Презентация - Basic Life Support & Automated External Defibrillation Course (на английском языке)

Basic Life Support & Automated External Defibrillation Course

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.

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

CHAIN OF SURVIVAL

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

APPROACH SAFELY!
Scene Rescuer Victim Bystanders
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths

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

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

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

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

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

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

CONTINUE CPR
30 2

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

DEFIBRILLATION

Call 112
Approach safely
Check response
Shout for help
Open airway
Check breathing
Attach AED
Follow voice prompts

SWITCH ON AED
Some AEDs will automatically switch themselves on when the lid is opened

ATTACH PADS TO CASUALTY’S BARE CHEST

ANALYSING RHYTHM DO NOT TOUCH VICTIM

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

CPR IN CHILDREN
Adult CPR techniques can be used on children Compressions 1/3 of the depth of the chest

AED IN CHILDREN
Age > 8 years use adult AED Age 1-8 years use paediatric pads / settings if available (otherwise use adult mode) Age < 1 year use only if manufacturer instructions indicate it is safe

ANY QUESTIONS?

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