BLS - 2005

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Information about BLS - 2005
Education

Published on July 16, 2009

Author: behdad16

Source: authorstream.com

Slide 1: Directed by: Behdad Bazargani MD. Anesthesiologist Ali Shahabbasi MD. Anesthesiologist Basic Life Support & Automated External Defibrillation Course 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. BLS Workshop : BLS Workshop CHAIN OF SURVIVAL : CHAIN OF SURVIVAL Slide 5: Approach safely Check response Shout for help Open airway Check breathing Call 115 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 115 30 chest compressions 2 rescue breaths CHECK RESPONSE : CHECK RESPONSE Approach safely Check response Shout for help Open airway Check breathing Call 115 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 115 30 chest compressions 2 rescue breaths OPEN AIRWAY : OPEN AIRWAY Approach safely Check response Shout for help Open airway Check breathing Call 115 30 chest compressions 2 rescue breaths CHECK BREATHING : CHECK BREATHING Approach safely Check response Shout for help Open airway Check breathing Call 115 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 15: Approach safely Check response Shout for help Open airway Check breathing Call 115 30 chest compressions 2 rescue breaths 30 CHEST COMPRESSIONS : 30 CHEST COMPRESSIONS Approach safely Check response Shout for help Open airway Check breathing Call 115 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 Compression-Decompression : Compression Compression of heart & lungs Delivers blood to Brain and peripheral vasculature. Decompression Refilling of heart & lungs Delivers blood to the heart Compression-Decompression Slide 22: "Effective" chest compressions are essential for providing blood flow during CPR "push hard and push fast“ Compress the adult chest at a rate of about 100 compressions per minute, with a compression depth of 1 to 2 inches (approximately 4 to 5 cm) Allow the chest to recoil completely after each compression, and allow approximately equal compression and relaxation times. Minimize interruptions in chest compression RESCUE BREATHS : RESCUE BREATHS Approach safely Check response Shout for help Open airway Check breathing Call 115 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 27: Approach safely Check response Shout for help Open airway Check breathing Call 115 30 chest compressions 2 rescue breaths Slide 28: Call 115 Approach safely Check response Shout for help Open airway Check breathing Attach AED Follow voice prompts Immediate AED : Immediate AED DEFIBRILLATION : DEFIBRILLATION Importance of CPR : Importance of CPR Rather than treating all “shockable” rhythms with direct countershock, the current model of VF arrest suggests that the optimal treatment changes over time. While the treatment for VF in the first 4 minutes is still a shock, very few out of hospital cardiac arrest patients are reached in this phase. The notable exception is witnessed arrest patients, who should always be shocked immediately. The optimal therapy after 10+ minutes, when the metabolic phase is reached, is still unknown. It is worth pointing out that the morphology of VF appears to change over time, which is an observation that most EMS providers have made before. 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 Slide 37: The average time for an AED to deliver three stacked shocks is 90 seconds. THAT’S 1 ½ MINUTES WITHOUT CPR If the first shock does not eliminate VF, resumption of CPR is likely more beneficial It takes several minutes for a normal heart rhythm to return and more time for the heart to create a decent pressure after VF is eliminated. CPR can bridge that gap. Immediate CPR after defibrillation is not harmful. 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 ANY QUESTIONS? : ANY QUESTIONS? Slide 43: Approach safely Check response Shout for help Open airway Check breathing Call 115 30 chest compressions 2 rescue breaths Approach safely Check response Shout for help Open airway Check breathing Call 115 Attach AED Follow voice prompts

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