Basic Life Support & Automated External Defibrillation Course - - PowerPoint PPT Presentation

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Basic Life Support & Automated External Defibrillation Course - - PowerPoint PPT Presentation

European Resuscitation Council Basic Life Support & Automated External Defibrillation Course OBJECTIVES At the end of this course European Resuscitation Council participants should be able to demonstrate: How to assess the


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European Resuscitation Council

Basic Life Support & Automated External Defibrillation Course

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European Resuscitation Council

OBJECTIVES

  • At the end of this course

participants should be able to demonstrate:

– How to assess the collapsed victim. – How to perform chest compression and rescue breathing. – How to operate an automated external defibrillator safely. – How to place an unconscious breathing victim in the recovery position.

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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

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European Resuscitation Council

CHAIN OF SURVIVAL

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European Resuscitation Council

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

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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

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European Resuscitation Council

CHECK RESPONSE

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

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European Resuscitation Council

Shake shoulders gently Ask “Are you all right?” If he responds

  • Leave as you find him.
  • Find out what is wrong.
  • Reassess regularly.

CHECK RESPONSE

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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

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European Resuscitation Council

OPEN AIRWAY

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

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European Resuscitation Council

CHECK BREATHING

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

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European Resuscitation Council

CHECK BREATHING

  • Look, listen and feel

for NORMAL breathing

  • Do not confuse

agonal breathing with NORMAL breathing

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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
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European Resuscitation Council

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

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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

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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
  • perator every 2 min

CHEST COMPRESSIONS

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European Resuscitation Council

RESCUE BREATHS

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

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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
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European Resuscitation Council

CONTINUE CPR

30 2

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European Resuscitation Council

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

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European Resuscitation Council

DEFIBRILLATION

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European Resuscitation Council

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

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European Resuscitation Council

SWITCH ON AED

  • Some AEDs will

automatically switch themselves on when the lid is opened

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European Resuscitation Council

ATTACH PADS TO CASUALTY’S BARE CHEST

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European Resuscitation Council

ANALYSING RHYTHM DO NOT TOUCH VICTIM

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European Resuscitation Council

SHOCK INDICATED

  • Stand clear
  • Deliver shock
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European Resuscitation Council

SHOCK DELIVERED FOLLOW AED INSTRUCTIONS

30 2

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European Resuscitation Council

NO SHOCK ADVISED FOLLOW AED INSTRUCTIONS

30 2

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European Resuscitation Council

IF VICTIM STARTS TO BREATHE NORMALLY PLACE IN RECOVERY POSITION

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European Resuscitation Council

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European Resuscitation Council

CPR IN CHILDREN

  • Adult CPR

techniques can be used on children

  • Compressions 1/3 of

the depth of the chest

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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

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European Resuscitation Council

ANY QUESTIONS?

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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