blsaed p presentation april2009

8/7/2019 BLSAED P presentation April2009

1/35

Eur

ope

Basic Life Support &Automated External

Defibrillation Course


2/35

Eur

ope

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


3/35

Eur

ope

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 emergencyservices

Early resuscitation and prompt defibrillation (within 1-2minutes) can result in >60% survival


4/35

Eur

ope

CHAIN OF SURVIVAL


5/35

Eur

ope

Approach safely

Check response

Shout for help

Open airway

Check breathing

Call 112

30 chest compressions

2 rescue breaths


6/35

Eur

ope

APPROACH SAFELY!

Scene

Rescuer

Victim

Bystanders

Approach safely

Check response

Shout for help

Open airway

Check breathing

Call 112


2 rescue breaths


7/35

Eur

ope

CHECK RESPONSE

Approach safely

Check response

Shout for help

Open airway

Check breathing

Call 112


2 rescue breaths


8/35

Eur

ope

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


9/35

Eur

ope

SHOUT FOR HELP

Approach safely

Check response

Shout for help

Open airway

Check breathing

Call 112


2 rescue breaths


10/35

Eur

ope

OPEN AIRWAY

Approach safely

Check response

Shout for help

Open airway

Check breathing

Call 112


2 rescue breaths


11/35

Eur

ope

CHECK BREATHING

Approach safely

Check response

Shout for help

Open airway

Check breathing

Call 112


2 rescue breaths


12/35

Eur

ope

CHECK BREATHING

Look, listen and feel

for NORMAL

breathing

Do not confuse

agonal breathing withNORMAL breathing


13/35

Eur

ope

AGONAL BREATHING

Occurs shortly after the heart stops

in up to 40% of cardiac arrests

Described as barely, heavy, noisy or gaspingbreathing

Recognise as a sign of cardiac arrest


14/35

Eur

ope

Approach safely

Check response

Shout for help

Open airway

Check breathing

Call 112


2 rescue breaths


15/35

Eur

ope

30 CHEST COMPRESSIONS

Approach safely

Check response

Shout for help

Open airway

Check breathing

Call 112


2 rescue breaths


16/35

Eur

ope

Place the heel of onehand 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

CHEST COMPRESSIONS


17/35

Eur

ope

When possible change

CPR operator every 2

min

CHEST COMPRESSIONS


18/35

Eur

ope

RESCUE BREATHS

Approach safely

Check response

Shout for help

Open airway

Check breathing

Call 112


2 rescue breaths


19/35

Eur

ope

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


20/35

Eur

ope

CONTINUE CPR

30 2


21/35

Eur

ope

Approach safely

Check response

Shout for help

Open airway

Check breathing

Call 11230 chest compressions

2 rescue breaths


22/35

Eur

ope

DEFIBRILLATION


23/35

Eur

ope

Call 112

Approach safely

Check response

Shout for help

Open airway

Check breathing

Attach AED

Follow voice prompts


24/35

Eur

ope

SWITCH ON AED

Some AEDs willautomatically switch

themselves on when

the lid is opened


25/35

Europe

ATTACH PADS TO

CASUALTYS BARE CHEST


26/35

Europe

ANALYSING RHYTHM

DO NOT TOUCH VICTIM


27/35

Europe

SHOCK INDICATED

Stand clear Deliver shock


28/35

Europe

SHOCK DELIVERED

FOLLOW AED INSTRUCTIONS

30 2


29/35

Europe

NO SHOCK ADVISED

FOLLOW AED INSTRUCTIONS

30 2


30/35

Europe

IF VICTIM STARTS TO

BREATHE NORMALLY PLACE

IN RECOVERY POSITION


31/35

Europe


32/35

Europe

CPR IN CHILDREN

Adult CPR

techniques can be

used on children

Compressions 1/3 of

the depth of the chest


33/35

Europe

AED IN CHILDREN

Age > 8 years:use adult AED

Age 1-8 years:

use paediatric pads /settings if available(otherwise use adultmode)

Age < 1 year:use only if manufacturerinstructions indicate it issafe


34/35

Europe

ANY QUESTIONS?


35/35

Europ

Approach safely

Check response

Shout for help

Open airway

Check breathing

Call 112


2 rescue breaths

Approach safely

Check response

Shout for help

Open airway

Check breathing

Call 112

Attach AED

Follow voice prompts

blsaed p presentation april2009

Documents