Basic Life Support

By [Link]
 1 Rescuer CPR for Adults1
 - Check for scene safety (making sure you and the victim is free of
danger).2 – Check for responsiveness (tapping the shoulders with
both hands while saying “are you ok”).3 – If no response, yell for
help. If someone comes, tell him/her to phone 977 and get an AED.
If no one comes, phone 977 immediately and then begin the step
of CPR.A – Open the Airway (head-tilt-chin-lift or Jaw thrust) Look,
Listen, Feel for breath (5 – 10 seconds.). Just say, “I’m looking to
see if the chest is rising and listening and feeling for breath” and
you’ll be fine.B –Perform a “head tilt chin lift” and Give 2 breaths
(give enough breath to make the chest rise).***remember to pinch
the [Link] five cycles of 30 compressions and 2 breaths at a
rate of 100 compressions per min. Five cycles of 30 comps and 2
breaths in under 2 [Link]—if an AED arrives on the
scene (for adult CPR) stop CPR and use AED immediately
  2 Rescuer CPR for AdultsThe person on the scene is responsibly for
everything (scene is safe, checking for unresponsiveness, head tilt chin lift,
looking, listening and feeling) except compressions (the 2nd person’s
responsibility). Rescuers should switch roles during CPR is fatigue is a
[Link] 1 - Check for scene safety (making sure you and the victim is
free of danger).Person 1 – Check for responsiveness (tapping the shoulders
with both hands while saying “are you ok”).Person 1 – If no response, yell
for help. When person 2 arrives, send him/her to phone 977 and get an
[Link] 1– Open the Airway (head-tilt-chin-lift or Jaw thrust) Look,
Listen, Feel for breath (5 – 10 seconds.). Just say, “I’m looking to see if the
chest is rising and listening and feeling for breath” and you’ll be [Link]
1–Perform a “head tilt chin lift” and Give 2 breaths (give enough breath to
make the chest rise).***remember to pinch the [Link] 1 & 2—Start
five cycles of 30 compressions (person 2) and 2 breaths at a rate of 100
compressions per min. Five cycles of 30 comps and 2 breaths in under 2
[Link]—if an AED arrives on the scene (for adult CPR) stop CPR
and use AED immediately
  1 Rescuer CPR for Children 1 to Age of Puberty
1 – Check for scene safety.2 – Check for
responsiveness.3 – If no response SHOUT for help, send
someone to ACTIVATE EMS and get an AED.A – Open the
Airway (head-tilt-chin-lift or jaw thrust) Look, Listen,
Feel for breath (5 – 10 secs).B – Give 2 breaths (give
enough breath to make the chest rise).***remember to
pinch the [Link] CPR 30 compressions and 2 breaths
at a rate of 100 compressions per [Link] is
different than adult. One hand on chest and one hand
on [Link] 5 cycles of 30:2 if alone ACTIVATE the
EMS and get the AED.
  2 fingers on “boney part of chin, other hand
pushing forehead back.

 7 Heel of one hand center of the chest on the

nipple line above the bottom of the breastbone.
Place other hand on top.

 8 Correct compression technique and posture

Correct compression technique and posture.
Elbows straight, eyes looking at the top of your
hands, counting each compression
 1 Rescuer CPR for Infants
1 – Check for scene safety.2 – Check for responsiveness.3 – If no response SHOUT for help, send someone to call 977 and Do NOT get an
AED.A – Open the Airway (head-tilt-chin-lift or jaw thrust) Look, Listen, Feel for breath (5 – 10 secs).B – Give 2 breaths (give enough
breath to make the chest rise).***remember to place your mouth around the nose and [Link] CPR 30 compressions and 2 breaths at
a rate of 100 compressions per [Link] 5 cycles of 30:2 if alone call 977 after 5th cycle

 13 (AED) Automated External Defibrillator

When AED arrives, place it at the victims side, next to the responder using [Link] on the [Link] the pads to the victim,
then attach to [Link],Clear the victim and ANALYZE the rhythm, by pressing the analyze [Link] – If the AED advises a
shock, Clear the victim and press the SHOCK [Link] – After AED gives the shock, begin CPR beginning with chest [Link]-
ANALYZE – After 2 minutes of CPR, press ANALYZE on AEDFour Special situations:Take heed of the four special situations (hairy chest,
wet/water, pacemaker, and medicine patch) and know what to doUse adult pads on victims aged 8 and [Link] specialized pediatric
pads on victims aged 1 to [Link] no evidence to recommend for AED use on infants aged 1 or less.

 16 Relief of Choking in the Adult and Child

Ask the victim “Are you choking?” if the victim nods yesAsk the victim “Can I Help?” if the victim nods yesPosition yourself behind the
victim one foot between victim’s feet for stability (standing for adult, knelling for child) place one fist turned up with the thumb slightly
above the navel but well below the breastbone. The other hand clasping the first [Link] inward and upward with enough force to expel
the [Link] to thrust until the object is expelled or the victim becomes [Link] the object is expelled, have the victim see a
healthcare professional for further [Link] the Adult victim becomes unresponsive, call 977 and get an AED. Open the airway and
remove the object if you see it, then begin CPR. Check the Airway every time before giving breaths during [Link] the Child victim becomes
unresponsive, Open the airway, remove the object if you see it, and begin CPR. After 5 cycles (2 min) ACTIVATE the EMS and get an AED.
Check the Airway every time before giving breaths during CPR.

 19 Relief of Choking in the Infant.

Signs of Severe Airway Obstructionpoor / no air [Link] ineffective cough / no cough at [Link] blue around [Link] / sit
with infant in your lap5 back thrusts, 5 chest thrusts, continue until object is expelled or infant becomes [Link] object is expelled
take infant to a Healthcare provider for further [Link] object is not expelled and infant becomes unresponsive, Open the airway,
remove the object if you see it, and begin CPR. After 5 cycles (2 mins) ACTIVATE the EMS. Check the Airway every time before giving
breaths during CPR.
 CPR:
 CPR BLS ( Basic life support) ACLS ( Advanced Cardiac life support)


BLS:
 BLS A Airway B Breathing C Circulation D Defibrillation Other Relieve choking: Heimlich maneuver


ACLS:
 ACLS ECG interpretation Emergency Drugs indications & treatment Arrhythmias diagnosis & treatment Advanced airway (OPA, ETT) TPM insertion
Stroke diagnosis and proper referral Acute coronary syndrome diagnosis and proper referral


PowerPoint Presentation:
 Adult Chain of Survival


PowerPoint Presentation:
 A-B-C changed to C-A-B Critical element is chest compressions Delay in A-B Avoidance of A & B Early defib If alone--call and retrieve AED
Exception asphyxial arrest AMERICAN HEART ASSOCIATION: updated 2010 GUIDELINES


BLS survey:
 BLS survey Scene safety ( fire, electricity etc) Assessment { responsiveness ( R U ok ?), not breathing, gasps} Check pulse Activate the emergency
services or ask for help and AED Start chest compressions


1- Assessment :
 1- Assessment Tap the victims shoulders and shout , “ Are You All Right “. Check breathing And check pulse , if not Activate the emergency
response system


2- Check pulse :
 2- Check pulse Locate the trachea using 2 0r 3 fingers Slide the fingers into the groove between trachea and the muscles at the side of the neck,
where u can feel the carotid pulse. <10 seconds for pulse checks Count as One one-thousand, two one-thousand, three one-thousand, four one-
thousand and so on
 3- Chest compressions:
 3- Chest compressions 30 :2 compression breath ratio At least 100 compressions / minute Compression Depth
Adults 2 inches or 5 cm Child/Infant 1/3 depth of chest 1.5" infant 2" child Allow the chest to recoil -- equal
compression and relaxation times “ PUSH HARD AND PUSH FAST”


Hand position:
 Hand position Position on victims side Victim lying face up Heel of one hand on the lower half of the sternum or
breastbone. Heel of other hand on top of the first hand. Strighten ur arms and positon ur shoulders directly over
ur hands


4 - Airway:
 4 - Airway Jaw thurst Head tilt – chin lift


Head tilt- chin lift :

 Head tilt- chin lift


5- Breathing:
 5- Breathing Mouth – mouth Mouth – mask Ambu bag


Ambu bag:
 Ambu bag Positon yourself above the victims head Place the mask on the victims face, using bridge of the nose
as a guide. Use the E - C clamp technoque.


E - C clamp technique:
 E - C clamp technique Perform head tilt Place the mask on the face with the narrow portion at the bridge of the nose.


First make C:
 First make C Use the thumb and index finger of one hand to make a C on the side of the mask, pressing the edges of the mask to the
face .


Make E :
 Make E Use the remaining fingers to lift the angles of the jaw ( 3 fingers form an E ) , open the airway and press the face to the mask .


Face mask:
 Face mask


AMBU :
 AMBU


Breaths with ETT :

 Breaths with ETT Advanced airway = 1 every 6-8 seconds Adult: 1 every 5-6 Peds: 1 every 3 With advanced airway- no pause


ETT:
 ETT


6- Defibrillation:
 6- Defibrillation Mechanism Current depolarizes myocardium Induces asystole temporarily Allows once pacemaker to regain control


Defibrillator types :
 Defibrillator types MANUAL AED
 Paddle placement:
 Paddle placement One to right of sternum below clavicle; Other to left of left nipple in anterior axillary line. AP
placement can be used to defib small children with adult paddles


Energy :
 Energy Pedi requirement lower than adult 2 J/kg initial shock 4 J/kg repeat shocks Direct size/energy relationship in
adults unknown 200 to 360 J


PowerPoint Presentation:
 Simplified Universal BLS algorithm


PowerPoint Presentation:
 Shock first vs CPR first No precordial thump AED in hospital (goal to shock =< 3 mins ) Lay Rescuer – Hands-only CPR
(untrained vs trained) AMERICAN HEART ASSOCIATION: 2010 GUIDELINES


1 Rescuer CPR:
 1 Rescuer CPR


2 Rescuer CPR:
 2 Rescuer CPR


Full BLS:
 Full BLS