adult basic life support s enior medics

Adult Basic Life Support

Senior Medics

In Hospital Life Support

Objectives

•Summary of current RC(UK) guidelines•Equipment •Focus on In Hospital BLS

•Out of Hospital•Paediatrics

•Choking

2222 Adult Calls2012 2013

Total 323 331Arrests 168 194Resp Arrest 9 11Peri-arrest 60 70False Alarm 49 46Unknown 11 10No 2222 call 26 18

Survivor / non survivor by rhythm 2013

VT VF Asystole PEA0%

10%

20%

30%

40%

50%

60%

SurvivorsNon-Survivors

7% - Not required 53% - BVM 15% - IGEL/LMA (2x IGEL fails) 20% - ETT <1% - Trachy 5% - Unknown

DefibrillatorsMRX XL

FR2+

Switchboard and main entrance Trelawney

Pads

Present & Future

Drug Box• 6x Adrenaline 1mg PreFILL (10ml of

1:10,000)• 2x Amiodarone PreFILL (300mg/10ml)• 1x Atropine PreFILL (3mg/10ml)• 2x Atropine PreFILL (600mcg in 5ml)• 2x Calcium Chloride PreFILL(10%)• 2x Magnesium Amps (50%)• Naloxone 2mg/2ml – PreFILL• 1x Sodium Bicarbonate Polyfuser (8.4%

250ml)• Saline

Equipment - misc• Pacing Machines• Rapid Sequence

Induction - Drugs• Transfer

equipment• EZ IO • ETCO2

Adult ALSAlgorithm

Guidelines 2010• Focus – Quality Compressions / Minimal

Pausing• Adult, Paed & Newborn ratio remains

same• Comp Rate – 100-120 per min• Depth – Adult 5-6 cm : Paed At least 1/3rd

Guidelines 2010

•Atropine no longer recommended in Asystole/PEA

•Adrenaline after the 3rd Shock•No Drugs via ET Tube•Charging Defib whilst compressing

Paediatric Arrests

Any questions

Objectives

•Focus on In Hospital BLS•Out of Hospital•Paediatric

•Summary of new guidance•Choking

    1 2

D Ensures safe to approach R Assesses the victim to be unresponsive – shake & shout s Shouts for assistance – “Stand by” or “Can I have a hand please” A Open airway – head tilt and or chin lift

B CAssess signs of life; breathing +/- pulse – takes no longer than 10 seconds

HELP Asks assistant to call for crash team - 2222

CPR

Starts compressions with minimal delay: Demonstrates effective compressions (lower half of sternum, 5-6cm depth, rate 100-120)

30:2 Demonstrates 30 compressions to 2 breaths/ventilations BVM

Demonstrates adequate ventilations with BVM or pocket mask(2 person or 1 person technique)

Adult In Hospital Life Support – Peer AssessmentName – Person 1 (Caps): _____________________________________________Name – Person 2 (Caps): _____________________________________________