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Basic life support (adult)

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  • 1. BBasicasic LLifeife SSupportupport (adult)(adult) Basil BabyBasil Baby In- charge NurseIn- charge Nurse Emergency DepartmentEmergency Department
  • 2. What is BLSWhat is BLS  It is a protocol based basicIt is a protocol based basic emergency treatment of a victim ofemergency treatment of a victim of cardiac or respiratory arrest throughcardiac or respiratory arrest through cardiopulmonary resuscitation andcardiopulmonary resuscitation and emergency cardiac care till advancedemergency cardiac care till advanced help is available.help is available.
  • 3. Why BLSWhy BLS American dataAmerican data --  325,000 coronary heart disease deaths occur out-of-325,000 coronary heart disease deaths occur out-of- hospital or in hospital emergency departments annually.hospital or in hospital emergency departments annually.  Out-of-hospital cardiac arrest in North America is aboutOut-of-hospital cardiac arrest in North America is about 0.55 per 1000 population.0.55 per 1000 population.  About two thirds of unexpected cardiac deaths occurAbout two thirds of unexpected cardiac deaths occur without prior recognition of cardiac disease.without prior recognition of cardiac disease.  About 60 percent of unexpected cardiac deaths are treatedAbout 60 percent of unexpected cardiac deaths are treated by EMS.by EMS.  There are 1,900–-14,200 pediatric out-of-hospital cardiacThere are 1,900–-14,200 pediatric out-of-hospital cardiac arrests, annually, from all causes (including trauma,arrests, annually, from all causes (including trauma, sudden infant death syndrome, respiratory causes,sudden infant death syndrome, respiratory causes, cardiovascular causes and submersion).cardiovascular causes and submersion). Indian data not availableIndian data not available..
  • 4. Who should give BLSWho should give BLS  Anyone can give BLS after learning theAnyone can give BLS after learning the sequence.sequence. Common Elements of SuccessCommon Elements of Success  Trained RescuersTrained Rescuers  Rapid RecognitionRapid Recognition  Prompt CPRPrompt CPR  Defibrillation < 5 minDefibrillation < 5 min
  • 5. BLS SequenceBLS Sequence Four Parts –Four Parts –  CCirculationirculation  AAirwayirway  BBreathingreathing  DDefibrillationefibrillation
  • 6. BLS SequenceBLS Sequence Four Parts –Four Parts –  AirwayAirway  BreathingBreathing  CirculationCirculation  DefibrillationDefibrillation
  • 7. Chain Of SurvivalChain Of Survival AdultAdult PediatricPediatric
  • 8. The SceneThe Scene  Approach safelyApproach safely  The position of victimThe position of victim  Position yourselfPosition yourself  Check forCheck for consiousnessconsiousness  Victim unconsiousVictim unconsious  Call for help/get helpCall for help/get help  Get AEDGet AED
  • 9. A-AirwayA-Airway  Open the airway – HeadOpen the airway – Head tilt Chin lifttilt Chin lift  Check for foreignCheck for foreign body/secretions/dent.body/secretions/dent.  Jaw thrusts in trauma.Jaw thrusts in trauma.
  • 10. A-AirwayA-Airway  Nasal & OralNasal & Oral CavitiesCavities  PharynxPharynx  LarynxLarynx  TracheaTrachea  PrinciplePrinciple BronchiBronchi
  • 11. Airway AdjunctsAirway Adjuncts
  • 12. B-BreathingB-Breathing  Check for max.10 sec.Check for max.10 sec.  Look, Listen, Feel.Look, Listen, Feel.  Don’t confuse withDon’t confuse with agonal breathing.agonal breathing.  Take inadequateTake inadequate breathing as notbreathing as not breathingbreathing
  • 13. BreathingBreathing  Victim not breathingVictim not breathing  Rescue breathsRescue breaths  Mouth to mouthMouth to mouth  Each breath 1 secEach breath 1 sec  See the chest riseSee the chest rise  Only two breathsOnly two breaths  Follow 30: 2 ratioFollow 30: 2 ratio
  • 14. Breathing AdjunctsBreathing Adjuncts
  • 15. B-BreathingB-Breathing  Has definitive pulseHas definitive pulse  Rescue positionRescue position  Call for help if notCall for help if not done previouslydone previously  Assure breathingAssure breathing  Assure circulationAssure circulation  Victim BreathingVictim Breathing
  • 16. C- CirculationC- Circulation  Check pulse –Check pulse – carotids/brachialcarotids/brachial  Check for max.10 secCheck for max.10 sec  Definite pulse cont.- BDefinite pulse cont.- B  No definite pulse orNo definite pulse or unsureunsure  Start chestStart chest compressionscompressions
  • 17. CirculationCirculation  Make sure the victimsMake sure the victims on flat surface.on flat surface.  Remove chestRemove chest clothing's.clothing's.  Put the heel of onePut the heel of one hand over the victimshand over the victims chest between thechest between the nipples.nipples.  Put the heel of otherPut the heel of other hand on top.hand on top. No CirculationNo Circulation
  • 18. CirculationCirculation  Straighten your arms &Straighten your arms & position the shouldersposition the shoulders directly over hands.directly over hands.  Push hard & push fast.Push hard & push fast.  Press down atleast 2 inchPress down atleast 2 inch (1.5 inch for children)(1.5 inch for children)  Allow chest recoil fullyAllow chest recoil fully between compressions.between compressions.  Deliver compressions inDeliver compressions in smooth fashion atleastsmooth fashion atleast 100/min.100/min.  Maintain a ratio of 30:2,Maintain a ratio of 30:2, compressions: ventilationcompressions: ventilation  Minimal interruption in CPRMinimal interruption in CPR
  • 19.  Continue CPR for 5 cycles or 2 minContinue CPR for 5 cycles or 2 min  Recheck the pulseRecheck the pulse  If pulse – check & continue breathsIf pulse – check & continue breaths  No pulse continue CPR.No pulse continue CPR.  Do not interrupt chest compressionsDo not interrupt chest compressions for more than 10 sec.for more than 10 sec.  If two rescuers then switch overIf two rescuers then switch over afterafter 2 min, time < 5 sec, CPR ratio2 min, time < 5 sec, CPR ratio same.same. CirculationCirculation
  • 20. D-DefibrillationD-Defibrillation  AED – Automated External DefibrillatorAED – Automated External Defibrillator Monophasic, BiphasicMonophasic, Biphasic  Open AEDOpen AED  Attach padsAttach pads  Analyze rhythmAnalyze rhythm  Shockable rhythmShockable rhythm  Shock – 360j M, 120 – 200j BShock – 360j M, 120 – 200j B
  • 21. DDefibrillationefibrillation
  • 22. Adult BLS AlgorithmAdult BLS Algorithm
  • 23. Questions?Questions?
  • 24. THANK YOUTHANK YOU

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