Basic Life Support Disaster Risk Reduction and Management _25.11.2011.ppt

Basic Life Support

1. European Resuscitation Council
Basic Life Support &
Automated External
Defibrillation Course

2. European Resuscitation Council
OBJECTIVES
●At the end of the discussion
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.

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

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

5. European Resuscitation Council
Basic life support
Advanced life support
1961: Peter Safar

6. European Resuscitation Council
CHAIN OF SURVIVAL
112

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

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

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

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

11. European Resuscitation Council
Shake shoulders gently
Ask “Are you alright?”
If he responds
•Leave as you find him.
•Find out what is wrong.
•Reassess regularly.
CHECK RESPONSE

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

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

14. European Resuscitation Council
AIRWAY OPENING BY
NECK EXTENSION
Campbell

15. European Resuscitation Council
Cervical spine injury
●Jaw thrust (no for lay rescuer)for
open airway

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

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

18. European Resuscitation Council
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

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

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

21. European Resuscitation Council
•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
CHEST COMPRESSIONS

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

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

24. European Resuscitation Council
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

25. European Resuscitation Council
CONTINUE CPR
30 2

26. European Resuscitation Council
Continous chest compression -
only

27. European Resuscitation Council
The use of protective devices is recommended

28. European Resuscitation Council
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. European Resuscitation Council

30. European Resuscitation Council
Choking forein body
airway obstruction
●Mild airway obstruction
(effective cough, breathe,
conscious, speak)
Encourage continued
coughing,
observing for relief of the
obstruction

31. European Resuscitation Council
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)

32. European Resuscitation Council
DEFIBRILLATION

33. European Resuscitation Council
Call 112
Approach safely
Check response
Shout for help
Open airway
Check breathing
Attach AED
Follow voice prompts

34. European Resuscitation Council
SWITCH ON AED
●Some AEDs will
automatically switch
themselves on when
the lid is opened

35. European Resuscitation Council
ATTACH PADS TO
CASUALTY’S BARE CHEST

36. European Resuscitation Council
ANALYSING RHYTHM
DO NOT TOUCH VICTIM

37. European Resuscitation Council
Ventricular fibrillation Ventricular tachycardia
Asystole
Electro-mechanical
disociation (EMD)
Pulseless ventricular
activity (PVA)

38. European Resuscitation Council
SHOCK INDICATED
●Stand clear
●Deliver shock

39. European Resuscitation Council
SHOCK DELIVERED
FOLLOW AED INSTRUCTIONS
30 2

40. European Resuscitation Council
NO SHOCK ADVISED
FOLLOW AED INSTRUCTIONS
30 2

41. European Resuscitation Council
IF VICTIM STARTS TO
BREATHE NORMALLY PLACE
IN RECOVERY POSITION

42. European Resuscitation Council
●www.erc.edu
www.resus.org.uk
●Moule P., Albarran J., 2009: Practical resuscitation for healthcare
professionals
www. books.google.com

43. European Resuscitation Council
●www.erc.edu
www.resus.org.uk
●Resuscitation (2005) 67 Supplement
●Resuscitation (2005) 67
NEW
GUIDELINES:
October 2010

44. European Resuscitation Council
ANY QUESTIONS?

45. European Resuscitation Council
Thank you !

46. European Resuscitation Council
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

47. European Resuscitation Council
CPR IN CHILDREN
●Adult CPR
techniques can be
used on children
●Compressions 1/3 of
the depth of the
chest

48. European Resuscitation Council
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

49. European Resuscitation Council
ANY QUESTIONS?

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