ADULT

BASIC LIFE SUPPORT

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(BLS)
 OBJECTIVES

Students should be able to demonstrate:

– How to assess the collapsed victim

– How to perform chest compression and
rescue breathing
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– How to place an unconscious breathing victim

in the recovery position.
 BACKGROUND

• Approximately 700,000 cardiac arrests per year

in Europe

• Survival to hospital discharge presently

approximately 5-10%
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• Bystander CPR vital intervention before arrival of

emergency services – double or triple survival
from SCA (sudden cardiac arrest)

• Early resuscitation and prompt defibrillation

(within 1-2 minutes) can result in >60% survival
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CHAIN OF SURVIVAL
 BASIC LIFE SUPPORT

SEQUENCES OF PROCEDURES PERFORMED TO RESTORE

THE CIRCULATION OF OXYGENATED BLOOD AFTER A
SUDDEN PULMONARY AND/OR CARDIAC ARREST

CHEST COMPRESSIONS AND PULMONARY VENTILATION

PERFORMED BY ANYONE WHO KNOWS HOW TO DO IT,
ANYWHERE, IMMEDIATELY, WITHOUT ANY OTHER
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EQUIPMENT

Protective devices
 Approach safely
Check response
Shout for help
Open airway
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Check breathing
Call 112
30 chest compressions
2 rescue breaths
 APPROACH SAFELY!

Approach safely
Scene Check response
Shout for help
Rescuer
Open airway
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Victim Check breathing

Call 112
Bystanders 30 chest compressions
2 rescue breaths
 CHECK RESPONSE

Approach safely
Check response
Shout for help
Open airway
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Check breathing
Call 112
30 chest compressions
2 rescue breaths
 CHECK RESPONSE

Shake shoulders gently

Ask “Are you all right?”
If he responds
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• Leave as you find him.

• Find out what is wrong.
• Reassess regularly.
 SHOUT FOR HELP

Approach safely
Check response
Shout for help
Open airway
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Check breathing
Call 112
30 chest compressions
2 rescue breaths
 OPEN AIRWAY

Approach safely
Check response
Shout for help
Open airway
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Check breathing
Call 112
30 chest compressions
2 rescue breaths
 OPEN AIRWAY

Head tilt and chin lift

- lay rescuers
- non-healthcare rescuers
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No need for finger sweep

unless solid material can be
seen in the airway
 OPEN AIRWAY
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Head tilt, chin lift + jaw thrust

- healthcare professionals
 CHECK BREATHING

Approach safely
Check response
Shout for help
Open airway
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Check breathing
Call 112
30 chest compressions
2 rescue breaths
 CHECK BREATHING

• Look, listen and feel

for NORMAL
breathing
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• 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
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• Recognise as a sign of cardiac arrest

Erroneous information can result in withholding CPR from cardiac arrest victim
 30 CHEST COMPRESSIONS

Approach safely
Check response
Shout for help
Open airway
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Check breathing
Call 112
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
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– Rate 100 min-1

– Depth 4-5 cm
– Equal compression : relaxation
• When possible change CPR
operator every 2 min
n Resuscitation Council Adult ALS algorithm
 RESCUE BREATHS

Approach safely
Check response
Shout for help
Open airway
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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
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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
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volume to make the victim’s chest rise

- Chest-compression-only
continuously at a rate of 100 min
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30
CONTINUE CPR

2
 Approach safely
Check response
Shout for help
Open airway
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Check breathing
Call 112
30 chest compressions
2 rescue breaths
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DEFIBRILLATION
 Approach safely
Check response
Shout for help
Open airway
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Check breathing
Call 112
Attach AED
Follow voice prompts
 AUTOMATED EXTERNAL
DEFIBRILLATOR (AED)

• Some AEDs will

automatically switch
themselves on when
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the lid is opened

 ATTACH PADS TO
CASUALTY’S BARE CHEST
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 ANALYSING RHYTHM
DO NOT TOUCH VICTIM
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 SHOCK INDICATED

• Stand clear
• Deliver shock
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 SHOCK DELIVERED
FOLLOW AED INSTRUCTIONS
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30 2
 NO SHOCK ADVISED
FOLLOW AED INSTRUCTIONS
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30 2
 IF VICTIM STARTS TO
BREATHE NORMALLY PLACE
IN RECOVERY POSITION
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n Resuscitation Council
 Approach safely Approach safely
Check response Check response
Shout for help Shout for help
Open airway Open airway
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Check breathing Check breathing

Call 112 Call 112
30 chest compressions Attach AED
2 rescue breaths Follow voice prompts
 CONTINUE RESUSCITATION UNTIL

– Qualified help arrives and takes over

– The victim starts breathing normally

– Rescuer becomes exhausted

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 REPETITION

1. Name adult basic life support sequences of actions.

2. What is the manoeuvre for keeping the airway open
called?
3. What is the numeral combination of chest compression and
rescue breaths in adult basic life support?
4. Where do you place your hands while performing chest
compressions?
5. How would you describe „agonal breathing“?
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6. What is the telephone number of emergency response system?

7. Name 2 techniques applied in severe airway obstruction?
 THANK YOU
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Consultations: Monday 3.30 – 4.00pm