if the rescuer believes the victim to be a child then they should use the paediatric guidelines. 1 Basic Life Support Cardio-Pulmonary Resuscitation For Healthcare Lay Rescuer 2 E M E R G E N C Y 3 THEN AND NOW 4 Pre-Hospital Scenarios 5 Pre-Hospital Scenarios 6 LIFE SUPPORT Basic Life. Life of Pi. 4. Copyright 2016 MedicPresents All rights reserved. Take a breath and cover the mouth and nose of the infant with your mouth, making sure you have a good seal. oce przytomno. Resuscitation 2010;81:671-5. Cee Sanchez. If this is not available, use the standard AED (for all ages). Do not use abdominal thrusts (Heimlich manoeuvre) for infants. This is achieved safely by placing your free arm along the infants back and encircling the occiput with your hand. Maconochie IK, Aickin R, Hazinski MF, Atkins DL, Bingham R, Couto TB, Guerguerian AM, Nadkarni VM, Ng KC, Nuthall GA, Ong GYK, Reis AG, Schexnayder SM, Scholefield BR, Tijssen JA, Nolan JP, Morley PT, Van de Voorde P, Zaritsky AL, de Caen AR; Resuscitation. Approximately 50% of the whole chest compression cycle should be the relaxation phase (one cycle is from the start of one compression to the next). The core skills required in resuscitation of cardiac arrest individuals is referred to as Basic Cardiac Life Support or cardiopulmonary resuscitation (CPR). Bring the far arm across the chest, and hold the back of the hand against the childs cheek nearest to you. Objectives of the course Identify the steps in the Chain of Survival Recognize early warning signs of Infant and Child trauma Perform Infant and Child CPR Perform Infant and Child Foreign Body Airway Obstruction Techniques Practice using the Automated External Defibrillation unit. If you are unable or unwilling to provide ventilations, give continuous chest compressions. By accepting, you agree to the updated privacy policy. Check their condition and get help if needed. The AHA's BLS course trains participants to promptly recognize several life-threatening emergencies, give high-quality chest compressions, deliver appropriate ventilations and provide early use of an AED. Allow adequate time for chest recoil to occur (approximately 50% of the whole cycle should be the relaxation phase, i.e., from the start of one compression to the next). 3. It is important to stress the importance of maintaining a close check on all unresponsive individuals until the EMS arrives to ensure that their breathing remains normal. Determine unresponsiveness, get help, and activate emergency medical services (EMS) 3. If there is any doubt or if they were treated with abdominal thrusts, urgent medical follow up is mandatory. This section summarizes BLS guidelines for lay rescuers and healthcare providers. Do not push on the soft tissues under the chin as this may block the airway. CPR should be continued till : Qualified help arrives and takes over Return of spontaneous circulation (ROSC) The patient recovers An authorised person pronounces life extinct Rescuer becomes exhausted, Special occasion - Pregnancy CPR in pregnant victim: - In pregnant woman the uterus causes pressure on the major abdominal organs when she lies flat, reducing the venous return to the heart - give pelvic tilt to left using pillow/wedge as blood supply to fetus should not be jeopardized, Special occasion - chocking Responsive Adult/Child Abdominal thrusts until object is removed or victim becomes unresponsive Unresponsive Adult/Child Lower them to the ground and begin the steps of CPR Look in the mouth before each breath If you see the object, you can remove it, Early defibrillation Early defibrillation implies that defibrillation carried out within 5 mins of cardiac arrest Survival decreases by 10% for every minute that passes without defibrillation, AED(Automated External Defibrillator) AEDs are computerized devices that allow laypersons to attempt defibrillation safely. Registered office at 5th Floor, Tavistock House North, Tavistock Square, London WC1H 9HR. Members of the public should start CPR for presumed cardiac arrest without concerns of causing harm to those not in cardiac arrest. Maintain head position and chin lift, take your mouth away, and watch for their chest to fall as air comes out. . It is intended for use by AHA and other instructors and students; personnel in emergency, intensive care, or critical care departments; emergency medical care providers . Rescuers are no longer taught to feel for a pulse as part of the assessment of need for chest compressions in BLS. Reassess regularly. Adult Basic Life Support: International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Resuscitation 2020; 156:174-181. By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators. The overall sequence of basic life support in cardiopulmonary arrest (CPR = cardiopulmonary arrest) The SAFE approach If the child regains consciousness and is breathing effectively, place them in a safe side-lying (recovery) position and monitor breathing and conscious level whilst awaiting the arrival of the ambulance. Take a breath and place your lips around the mouth, making sure that you have a good seal. Basic Life support - Cpr ( cardiopulmonary resuscitation ) . Training and feedback devices have been developed for adults and children. In children and infants with cardiac arrest, a lone rescuer should immediately start CPR as described above. To decrease the number of changes in rescuer position, a 30:2 C:V ratio might be preferable for a lone rescuer. ADULT criteria to bls access: Adult Basic Life Support - . Organized by basic, advanced adult and pediatric life support, and newborn resuscitation, the handbook provides algorithms, protocols, sequences, drug dosages, and much more. Identify the landmark for chest compression (lower sternum approximately a fingers breadth above the xiphisternum). No greater harm can occur than failing to act when someone requires CPR and defibrillation. Those trained only in adultBLS (may include healthcare providers and members of the public) who have no specific knowledge of paediatric resuscitation, should use the adult sequence they are familiar with, including the paediatric modifications if possible (see below). If calling 999 preferably use the speaker function of a mobile phone. The AAA's Assess the patient Establish unresponsiveness Check pulse, respirations Activate EMS Call for help AED Get an AED (automated external defibrillator) 2. Blow steadily into their mouth over 1 second sufficient to make the chest rise visibly. Views: 556, By: JenniferDwayne Deliver up to 5 chest thrusts. Page 2, Risks to the rescuer when performing basic life support. Basic Life Support (BLS) is the foundation of resuscitation training for healthcare professionals including nurses, physicians, EMS professionals, and other healthcare and public safety personnel. lifeguards, first aiders). Turn the child onto their back and open the airway using head tilt and chin lift: Place your hand on their forehead and gently tilt their head back. Now customize the name of a clipboard to store your clips. As in the past, there remains a paucity of good quality evidence specifically on paediatric resuscitation, and some Views: 524, By: DrDwayne OBJECTIVES. CONTENTS. With your other hand, grasp the far leg just above the knee and pull it up, keeping the foot on the ground. Simultaneously look for signs of life (these include any movement, coughing, or normal breathing). breathing, and then delivering 2 rescue. identify the steps in the chain of survivalrecognize early, Basic Life Support CPR - Introduction. The community response to cardiac arrest remains critical to saving lives. Compression-to-ventilations ratio: 30:2, for one or two rescuers. Name 2 techniques applied in severe airway obstruction? Push the shock button as prompted. Basic Life Support Approach safely Scene Check response Shout for help Rescuer Open airway Victim Check breathing Call 112 Bystanders 30 chest compressions 2 rescue breaths f CHECK RESPONSE Basic Life Support Approach safely Check response Shout for help Open airway Check breathing Call 977 30 chest compressions 2 rescue breaths f CHECK RESPONSE Grasp your fist with your other hand and pull sharply inwards and upwards. Compress the sternum one fingers breadth above this. We've updated our privacy policy. Only leave the child if no other way of obtaining help is possible. Try to minimise spinal movement as far as possible during CPR without hampering the process of resuscitation, which clearly has priority. Defibrillation Course. Views: 1916, By: JenniferDwayne What is the manoeuvre for keeping the airway open called? Weve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. Doctor at Bahawal Victoria Hosipital, Bahawalpur, PK. In cases where there is more than one rescuer, a second rescuer should call 999 (outside hospital) to summon emergency medical services (EMS) or call 2222 if in an NHS hospital to summon the clinical emergency team immediately. Basic Life Support Questions. For more information about Basic Life Support or getting certified, check out our 100% online and accredited BLS certification. BASIC LIFE SUPPORT This is the same time period as in adult practice. In the first few minutes after cardiac arrest a child may be taking infrequent, noisy gasps. For both infants and children, if you have difficulty achieving an effective breath, the airway may be obstructed: Chest compression in children aged over 1 year: Note: Do not interrupt CPR at any moment unless there are clear signs of life (movement, coughing, normal breathing). Maintaining head tilt and chin lift, take your mouth away and watch for the chest to fall as air comes out. Cough CPR/ Prone CPR Cough cpr-Recommended only for awake monitored victim getting VF/VT Prone cpr when supine position cannot be given blood pressure is raised in prone CPR than supine CPR. Keeping the hand pressed against the cheek, pull on the far leg to roll the person towards you onto their side. BASIC LIFE SUPPORT / BANTUAN HIDUP DASAR (BHD) Jul 25 dinkes DKK Salatiga - Jika pada suatu keadaan ditemukan korban dengan penilaian dini terdapat gangguan tersumbatnya jalan nafas, tidak ditemukan adanya nafas dan atau tidak ada nadi, maka penolong harus segera melakukan Bantuan Hidup Dasar (BHD). Your personal information is important and we will use it only for the purpose you provide it. Dunne CL, Peden AE, Queiroga AC, Gomez Gonzalez C, Valesco B, Szpilman D. A systematic review on the effectiveness of anti-choking suction devices and identification of research gaps. Ensure a neutral position of the head (as an infants head is usually flexed when supine, this may require some gentle extension) and apply chin lift. cpr, Adult Basic Life Support - La. If still unsuccessful, move on to chest compressions. Although ventilation remains a particularly important component of CPR in children, rescuers who are unable or unwilling to provide breaths should be encouraged to perform at least compression-only CPR. bls - dorosy. Preferably use a two-thumb encircling technique for chest compression in infants be careful to ensure complete chest recoil after each chest compression. supporto di base alle funzioni vitali in et pediatrica. basic life support Dr. Vitthalrao Vikhe Patil Foundation's College of Physiotherapy, Ahmednagar 618 views 37 slides UC Nursing CESDEV Cpr Module ucnursingcesdev 1.5k views 29 slides Cardiopulmonary resuscitation (cpr) Thapa Nisha 15.1k views 85 slides BASIC LIFE SUPPORT (BLS) Ashwini Maurya 1.5k views 36 slides Basic life support Basic Life Support (BLS) for Infants (Age 0-12 months) - Familiarize yourself with the similarities and differences between children and infants BLS, so you are prepared to assist either during time of need. PEDIATRIC BASIC LIFE SUPPORT - . Open the childs mouth and remove any visible obstruction. Adjust the upper leg so that both the hip and knee are bent at right angles. 2020 AHA Basic Life Support Guidelines. When a foreign body enters the airway the child or infant reacts immediately by coughing in an attempt to expel it. BASIC LIFE SUPPORT - . Adult Chains of Survival. Press down on the lower sternum with your two thumbs to depress it at least one-third of the depth of the infants chest, approximately 4 cm. Events are therefore frequently witnessed, and interventions are most often initiated when the child or infant is conscious. CHECK RESPONSE, SHOUT FOR HELP Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths, OPEN AIRWAY Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths, OPEN AIRWAY Head tilt and chin lift - lay rescuers - non-healthcare rescuers No need for finger sweep unless solid material can be seen in the airway, OPEN AIRWAY Head tilt, chin lift + jaw thrust - healthcare professionals, CHECK BREATHING Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths, CHECK BREATHING Look, listen and feel for NORMAL breathing Do not confuse agonal breathing with NORMAL 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 Erroneous information can result in withholding CPR from cardiac arrest victim, Approach safely Check response Shout for help Open airway Check breathing Call 155 / 112 30 chest compressions 2 rescue breaths, FOREIGN-BODY AIRWAY OBSTRUCTION (FBAO) Approximately 16 000 mature and children receive treatment for FBAO in the UK yearly, 30 CHEST COMPRESSIONS Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths, 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 Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 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, RESCUE BREATHS RECOMMENDATIONS: - Tidal volume 500 600 ml - Respiratory rate give each breaths over about 1s with enough volume to make the victims chest rise - Chest-compression-only continuously at a rate of 100 min, Call 112 Approach safely Check response Shout for help Open airway Check breathing Attach AED Follow voice prompts, AUTOMATED EXTERNAL DEFIBRILLATOR (AED) Some AEDs will automatically switch themselves on when the lid is opened, SHOCK INDICATED Stand clear Deliver shock, SHOCK DELIVERED FOLLOW AED INSTRUCTIONS 30 2, NO SHOCK ADVISED FOLLOW AED INSTRUCTIONS 30 2, IF VICTIM STARTS TO BREATHE NORMALLY PLACE IN RECOVERY POSITION, 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, CONTINUE RESUSCITATION UNTIL Qualified help arrives and takes over The victim starts breathing normally Rescuer becomes exhausted. 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