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BASIC LIFE SUPPORT
(BLS)
OBJECTIVES
Participants should be able to demonstrate:
How to assess the collapsed victim
How to perform chest compressions and
rescue breathing
How to place an unconscious breathing
victim in the recovery position.
The American Heart Association (AHA)
estimates that about 3,50,000 people die of
cardiac arrest each year.
Approximately 4280 out of every one lakh
people die every year from Sudden Cardiac
Arrest (SCA) in India alone.
About 74-80% of all sudden cardiac arrests
happen at home; so being trained in CPR can
mean the difference between life & death for a
member of your family.
BACKGROUND
Approximately 10% of SCA events occur among
people less than 40 years of age.
Effective bystander CPR, provided immediately
after sudden cardiac arrest, can double victims
chance of survival.
The survival rates for performing basic life
support alone are reported between 0% & 6%.
CPR cannot ‘restart’ the heart, but it can keep
blood and oxygen moving through the victim’s
body until medical help arrives.
BACKGROUND CONTINUED…
CHAIN OF SURVIVAL
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 EQUIPMENT OTHER THAN A
PROTECTIVE DEVICE.
BASIC LIFE SUPPORT
Approach safely
Check response
Shout for help
Open airway
Check breathing
30 chest compressions
2 rescue breaths
Scene
Rescuer
Victim
Bystanders
Approach safely
Check response
Shout for help
Open airway
Check breathing
30 chest compressions
2 rescue breaths
APPROACH SAFELY
Approach safely
Check response
Shout for help
Open airway
Check breathing
30 chest compressions
2 rescue breaths
CHECK RESPONSE
 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
Approach safely
Check response
Shout for help
Open airway
Check breathing
30 chest compressions
2 rescue breaths
SHOUT FOR HELP
Approach safely
Check response
Shout for help
Open airway
Check breathing
30 chest compressions
2 rescue breaths
OPEN AIRWAY
Head tilt, chin lift + jaw thrust
- healthcare professionals
Approach safely
Check response
Shout for help
Open airway
Check breathing
30 chest compressions
2 rescue breaths
CHECK BREATHING
Look, listen and feel for
NORMAL breathing
Do not confuse agonal
breathing with
NORMAL breathing
CHECK 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
AGONAL BREATHING
Approach safely
Check response
Shout for help
Open airway
Check breathing
30 chest compressions
2 rescue breaths
30 CHEST COMPRESSIONS
• 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
Approach safely
Check response
Shout for help
Open airway
Check breathing
30 chest compressions
2 rescue breaths
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
RECOMMENDATIONS:
- Tidal volume
500 – 600 ml
- Respiratory rate
give each breaths over about 1s
with enough volume to make the
victim’s chest rise
- Chest-compression-only
continuously at a rate of 100 min
RESCUE BREATHS
CONTINUE C P R
30 2
Approach safely
Check response
Shout for help
Open airway
Check breathing
30 chest compressions
2 rescue breaths
IF VICTIM STARTS TO BREATHE
NORMALLY PLACE IN RECOVERY
POSITION
 Qualified help arrives and takes over
 The victim starts breathing normally
 Rescuer becomes exhausted
CONTINUE RESUSCITATION UNTIL
SPONTANEOUS signs of circulation are restored.
TURNED over to medical services or properly
trained and authorized personnel.
OPERATOR is already exhausted & cannot
continue CPR.
PHYSICIAN assumes responsibility (declares
death, take over etc)
WHEN TO STOP CPR
To save one life is as if to save the world-
- The Talmud
Thank You……………
- Deepa Merin Kuriakose

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328316359-cpr.ppsx

  • 2. OBJECTIVES Participants should be able to demonstrate: How to assess the collapsed victim How to perform chest compressions and rescue breathing How to place an unconscious breathing victim in the recovery position.
  • 3. The American Heart Association (AHA) estimates that about 3,50,000 people die of cardiac arrest each year. Approximately 4280 out of every one lakh people die every year from Sudden Cardiac Arrest (SCA) in India alone. About 74-80% of all sudden cardiac arrests happen at home; so being trained in CPR can mean the difference between life & death for a member of your family. BACKGROUND
  • 4. Approximately 10% of SCA events occur among people less than 40 years of age. Effective bystander CPR, provided immediately after sudden cardiac arrest, can double victims chance of survival. The survival rates for performing basic life support alone are reported between 0% & 6%. CPR cannot ‘restart’ the heart, but it can keep blood and oxygen moving through the victim’s body until medical help arrives. BACKGROUND CONTINUED…
  • 6. 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 EQUIPMENT OTHER THAN A PROTECTIVE DEVICE. BASIC LIFE SUPPORT
  • 7. Approach safely Check response Shout for help Open airway Check breathing 30 chest compressions 2 rescue breaths
  • 8. Scene Rescuer Victim Bystanders Approach safely Check response Shout for help Open airway Check breathing 30 chest compressions 2 rescue breaths APPROACH SAFELY
  • 9. Approach safely Check response Shout for help Open airway Check breathing 30 chest compressions 2 rescue breaths CHECK RESPONSE
  • 10.  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
  • 11. Approach safely Check response Shout for help Open airway Check breathing 30 chest compressions 2 rescue breaths SHOUT FOR HELP
  • 12. Approach safely Check response Shout for help Open airway Check breathing 30 chest compressions 2 rescue breaths OPEN AIRWAY
  • 13. Head tilt, chin lift + jaw thrust - healthcare professionals
  • 14. Approach safely Check response Shout for help Open airway Check breathing 30 chest compressions 2 rescue breaths CHECK BREATHING
  • 15. Look, listen and feel for NORMAL breathing Do not confuse agonal breathing with NORMAL breathing CHECK BREATHING
  • 16. 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 AGONAL BREATHING
  • 17. Approach safely Check response Shout for help Open airway Check breathing 30 chest compressions 2 rescue breaths 30 CHEST COMPRESSIONS
  • 18. • 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
  • 19. Approach safely Check response Shout for help Open airway Check breathing 30 chest compressions 2 rescue breaths RESCUE BREATHS
  • 20. 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
  • 21. RECOMMENDATIONS: - Tidal volume 500 – 600 ml - Respiratory rate give each breaths over about 1s with enough volume to make the victim’s chest rise - Chest-compression-only continuously at a rate of 100 min RESCUE BREATHS
  • 22. CONTINUE C P R 30 2
  • 23. Approach safely Check response Shout for help Open airway Check breathing 30 chest compressions 2 rescue breaths
  • 24. IF VICTIM STARTS TO BREATHE NORMALLY PLACE IN RECOVERY POSITION
  • 25.
  • 26.  Qualified help arrives and takes over  The victim starts breathing normally  Rescuer becomes exhausted CONTINUE RESUSCITATION UNTIL
  • 27. SPONTANEOUS signs of circulation are restored. TURNED over to medical services or properly trained and authorized personnel. OPERATOR is already exhausted & cannot continue CPR. PHYSICIAN assumes responsibility (declares death, take over etc) WHEN TO STOP CPR
  • 28. To save one life is as if to save the world- - The Talmud