BASIC LIFE SUPPORT

JOEY J. MARCOOIC, CDRRMO

Alexander M. WongChief Admin & Training, CDRRMO

Learning Objectives

At the end of this session, participants shall be able to:

1. Perform proper Heimlich maneuver techniques

2. Perform correct cardiopulmonary resuscitation techniques to an adult, child and infant who are in cardiac arrest

3. Discuss other alternative forms of CPR

4. How to Place an unconscious breathing victim in the recovery position

5. Enumerate the criteria for when to start and when to stop CPR.

Choking

Choking

Choking Infant

Choking

Unconscious

Cardio Pulmonary Resuscitation (CPR)

Cardio Pulmonary Resuscitation (CPR)

series of assessments and interventionsusing techniques and maneuvers made tobring victims of cardiac and respiratoryarrest back to life.

Definition:

Cardio Pulmonary Resuscitation (CPR)

Use heel of hand

Straight arms

1 ½ - 2 inches

When Not to Start CPR

All victims of cardiac arrest should receive CPR unless:

1. Patient has a valid DNAR (Do Not Attempt Resuscitation)

order.

2. Patient has signs of irreversible death (Rigor Mortis,

Decapitation, Dependent Lividity).

3. Attempts to perform CPR would place the rescuer at risk of

physical injury.

.

BLS SequenceDRCAB

BLS SequenceD - danger

RCAB

BLS SequenceR - responsiveness

CAB

•Adult and Child BLS– Tap the shoulders

to check for responsiveness

•Infant BLS

– Tap the sole of the feet to check for responsiveness

BLS SequenceC - circulation

AB

•Pulse Check

– Check pulse no more than 10 seconds

– If there is no pulse start CPR

BLS SequenceChest Compressions• Kneel center of the victim’s shoulder

• Place the heel of one hand onthe sternum in the center ofthe chest between thenipples and

then place the heel of the secondhand on top of the first so that thehands are overlapped and parallel.

BLS SequenceChest Compressions

Position shoulders over hands with elbows locked and arms straight

Compress down and release pressure smoothly, keeping hand contact with chest at all times

BLS SequenceAlternative CPR• Compression-only CPR:

. Outcome is better than outcome of NO CPR• Lay rescuers should do compression-only

if they are unwilling or unable to provide

rescue breaths

BLS SequenceA - airway

B

Open Airway Jaw-Thrust Maneuver is

strictly a Healthcare Provider technique

Head Tilt-Chin Lift Maneuver for Lay rescuer

BLS SequenceB - breathing

Maintain airway

Pinch nose shut

Open your mouth wide, take a normal breath, and make a tight seal around the outside of victim’s mouth

Give 2 full breaths (1 sec/ breath)

Observe chest rise

BLS SequenceImportant Points to Remember

Ratio - 30 compressions:2 breaths Rate - Approx. 100 compressions per minute Depth - 1.5-2 inches Cycles

•1 cycle = 30 compressions and 2 breaths• Five cycles should take no more than 2 minutes

Don’ts in External Chest Compressions

1. Jerker2. Massager3. Bender4. Rocker5. Bouncer6. Double Crosser

Recovery Position

When to Stop CPR

TS

O P S

When to Stop CPR

TOPS

Spontaneous breathing

When to Stop CPR

Trained personnel arrived

Spontaneous breathing

O P S

When to Stop CPR

Trained personnel arrived

Spontaneous breathing

Operator exhausted

P S

When to Stop CPR

Trained personnel arrived

Spontaneous breathing

Operator exhausted

Physician assumes responsibility

S

When to Stop CPR

Trained personnel arrived

Spontaneous breathing

Operator exhausted

Physician assumes responsibility

Scene become unsafe