Basic life support and its management for students

It's a ppt about basic life support and how to manage

1. BASIC LIFE SUPPORT IBRAHIM SABRI C ritical Care Medicine Consultant

2. Timeline of CPR Historey 5th dynasty (2465–2325 bce ) - In the ancient egyptian story of Isis known as the first goddess born on earth Her husband Osiris was killed she performed “the kiss of life” (believed to be venting) and brought him back to life this has been interpreted by scholars as possibly being an early beginning of CPR

3. ILCOR

4. International CPR Day

5. CPR Survivors B.Wlliams Dr. Will Flanary

6. cardiac arrest rhythms

7. Basic life support

8. CHAIN OF SURVIVAL

9. Before approaching a victim, the rescuer must ensure that the scene is safe.

10. Check response: T ap the victim on the shoulder and shout, “Are you all right?”. If he responds: Leave him in the position in which you find him provided there is no further danger. Try to find out what is wrong with him and get help if needed. Reassess him regularly.

11. If the patient is unresponsive: Turn the victim onto his back and then open the airway using head tilt and chin lift Open airway + check breathing

12. Open airway: Place your hand on his forehead and gently tilt his head back. With your fingertips under the point of the victim's chin, lift the chin to open the airway.

13. Check breathing ( look,listen&feel ): Look for chest movement.  Listen at the victim's mouth for breath sounds.  Feel for air on your cheek. Checking breathing should not take more than 10 seconds.

14. If there is breathing, Put the patient in recovery position Summon help from the ambulance service by mobile phone. If this is not possible, send a bystander. Leave the victim only if no other way of obtaining help is possible. Continue to assess that breathing remains normal. If there is any doubt about the presence of normal breathing, start CPR

15. If no breathing, call for an ambulance and bring an AED Somebody else (from helping persons) Use your mobile phone Leave the victim and call ambulance if no other option. Chest compression

16. Start chest compression as follows: Kneel by the side of the victim. Use backboard if available. Place the heel of one hand in the centre of the victim’s chest (which is the lower half of the victim’s sternum (breastbone)). Place the heel of your other hand on top of the first hand. Interlock the fingers of your hands and ensure that pressure is not applied over the victim's ribs. Do not apply any pressure over the upper abdomen or the bottom end of the sternum. Position yourself vertically above the victim's chest and, with your arms straight, press down on the sternum 5 - 6 cm . After each compression, release all the pressure on the chest without losing contact between your hands and the sternum. Repeat at a rate of 100 - 120 min -1 . Compression and release should take an equal amount of time.

17. Compression-Ventilation Ratio: A compression-ventilation ratio of 30:2 is reasonable in adults. After 30 compressions open the airway again using head tilt and chin lift. Pinch the soft part of the victim’s nose closed, using the index finger and thumb of your hand on his forehead. Allow his mouth to open, but maintain chin lift. Take a normal breath and place your lips around his mouth, making sure that you have a good seal. Blow steadily into his mouth whilst watching for his chest to rise; take about one second to make his chest rise as in normal breathing; this is an effective rescue breath.

18. Maintaining head tilt and chin lift, take your mouth away from the victim and watch for his chest to fall as air comes out. Take another normal breath and blow into the victim’s mouth once more to give a total of two effective rescue breaths. Each breath should take only one second . The two breaths should not take more than 10s . Then return your hands without delay to the correct position on the sternum and give a further 30 chest compressions. Continue with chest compressions and rescue breaths in a ratio of 30:2. Stop to recheck the victim only if he starts to show signs of regaining consciousness, such as coughing, opening his eyes, speaking, or moving purposefully AND starts to breathe normally; otherwise do not interrupt resuscitation .

19. If there is more than one rescuer present, another should take over CPR about every 1-2 min to prevent fatigue. Ensure the minimum of delay during the changeover of rescuers, and do not interrupt chest compressions.

20. Continue resuscitation until: Q ualified help arrives and takes over, T he victim starts to show signs of regaining consciousness, such as coughing, opening his eyes, speaking, or moving purposefully AND starts to b reathe normally, Y ou become exhausted.

21. AED fibrillation All BLS providers should be trained to provide defibrillation because VF is a common and treatable initial rhythm in adults with witnessed cardiac arrest

22. Automated External Defibrillators

23. MCQ BLS: The ideal site of chest compression in BLS: Lower half of the sternum Upper half of the sternum Left side of costal margin. The anatomical site of apex. The first step to be done when you are called to assess a patient with possible sudden cardiac arrest: Chest compression immediately. Assess consciousness and response. Check safety of the scene. Mouth to mouth breathing.

24. While you are checking patient airway patency as a step in BLS: It should not take more than 30 seconds. It should not take more than 20 seconds. It should not take more than 10 seconds. It should not take more than 5 seconds. The ideal chest compression : mouth to mouth breathing ratio: 10:1 20:2 30:2 30:3

25. OSCE BLS You have been called to assess your neighbour who suddenly collapsed in his apartment with alleged no response. What would you do in such situation? Do not forget: Checking the safety of scene. Call for help. Call the emergency service.

26. Basic life support algorithm 2020 Vedio 1 Vedio 2 Vedio 3 Vedio 4 Hands only CPR

27. THANK YOU