R.PUSHPAKALAMBIGA, M.SC(NURSING) 1 ST YEAR, DEPT OF CHN, MTPG&RIHS.
INTRODUCTION
Basic cardiac life support
Basic life support(BLS) refers to the care healthcare providers and public safety professionals provide to patients who are experiencing respiratory arrest, cardiac arrest or airway obstruction. DEFINITION:
Ensure safety Check for response Activate EMS Chest compressions Check airway and ventilate defibrillate Components of bls :
Check for danger(hazards/risks/safety) t o you To others To casualty DANGER
Use the COWS method C- can you hear me? O- open your eyes? W- what is your name? S- squeeze my hand Response
Call 108 or Call 112 to reach emergency services virtually anywhere in the world. Send for help
Check pulse . If pulse is not definitely felt within 10 seconds proceed with chest compressions. circulation
Firm surface (backboard or floor) Kneel beside persons chest Heel of one hand on inter mammary line (which is the lower half of the sternum) Heel of other hand on top of the first so that the hands are overlapped and parallel Lock elbows Position
Push hard push fast Depth – 2 inches (5cm) not more than 2.5 inches Compression: ventilation ratio of 30:2 Chest compression:
Jaw thrust maneuver Head tilt and chin lift Airway
Look Listen Feel Breathing
Mouth to mouth rescue breathing Mouth to barrier device breathing Mouth to nose and mouth to stoma ventilation Ventilation with bag and mask Ventilation with an advanced airway Methods of rescue breaths
Mouth to mouth Mouth to barrier device
Ventilation with bag and mask
On/off switch Plug with flashing light near it Shock delivery button Speaker and volume control for voice prompt Battery AED machine
Give one shock each time AED advices “SHOCK” Resume CPR immediately- 5 cycles (2 min) starting with chest compression. After 2 min AED will automatically start analyzing again and prompt accordingly.
Compression depth for adults 1-1.5 inches 2-2.5 inches 3-3.5 inches < 2 inch Evaluation :
Among infants which site is preferable for assessing pulse? Femoral artery Carotid artery Temporal artery Brachial artery