Basic Life Support & Automated External Defibrillation Course

1. Basic Life Support & Automated External Defibrillation Course

2. www.erc.eduwww.resus.org.uk Resuscitation (2005) 67 Supplement Resuscitation (2005) 67

3. 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

4. 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

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

6. Most common causes of cardiac arrest • 1. place IHD...MI..., • Trauma • Asphyxia • Poisoning • Drowning • Hypotermia... Poruchy rytmu pri AIM

7. CHAIN OF SURVIVAL

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

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

10. 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

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

12. 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.

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

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

15. Campbell AIRWAY OPENING BYNECK EXTENSION

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. Hypoxia Hypovolemia Hypothermia Hyper/hypoK+andmetabolic disorders H+ions (acidosis) Tension pneumothorax Tamponade Toxic/therap. disturbances Thrombosis coronary Thrombosis pulmonary POTENTIALLY REVERSIBLE CAUSES (5 H’s & 5 T’s):

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

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

30. DEFIBRILLATION

31. ANY QUESTIONS?

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

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

34. ATTACH PADS TO CASUALTY’S BARE CHEST

35. ANALYSING RHYTHM DO NOT TOUCH VICTIM

36. Stand clear Deliver shock SHOCK INDICATED

37. SHOCK DELIVEREDFOLLOW AED INSTRUCTIONS 30 2

38. NO SHOCK ADVISEDFOLLOW AED INSTRUCTIONS 30 2

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

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

42. 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

43. ANY QUESTIONS?

44. 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