths

  20. 30 CHEST COMPRESSIONS Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths

  21. 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

  22. 30 : 2 Handley A.J., Koster R., Monsieurs K., Perkins G.D.,Davies S., Bossaert L.: European Resuscitation Council Guidelines forResuscitation 2005. Section 2. Adult basic life support and use ofautomated external defibrillators Resuscitation (2005) 67S1, S7—S23

  23. RESCUE BREATHS Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths

  24. 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

  25. 30 2 CONTINUE CPR

  26. Continous chest compression - only

  27. The use of protective devices is recommended

  28. IF VICTIM STARTS TO BREATHE NORMALLY PLACE IN RECOVERY POSITION • It ensures the tongue is held in forward position • It reduces the chance of inhalation of any expelled gastric contents

  29. Choking forein body airway obstruction • Mild airway obstruction(effective cough, breathe, conscious, speak) Encourage continued coughing,observing for relief of the obstruction

  30. Severe airway obstruction – conscious (unable to speak, to breathe, to cough) 5 back blows 5 abdominal thrust Severe airway obstruction – unconscious Start CPR(even if the puls is present)

  31. DEFIBRILLATION

  32. Approach safely Check response Shout for help Open airway Check breathing Call 112 Attach AED Follow voice prompts

  33. SWITCH ON AED Some AEDs will automatically switch themselves on when the lid is opened

  34. ATTACH PADS TO CASUALTY’S BARE CHEST

  35. ANALYSING RHYTHM DO NOT TOUCH VICTIM

  36. Ventricular fibrillation Ventricular tachycardia Electro-mechanical disociation (EMD) Pulseless ventricular activity (PVA) Asystole

  37. Stand clear Deliver shock SHOCK INDICATED

  38. SHOCK DELIVEREDFOLLOW AED INSTRUCTIONS 30 2

  39. NO SHOCK ADVISEDFOLLOW AED INSTRUCTIONS 30 2

  40. IF VICTIM STARTS TO BREATHE NORMALLY PLACE IN RECOVERY POSITION

  41. www.erc.eduwww.resus.org.uk Moule P., Albarran J., 2009: Practical resuscitation for healthcare professionals www. books.google.com

  42. www.erc.eduwww.resus.org.uk Resuscitation (2005) 67 Supplement Resuscitation (2005) 67 NEW GUIDELINES: October 2010

  43. ANY QUESTIONS?

  44. Thank you !

  45. 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 BACKGROUND

  46. Adult CPR techniques can be used on children Compressions 1/3 of the depth of the chest CPR IN CHILDREN

  47. 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

  48. ANY QUESTIONS?

  49. Approach safely Approach safely Check response Check response Shout for help Shout for help Open airway Open airway Check breathing Check breathing Call 112 Call 112 30 chest compressions Attach AED 2 rescue breaths Follow voice prompts

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