WHAT IS BLS & CPR?
- Emergency treatment to overcome the failure of breathing and circulation
- Maintaining a clear airway
- Breathing into the victim’s lungs
- Compressing the chest to make blood circulate round the body
- Turning the victim onto his side (recovery position)
WHAT ARE THE GOALS OF RESUSCITATION?
– To support or restore effective oxygenation, ventilation & circulation until return of spontaneous circulation (rosc) or until acls interventions can be initiated,
– Improves a patient’s chance of survival and a good (or better) neurologic outcome.
THE BLS PRIMARY SURVEY
the first steps in treating any emergency before assessing abcds are:
– Scene safety →
–make sure the scene is safe for you and the victim. you don’t want to become a victim yourself.
– Check response →
– Tap the victim’s shoulder and shout , “are you all right?”
– Activate the emergency response system →
– if you are alone, shout for help.
– if no one respose, activate the emergency response system, phone 997
– get an aed if available.
– then retur to the victim and begin cpr
THEN YOU CAN PROCEED WITH THE ABCD ASSESSMENT OF THE BLS PRIMARY SURVEY
ASSESS…THEN PERFORM APPROPRIATE ACTION
→ open the airway using noninvasive techniques:
– head tilt chin lift or
– jaw lift without head extension if trauma is present suspected.
Opening the Airway
→ look, listen and feel
– For adequate breathing. give 2 rescue breaths.
– Give each breath over 1 second. each breath should make the chest rise. do not ventilate too fast ( rate) or too much (volume).
→ – check (carotid pulse for adult and brachial pulse for infant) for at least 5 seconds but no longer than 10 seconds.
– if you don’t not definitely feel pulse, perform cycles of compression and ventilations
( 30:2 ratio for adult and perform chest compressions at a depth 1 ½ to 2 inches)
( 30:2 ratio for pedia & child with 1 rescuer and perform chest compressions at a depth 1/3 to 1/4 inches)
( 15:2 ratio for pedia & child with 2 rescuer and perform chest compressions at a depth 1/3 to 1/4 inches)
– push hard and fast at rate of 100 compressions per minute.
→ if no pulse, check for ashockable rhythm with a manual defibrillator or use an AED.
– provide shock as indicated.
– follow each immediately with cpr, beginning with chest compressions.