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BASIC LIFE SUPPORTAHA 2010

GUIDELINESDR. MAY AMR MUHAMMADMaster Cardiology, Ain Shams UniversityAHA FA, BLS, ACLS InstructorCPHQ

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1. ADULT.2. CHILD.3. INFANT.

Who is ……….?

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Chain of Survival:

ADULT PEDIATRIC

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C •Chest Compressions

A •Airway

B •Breathing

Changes in Guidelines (AHA 2010)

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2- Emphasis on High Quality CPR:I. START within 10 sec. of arrest recognition.II. PUSH HARD: Compression rate AT LEAST

100/ min.III. PUSH FAST: Compression depth AT LEAST

5 inches in adults, (5 cm in children and 4 cm in infants or 1/3 of the AP chest diameter).

IV. ALLOW COMPLETE CHEST RECOIL.V. Minimize interruptions.VI. Give effective breaths.VII. Avoid excessive ventilations.

Changes in Guidelines (AHA 2010)

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3- The routine use of cricoid pressure is no more recommended.

4- No Look, Listen, and Feel . 5- De- emphasis on the pulse check

(from 5-10 sec only and if any doubt start chest compressions).

6-Use of AED for infants:1. Manual is preferred than Automated.2. If not available use the pediatric dose

attenuator.3. If not available use the Adult AED.

7- Team Approach to CPR.

Changes in Guidelines (AHA 2010)

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BLS for ADULTSCheck response

Activate EMS and Ask for AED

Scan for breathing and check central pulse.

Start Chest Compressions (2min.)

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1.Check Response

ADULT PEDIATRIC

BLS

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BLS 2.Activate EMS and ask for AED.

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ADULT PEDIATRIC

BLS 3. Scan for Breathing and Check PULSE simultaneouslty.

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Hand & Body Position. Don’t Forget.

I. START within 10 sec. of arrest recognition.

II. PUSH HARD: Compression rate of 100 -120/ min.

III. PUSH FAST: Compression depth of 5-6 cmin adults, (5 -6 cm in children and 4-5 cm in infants or 1/3 of the AP chest diameter).

IV. ALLOW COMPLETE CHEST RECOIL.

V. Minimize interruptions.

BLS4. Start Chest Compressions (ADULTS).

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CHILD INFANT

BLS 4. Start Chest Compressions (CLILD & INFANT).

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I. Open Airway (Head Tilt – Chin Lift / Jaw Thrust).

II. Give Breath (Mouth to Barrier/ Mouth to mouth).

III. Use of airway Adjuvant.IV. Use of Advanced Airways.

BLS5. Give Breath.

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Power Button. Power Automatically.

BLS6. Use AED.

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ADULT PEDIARTIC

BLS6. Use AED (Lead Position).

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1- Hairy Chest. 2- Water.

BLS6. Use AED (Special situations).

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BLS 6. Use AED (Special situations).

3-Transdermal Drugs. 4- Implanted PM & ICDs.