Basic Life Support & Automated External Defibrillation Course

1. Basic Life Support & Automated External Defibrillation Course

2. At the end of the winter term participants should be able to demonstrate: How to assess the collapsed victim. How to perform chest compression and rescue breathing. How to place an unconscious breathing victim in the recovery position. OBJECTIVES

3. Most frequent causes of cardiac arrest Poruchy rytmu pri AIM

4. Most common causes of cardiac arrest • 1. place IHD...Myocardial infarct, • Trauma • Poisoning • Drowning • Hypotermia... Venticular fibrilation

5. Basic life support • Advanced life support 1961: Peter Safar

6. CHAIN OF SURVIVAL 112

7. Airway Breathing Circulation (CAB) BASIC LIFE SUPPORT (BLS)

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

9. Scene Rescuer Victim Bystanders APPROACH SAFELY! Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths

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

11. CHECK RESPONSE • Shake shoulders gently • Ask “Are you all right?” • If he responds • Leave as you find him. • Find out what is wrong. • Reassess regularly.

12. SHOUT FOR HELP Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths

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

14. Campbell AIRWAY OPENING BYNECK EXTENSION

15. Cervical spine injury • Jaw thrust (no for lay rescuer) for open airway

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

17. Look, listen and feel for NORMAL breathing Do not confuse agonal breathing with NORMAL breathing CHECK BREATHING

18. 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 AGONAL BREATHING

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

20. 30 CHEST COMPRESSIONS Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths

21. CHEST COMPRESSIONS • 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

22. 30 : 2 Handley A.J., Koster R., Monsieurs K., Perkins G.D.,Davies S., Bossaert L.: European Resuscitation Council Guidelines forResuscitation 2005. Section 2. Adult basic life support and use ofautomated external defibrillators Resuscitation (2005) 67S1, S7—S23

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

24. 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 RESCUE BREATHS

25. 30 2 CONTINUE CPR

26. Continous chest compression - only

27. The use of protective devices is recommended

28. IF VICTIM STARTS TO BREATHE NORMALLY PLACE IN RECOVERY POSITION • It ensures the tongue is held in forward position • It reduces the chance of inhalation of any expelled gastric contents

30. Choking forein body airway obstruction • Mild airway obstruction(effective cough, breathe, conscious, speak) Encourage continued coughing,observing for relief of the obstruction

31. Severe airway obstruction – conscious (unable to speak, to breathe, to cough) 5 back blows 5 abdominal thrust Severe airway obstruction – unconscious Start CPR(even if the puls is present)

32. DEFIBRILLATION

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

34. SWITCH ON AED Some AEDs will automatically switch themselves on when the lid is opened

35. ATTACH PADS TO CASUALTY’S BARE CHEST

36. ANALYSING RHYTHM DO NOT TOUCH VICTIM

37. Ventricular fibrillation Ventricular tachycardia Electro-mechanical disociation (EMD) Pulseless ventricular activity (PVA) Asystole

38. Stand clear Deliver shock SHOCK INDICATED

39. SHOCK DELIVEREDFOLLOW AED INSTRUCTIONS 30 2

40. NO SHOCK ADVISEDFOLLOW AED INSTRUCTIONS 30 2

41. IF VICTIM STARTS TO BREATHE NORMALLY PLACE IN RECOVERY POSITION

42. www.erc.eduwww.resus.org.uk Moule P., Albarran J., 2009: Practical resuscitation for healthcare professionals www. books.google.com

43. www.erc.eduwww.resus.org.uk Resuscitation (2005) 67 Supplement Resuscitation (2005) 67 NEW GUIDELINES: October 2010

44. ANY QUESTIONS?

45. Thank you !

46. 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 BACKGROUND

47. Adult CPR techniques can be used on children Compressions 1/3 of the depth of the chest CPR IN CHILDREN

48. 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

49. ANY QUESTIONS?

50. Approach safely Approach safely Check response Check response Shout for help Shout for help Open airway Open airway Check breathing Check breathing Call 112 Call 112 30 chest compressions Attach AED 2 rescue breaths Follow voice prompts