Compression only life support (cols) by tushar chokshi

Compression only life support (cols) by tushar chokshi

1. COLS

2. Compression Only Life Support (COLS) Syed Moied Ahmed  Rakesh Garg  Jigeeshu Vasishtha Divatia  SSC Chakra Rao  Bibhuti Bhusan Mishra  M Venkatagiri Kalandoor  Mukul Chandra Kapoor Baljit Singh Dr Tushar Chokshi

3. The cardiopulmonary resuscitation (CPR) guidelines of compression-only life support (COLS) For management of the victim with cardiopulmonary arrest in adults provide a stepwise algorithmic approach for optimal outcome of the victim outside the hospital by untrained laypersons

4. These guidelines have been developed to recommend practical, uniform and acceptable resuscitation algorithms across India Doctors and paramedics cannot be everywhere or reach the victim in time

5.  T o keep the steps so simple, even an uneducated layperson can understand and perform it easily   COLS AIM

6. Early recognition and activation Early chest compression Early transfer 3 key steps of COLS

7. When you see any person suddenly collapsed or comatose

8. Where do I place my hands during chest compression

9. 1 COLS

10. check quickly for a response

11. Compression-only life support (COLS ) Algorithm

12. Duration for compression only life support Continue chest compression for 5 consecutive cycles (30 compressions in each ) If there is more than one rescuer, then they should exchange hands after every 5 cycles   Till there is a sign of return of spontaneous circulation (movement of any part of the body, coughing or vocalizing ) The aim of COLS is to provide continuous uninterrupted chest compressions to improve the survival and neurological outcome

13. How Long Can I Continue Doing COLS? * Till medical help or a trained rescuer arrives. * Till victim is revived (showing signs of life) * Till you (the rescuer) is exhausted and cannot do any more compressions. * If the place you are in becomes unsafe.

14. When do I not do COLS at all? * If the place is unsafe. * If the patient is responsive (awake, talking, breathing normally) * If the body has become stiff (suggesting signs of irreversible death)

15. Target Groups COLS apply to bystanders, who do not know CPR well, or are reluctant to perform rescue breaths Schools and Colleges Public Spaces Factories Residential Places

16. What is to be done after return of spontaneous circulation If the victim is revived or there is return of spontaneous circulation, then he/she should be placed in either left or right lateral position

17. Last Steps COLS needs to be continued till medical help arrives (ambulance service ) Victim needs definitive medical care and management of the underlying aetiology of the cardiopulmonary arrest  Transfer of the victim for better medical help and victim is handed over to a medical care facility or victim becomes responsive (moving, coughing or vocalizing

18. Be a Life Saver Every Citizen is a Life Saver

19. https://cprindia.in/compression-only-life-support-cols VISIT