Updated bls training
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Transcript of Updated bls training
BASIC LIFE SUPPORT
JOEY J. MARCOOIC, CDRRMO
Alexander M. WongChief Admin & Training, CDRRMO
Learning Objectives
At the end of this session, participants shall be able to:
1. Perform proper Heimlich maneuver techniques
2. Perform correct cardiopulmonary resuscitation techniques to an adult, child and infant who are in cardiac arrest
3. Discuss other alternative forms of CPR
4. How to Place an unconscious breathing victim in the recovery position
5. Enumerate the criteria for when to start and when to stop CPR.
Choking
Choking
Choking Infant
Choking
Unconscious
Cardio Pulmonary Resuscitation (CPR)
Cardio Pulmonary Resuscitation (CPR)
series of assessments and interventionsusing techniques and maneuvers made tobring victims of cardiac and respiratoryarrest back to life.
Definition:
Cardio Pulmonary Resuscitation (CPR)
Use heel of hand
Straight arms
1 ½ - 2 inches
When Not to Start CPR
All victims of cardiac arrest should receive CPR unless:
1. Patient has a valid DNAR (Do Not Attempt Resuscitation)
order.
2. Patient has signs of irreversible death (Rigor Mortis,
Decapitation, Dependent Lividity).
3. Attempts to perform CPR would place the rescuer at risk of
physical injury.
.
BLS SequenceDRCAB
BLS SequenceD - danger
RCAB
BLS SequenceR - responsiveness
CAB
•Adult and Child BLS– Tap the shoulders
to check for responsiveness
•Infant BLS
– Tap the sole of the feet to check for responsiveness
BLS SequenceC - circulation
AB
•Pulse Check
– Check pulse no more than 10 seconds
– If there is no pulse start CPR
BLS SequenceChest Compressions• Kneel center of the victim’s shoulder
• Place the heel of one hand onthe sternum in the center ofthe chest between thenipples and
then place the heel of the secondhand on top of the first so that thehands are overlapped and parallel.
BLS SequenceChest Compressions
Position shoulders over hands with elbows locked and arms straight
Compress down and release pressure smoothly, keeping hand contact with chest at all times
BLS SequenceAlternative CPR• Compression-only CPR:
. Outcome is better than outcome of NO CPR• Lay rescuers should do compression-only
if they are unwilling or unable to provide
rescue breaths
BLS SequenceA - airway
B
Open Airway Jaw-Thrust Maneuver is
strictly a Healthcare Provider technique
Head Tilt-Chin Lift Maneuver for Lay rescuer
BLS SequenceB - breathing
Maintain airway
Pinch nose shut
Open your mouth wide, take a normal breath, and make a tight seal around the outside of victim’s mouth
Give 2 full breaths (1 sec/ breath)
Observe chest rise
BLS SequenceImportant Points to Remember
Ratio - 30 compressions:2 breaths Rate - Approx. 100 compressions per minute Depth - 1.5-2 inches Cycles
•1 cycle = 30 compressions and 2 breaths• Five cycles should take no more than 2 minutes
Don’ts in External Chest Compressions
1. Jerker2. Massager3. Bender4. Rocker5. Bouncer6. Double Crosser
Recovery Position
When to Stop CPR
TS
O P S
When to Stop CPR
TOPS
Spontaneous breathing
When to Stop CPR
Trained personnel arrived
Spontaneous breathing
O P S
When to Stop CPR
Trained personnel arrived
Spontaneous breathing
Operator exhausted
P S
When to Stop CPR
Trained personnel arrived
Spontaneous breathing
Operator exhausted
Physician assumes responsibility
S
When to Stop CPR
Trained personnel arrived
Spontaneous breathing
Operator exhausted
Physician assumes responsibility
Scene become unsafe