basic life support ppt 2020
This led to the International Liaison Committee on Resuscitation (ILCOR) Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Pinch the soft part of the nose closed with the index finger and thumb of your hand on their forehead. The guidelines process includes: Alert the emergency medical services (EMS) immediately by dialling 999 on your phone,if a person is unconscious with absent or abnormal breathing. BASIC LIFE SUPPORT (BLS)'save lives following cardiac arrest' Chain of survival Chain of survival History contd Prone position inadequate Expired air did provide sufficient O2 Head tilt, chin lift kept patent airway APPROACH SAFELY! The ideal interval for re-training is unknown but it is likely that frequent top ups, several times a year, are more effective. participants should be able to demonstrate. Activate your 30 day free trialto continue reading. 2020 Nov;156:A1-A22. - Basic life support bls supporto di base delle funzioni. Compress to a depth of at least 5 cm but not more than 6 cm. Basic Life Support (BLS) is performed to support the patient's circulation and respiration through the use of cardiopulmonary resuscitation (CPR) until advanced life support arrives. Avoid any pressure on the child or infants chest that may impair breathing and regularly turn the unconscious child or infant over onto their opposite side to prevent pressure injuries whilst in the recovery position (i.e. chest compression depth at least one third the anterior-posterior diameter of the chest, or by 4 cm for the infant and 5 cm for the child. In either case, continue with CPR as prompted by the AED. For as long as the child or infant is coughing effectively (fully responsive, loud cough, taking a breath before coughing, still crying, or speaking), no intervention is necessary. Allow adequate time for chest recoil to occur (approximately 50% of the whole cycle should be the relaxation phase, i.e., from the start of one compression to the next). All other trademarks are the property of their respective owners. Check their condition and get help if needed. There will be a period of CPR (commonly 2 minutes) before the AED prompts for a further pause in CPR for rhythm analysis. Do not perform a blind finger sweep. Clench your fist and place it between the umbilicus (navel) and the ribcage. The core skills required in resuscitation of cardiac arrest individuals is referred to as Basic Cardiac Life Support or cardiopulmonary resuscitation (CPR). Reassess regularly. Views: 1916, By: JenniferDwayne BASIC LIFE SUPPORT / BANTUAN HIDUP DASAR (BHD) Jul 25 dinkes DKK Salatiga - Jika pada suatu keadaan ditemukan korban dengan penilaian dini terdapat gangguan tersumbatnya jalan nafas, tidak ditemukan adanya nafas dan atau tidak ada nadi, maka penolong harus segera melakukan Bantuan Hidup Dasar (BHD). Call for help if it is still not available: When the airway is opened for attempted delivery of rescue breaths, look to see if the foreign body can be seen in the mouth. Use a tourniquet (preferably manufactured but otherwise improvised) in case of an uncontrollable, life-threatening external bleeding. Resuscitation 2020:153: 219-226. Refer to the ERC guidelines publications for supporting reference material. For small infants, you may need to overlap your thumbs to provide effective compressions. BLS Basic Life Support per operatori laici - . Reflects science and education from the American Heart Association Guidelines Update for CPR and Emergency Cardiovascular Care (ECC). Only leave the person unattended if absolutely necessary, for example to attend to other people. The differences between adult and paediatric resuscitation are largely based on differing aetiology. Systems of Care: Using Mobile Devices to Summon Rescuers. Keeping the airway open, look, listen, and feel for abnormal/absent breathing by putting your face close to the childs face and looking along the chest whilst simultaneously looking for signs of life. every 30 minutes). FDAR. Tilt the head back to make sure the airway remains open. dr. emad lotfy lecturer of anesthesiology . If you are trained to do so, after 30 compressions, provide 2 rescue breaths. Pediatric Basic Life Support Pedia BLS ---rbt2016--- * Ventilation - CAN BE PROVIDED WITH MOUTH-TO-MOUTH, MOUTH-TO-NOSE, OR WITH A BAG AND MASK. Separate guidelines have been developed for. 2020;156:A35-A79. learning outcomes. in hospital life support. Release all pressure on the chest between compressions to allow for complete chest recoil and avoid leaning on the chest at the end of a compression. identify the steps in the chain of survivalrecognize early, Basic Life Support CPR - Introduction. For all children, compress the lower half of the sternum: To avoid compressing the upper abdomen, locate the xiphisternum by finding the angle where the lowest ribs join the sternum (breastbone). Basic life support,Cardi0-pulmonary resuscitation Pinky Rathee 2.8k views 40 slides BASIC LIFE SUPPORT (ADULT) BLS Prof Vijayraddi 28.9k views 35 slides Cardio pulmonary resuscitation (cpr) krl Khemaram Loyal 1.4k views 33 slides Bls222 Gina Magaway 2k views 23 slides CPR procedure anjalatchi 1.3k views 22 slides BLS Aman Bijral A child is far more likely to be harmed if the bystander does nothing. mr. kasu basketball gamestudent: you saved my child's lifeintroduce annie. Take a breath and place your lips around the mouth, making sure that you have a good seal. First Aid Courses, Advice & Volunteering | St John Ambulance Clipping is a handy way to collect important slides you want to go back to later. The paediatric basic life support guidelines have been changed, partly in response to convincing new scientific evidence, and partly to simplify them in order to assist teaching and retention. It is important to maintain a close check on all unconscious children until the EMS arrives to ensure that their breathing remains normal. If you are on your own, perform CPR for 1 min before going for help. Activate your 30 day free trialto continue reading. Resuscitation Council (UK) is a registered Charity No. Be reassuring in your manner when speaking to the child. This should start with the first person on scene, who is often a bystander (i.e. Give 5 rescue breaths before starting chest compression. Basic Life Support Approach safely Scene Check response Shout for help Rescuer Open airway Victim Check breathing Call 112 Bystanders 30 chest compressions 2 rescue breaths f CHECK RESPONSE Basic Life Support Approach safely Check response Shout for help Open airway Check breathing Call 977 30 chest compressions 2 rescue breaths f CHECK RESPONSE If there is only one rescuer, with a mobile phone, they should call help first (and activate the speaker function) immediately after the initial rescue breaths. Whereas Basic Life Support (BLS) includes CPR but is an overall higher level of medical care typically administered by public safety professionals, first responders, paramedics, healthcare providers and qualified bystanders. Transcript and Presenter's Notes. 4. (www.cpr.org.tw). In these circumstances: Keep the patient flat, maintain an open airway by either continued head tilt and chin lift or jaw thrust. 2. It is important to stress the importance of maintaining a close check on all unresponsive individuals until the EMS arrives to ensure that their breathing remains normal. 1. With your other hand, grasp the far leg just above the knee and pull it up, keeping the foot on the ground. ev-k2-cnr pyramid february 2007. objectives: basic life support. Verify scene safety 2. At the end of the winter term. CPR should be continued till : Qualified help arrives and takes over Return of spontaneous circulation (ROSC) The patient recovers An authorised person pronounces life extinct Rescuer becomes exhausted, Special occasion - Pregnancy CPR in pregnant victim: - In pregnant woman the uterus causes pressure on the major abdominal organs when she lies flat, reducing the venous return to the heart - give pelvic tilt to left using pillow/wedge as blood supply to fetus should not be jeopardized, Special occasion - chocking Responsive Adult/Child Abdominal thrusts until object is removed or victim becomes unresponsive Unresponsive Adult/Child Lower them to the ground and begin the steps of CPR Look in the mouth before each breath If you see the object, you can remove it, Early defibrillation Early defibrillation implies that defibrillation carried out within 5 mins of cardiac arrest Survival decreases by 10% for every minute that passes without defibrillation, AED(Automated External Defibrillator) AEDs are computerized devices that allow laypersons to attempt defibrillation safely. If there is still doubt at the end of the rescue breaths, start CPR. Cee Sanchez. Clench your fist and place it between the umbilicus and xiphisternum. Resuscitation Council (UK) Trading Ltd is registered as a Company limited by guarantee in England & Wales No. BLS Basic Life Support - . Provide chest compressions as soon as possible after cardiac arrest is confirmed. Do not use abdominal thrusts (Heimlich manoeuvre) for infants. Lift the fingers to ensure that pressure is not applied over the childs ribs. The overall sequence of basic life support in cardiopulmonary arrest (CPR = cardiopulmonary arrest) The SAFE approach In the paediatric basic life support sequence, rescuers should perform assessment for signs of life (circulation) simultaneously with breathing assessment and during the delivery of rescue breaths. If the cough becomes ineffective, give up to 5 back blows: Apply blows between the shoulder blades using the heel of one hand. Ensure that nobody is touching the person whilst the AED is analysing the heart rhythm. woaj o pomoc . 3, Basic Life Support Algorithm (flow Sequence) 4, Recovery position 6, Choking and how to deal with a choking victim. The 2020 AHA Guidelines for Basic Life Support (BLS) and Emergency Cardiovascular Care (ECC) include a new link to the chains of survival, additional components regarding the resuscitation of pregnant patients, opioid overdose assessment with treatment, and BLS skill modifications for some populations. Place the heel of one hand over the lower half of the sternum (as above). Adult sequence with paediatric modifications, Download the Paediatric Basic Life Support Algorithm, Download the Paediatric Out of Hospital Cardiac Arrest Basic Life Support algorithm, Recent history of playing with or eating small objects. Adjust the hand under the cheek if necessary, to keep the head tilted and facing downwards to allow liquid material to drain from the mouth. Basic life support (BLS) atau dalam bahasa indonesia dikenal sebagai bantuan hidup dasar merupakan usaha yang dilakukan untuk mempertahankan kehidupan pada . Management of cardiac arrest in patients with known or suspected COVID-19 is not specifically included in these guidelines, but is covered within. Support the infants head by placing the thumb of one hand at the angle of the lower jaw, and one or two fingers from the same hand at the same point on the other side of the jaw. We've updated our privacy policy. Maintaining head tilt and chin lift, take your mouth away and watch for the chest to fall as air comes out. Send someone to fetch an AED and bring it to the scene of the cardiac arrest. Microsoft PowerPoint, Microsoft Word and Microsoft Excel are registered trademarks of Microsoft Corporation in the United States and/or other countries. Where do you place your hands while performing chest compressions? Quality Standards for Cardiopulmonary Resuscitation and Automated External Defibrillation Training in the Community. Allow the chest to return to its resting position before starting the next compression. Continue with paediatric BLS using a C:V ratio of 15:2 (or the ratio you are familiar with) until help arrives or child improves. 2020 (New): The use of mobile phone technology by emergency dispatch systems to alert willing bystanders to nearby events that may require CPR or AED use is reasonable. This section summarizes BLS guidelines for lay rescuers and healthcare providers. 2023 SlideServe | Powered By DigitalOfficePro, - - - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - - -. If head tilt and chin lift has not opened the airway, try the jaw thrust method. In certain situations, such as when the child or infant is breathing spontaneously but requires airway management or when the child has a traumatic injury, the recovery position is not recommended. This is achieved safely by placing your free arm along the infants back and encircling the occiput with your hand. 2020 AHA Basic Life Support Guidelines. The safety of fully automatic AEDs has not been well studied. Pharmacological Tools. Assess the child or infants clinical condition. chest compression pauses minimised so that 80% or more of the CPR cycle is comprised of chest compressions. The review recommended the need for further research before device use can be supported in practice. After 15 compressions, tilt the head, lift the chin, and give rescue breaths. CHECK RESPONSE, SHOUT FOR HELP Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths, OPEN AIRWAY Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths, OPEN AIRWAY Head tilt and chin lift - lay rescuers - non-healthcare rescuers No need for finger sweep unless solid material can be seen in the airway, OPEN AIRWAY Head tilt, chin lift + jaw thrust - healthcare professionals, CHECK BREATHING Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths, CHECK BREATHING Look, listen and feel for NORMAL breathing Do not confuse agonal breathing with NORMAL 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 Erroneous information can result in withholding CPR from cardiac arrest victim, Approach safely Check response Shout for help Open airway Check breathing Call 155 / 112 30 chest compressions 2 rescue breaths, FOREIGN-BODY AIRWAY OBSTRUCTION (FBAO) Approximately 16 000 mature and children receive treatment for FBAO in the UK yearly, 30 CHEST COMPRESSIONS Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths, 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, RESCUE BREATHS Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 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, RESCUE BREATHS RECOMMENDATIONS: - Tidal volume 500 600 ml - Respiratory rate give each breaths over about 1s with enough volume to make the victims chest rise - Chest-compression-only continuously at a rate of 100 min, Call 112 Approach safely Check response Shout for help Open airway Check breathing Attach AED Follow voice prompts, AUTOMATED EXTERNAL DEFIBRILLATOR (AED) Some AEDs will automatically switch themselves on when the lid is opened, SHOCK INDICATED Stand clear Deliver shock, SHOCK DELIVERED FOLLOW AED INSTRUCTIONS 30 2, NO SHOCK ADVISED FOLLOW AED INSTRUCTIONS 30 2, IF VICTIM STARTS TO BREATHE NORMALLY PLACE IN RECOVERY POSITION, Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths Approach safely Check response Shout for help Open airway Check breathing Call 112 Attach AED Follow voice prompts, CONTINUE RESUSCITATION UNTIL Qualified help arrives and takes over The victim starts breathing normally Rescuer becomes exhausted. Our regular newsletter contains updates on all things resuscitation, information about campaigns for CPR education and opportunities to purchase event tickets, manuals, and other RCUK merchandise. Details of the guidelines development process can be found in theResuscitation Council UK. Tap here to review the details. Scene Rescuer Victim Bystanders Chest compression pauses should be minimised so that 80% or more of the CPR cycle is comprised of chest compressions. To minimise interruptions in CPR, it may be possible to carry an infant or small child whilst summoning help. The AAA's Assess the patient Establish unresponsiveness Check pulse, respirations Activate EMS Call for help AED Get an AED (automated external defibrillator) 2. It is possible that part of the object may remain in the respiratory tract and cause complications. 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