bls-aed-final-28-4-06_4 (1)
DESCRIPTION
BLSTRANSCRIPT
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Basic Life Support & Automated External Defibrillation Course
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OBJECTIVES
• At the end of this courseparticipants 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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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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CHAIN OF SURVIVAL
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Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
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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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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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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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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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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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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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CHECK BREATHING
• Look, listen and feel for NORMAL breathing
• Do not confuse agonal breathing with NORMAL breathing
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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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Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
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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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• 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
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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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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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CONTINUE CPR
30 2
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Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
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DEFIBRILLATION
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Call 112
Approach safely
Check response
Shout for help
Open airway
Check breathing
Attach AED
Follow voice prompts
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SWITCH ON AED
• Some AEDs will automatically switch themselves on when the lid is opened
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ATTACH PADS TO CASUALTY’S BARE CHEST
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ANALYSING RHYTHM DO NOT TOUCH VICTIM
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SHOCK INDICATED
• Stand clear• Deliver shock
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SHOCK DELIVEREDFOLLOW AED INSTRUCTIONS
30 2
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NO SHOCK ADVISEDFOLLOW AED INSTRUCTIONS
30 2
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IF VICTIM STARTS TO BREATHE NORMALLY PLACE IN RECOVERY POSITION
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CPR IN CHILDREN
• Adult CPR techniques can be used on children
• Compressions 1/3 of the depth of the chest
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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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ANY QUESTIONS?
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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