BLS 2010 New Short-Display

8/6/2019 BLS 2010 New Short-Display

1/27

WHY SHOULD I LEARN CPR?

CPR1

y

Reasons include but not limited to following:

y SOMEONE YOU LOVE, KNOW OR WORK WITH HAS

HEART DISEASE

y CAN PREVENT A DEATH OR DISABILITY

y TO BE A BETTER MEMBER OF COMMUNITY

y JOB REQUIRES IT


2/27

BASIC LIFE SUPPORT

SEQUENCES OF PROCEDURES PERFORMED TO RESTORE THE

CIRCULATION OF OXYGENATED BLOOD AFTER A SUDDEN PULMONARY

AND/OR CARDIAC ARREST

CHEST COMPRESSIONS PERFORMED BY ANYONE WHO KNOWS

HOW TO DO IT, ANYWHERE, IMMEDIATELY, WITHOUTANY OTHER

EQUIPMENT


3/27

Fundamental aspects

y Immediate recognition of sudden cardiac arrest (SCA) and

activation of the emergency response system

y early cardiopulmonary resuscitation (CPR)

y rapid defibrillation with AED

The critical lifesaving steps of BLS


4/27

Key changes from the 2005 Guidelines

y Immediate recognition of SCA based on assessing unresponsiveness

and absence of normal breathing

y

Look, Listen, and Feel removed from the BLS algorithm

y Encouraging Hands-Only (chest compression only) CPR for the

untrained lay-rescuer

y CAB rather than ABC


5/27


6/27


7/27

Approach safely

Scene

Rescuer

Victim

Shake shoulders gently

Ask Are you all right?


8/27

Shout for help


9/27

EARLY ACCESS

CPR9

y EARLY ACTIVATION OF EMERGENCY MEDICAL

SERVICES (EMS) SYSTEM

y CALL 108

y WHEN YOU CALL, GIVE THE FOLLOWING INFO; AND

HANG UP LAST

y LOCATION - ADDRESS, LANDMARKS, ROADS

y NUMBER OF PHONE YOUR USING

y DESCRIBE WHAT HAPPENED

y

NUMBER OF VICTIMSy WHAT IS BEING DONE FOR VICTIMS

y ADULTS - PHONE FIRST

y CHILDREN/INFANTS - PHONE FAST


10/27

Recognition of Arresty

Deemphasize checking for breathing

y Professional as well as lay rescuers unable to accurately determine the

presence or absence of adequate or normal breathing

y Treat the victim who has occasional gasps as if he or she is not

breathing

y

Deemphasize the pulse check as a mechanism to identify cardiac arrest

y Both laypersons and healthcare providers have difficulty detecting a

pulse


11/27

Early CPR - Chest Compressions

y All patients in cardiac arrest should receive chest compressions

y Push hard and push fast

y Deliver at least 100 compressions per minute

y Compression depth of at least 2 inches/5 cm

y Chest compression and chest recoil/relaxation times approximately equal

y Allow complete recoil of the chest after each compression


12/27

y Minimize the frequency and duration of interruptions in

compressions

y A compression-ventilation ratio of 30:2

y When 2 or more rescuers are available switch chest compressors

approximately every 2 minutes (or after about 5 cycles of

compressions and ventilations at a ratio of 30:2)


13/27

Pulse Checky Healthcare providers also may take too long to check for a pulse

y The lay rescuer should not check for a pulse and should assume

that cardiac arrest is present if an adult suddenly collapses or an

unresponsive victim is not breathing normally

y The healthcare provider should take no more than 10 seconds to

check for a pulse


14/27

Chest compression: Hand Position

Middle ofchest on line

connecting two nipples.


15/27

Chest compression: Minimizing Injury

Heel of the palm

contact

Avoid contact

Interlaced

fingers


16/27

Chest Compression


17/27

Managing the Airwayy Head tiltchin lift maneuver

y For victims with suspected spinal injury, use manual spinal motion

restriction (eg, placing 1 hand on either side of the patients head

to hold it still) rather than immobilization devices

y If healthcare providers suspect a cervical spine injury, they should

open the airway using a jaw thrust without head extension


18/27

Rescue Breaths

y Beginning CPR with 30 compressions rather than 2

ventilations leads to a shorter delay to first compression

y Deliver each rescue breath over 1 second

yGive a sufficient tidal volume to produce visible chest rise

y Use a compression to ventilation ratio of 30 chest

compressions to 2 ventilations

y When an advanced airway is in place give 1 breath every

6 to 8 seconds without attempting to synchronize

breaths between compressions

y Rescuers should avoid excessive ventilation (too many

breaths or too large a volume) during CPR


19/27

Mouth-to-Mouth Rescue Breathing

y Give 1 breath over 1 second, take a regular (not a deep) breath,

and give a second rescue breath over 1 second

y If an adult victim with spontaneous circulation requires support

of ventilation, give rescue breaths at a rate of about 1 breath every

5 to 6 seconds, or about 10 to 12 breaths per minute


20/27

Open the Airway

Head Tilt Chin Lift Maneuver


21/27

Breathing(give for 1 second)

Maintain

head-tilt

&chin-lift

Swivel fingers

to clamp nostrils

Good seal


22/27

Breathing: Barrier Device


23/27

The Chest Must Rise

By bag & mask


24/27

AED Defibrillationy Rapid defibrillation is the treatment of choice for VF of short

duration

y Rescuer should use the defibrillator as soon as it is available


25/27


26/27


27/27

Documents

BLS 2010 New Short-Display