Slide 1 : Basic Life Support & Automated External Defibrillation CourseJean BauwensMSc Health, RN, CCN, ERC instructor
OBJECTIVES : OBJECTIVES At the end of this course
participants 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.
BACKGROUND : 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
CHAIN OF SURVIVAL : CHAIN OF SURVIVAL
Slide 5 : Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths
APPROACH SAFELY! : 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
CHECK RESPONSE : CHECK RESPONSE Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths
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. CHECK RESPONSE
SHOUT FOR HELP : SHOUT FOR HELP Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths
OPEN AIRWAY : OPEN AIRWAY Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths
CHECK BREATHING : CHECK BREATHING Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths
CHECK BREATHING : CHECK BREATHING Look, listen and feel for NORMAL breathing
Do not confuse agonal breathing with NORMAL breathing
AGONAL BREATHING : 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
Slide 14 : Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths
30 CHEST COMPRESSIONS : 30 CHEST COMPRESSIONS Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths
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 CHEST COMPRESSIONS
RESCUE BREATHS : RESCUE BREATHS Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths
RESCUE BREATHS : 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
CONTINUE CPR : CONTINUE CPR 30 2
Slide 20 : Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths
DEFIBRILLATION : DEFIBRILLATION
Slide 22 : Call 112 Approach safely Check response Shout for help Open airway Check breathing Attach AED Follow voice prompts
SWITCH ON AED : SWITCH ON AED Some AEDs will automatically switch themselves on when the lid is opened
ATTACH PADS TO CASUALTY’S BARE CHEST : ATTACH PADS TO CASUALTY’S BARE CHEST
ANALYSING RHYTHM DO NOT TOUCH VICTIM : ANALYSING RHYTHM DO NOT TOUCH VICTIM
SHOCK INDICATED : SHOCK INDICATED Stand clear
Deliver shock
SHOCK DELIVEREDFOLLOW AED INSTRUCTIONS : SHOCK DELIVEREDFOLLOW AED INSTRUCTIONS 30 2
NO SHOCK ADVISEDFOLLOW AED INSTRUCTIONS : NO SHOCK ADVISEDFOLLOW AED INSTRUCTIONS 30 2
IF VICTIM STARTS TO BREATHE NORMALLY PLACE IN RECOVERY POSITION : IF VICTIM STARTS TO BREATHE NORMALLY PLACE IN RECOVERY POSITION
Slide 30 :
CPR IN CHILDREN : CPR IN CHILDREN Adult CPR techniques can be used on children
Compressions 1/3 of the depth of the chest
Slide 32 : 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
ANY QUESTIONS? : ANY QUESTIONS?
Slide 34 : 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