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BASIC LIFE SUPPORT
Definition
Basic life support (BLS) is defined as a variety of non
invasive emergency procedures performed to assist in the
immediate survival of a patient, including cardiopulmonary
resuscitation, hemorrhage control, stabilization of fractures,
spinal immobilization, and basic first aid.
Cardiopulmonary Resuscitation
හෘත් කන්තුක පුනර්ජීවනය
Definition:
CPR is an emergency first-aid procedure that is used to
maintain respiration and blood circulation in a person, whose
breathing and heartbeats have suddenly stopped,
(one or more vital functions failed ).
CARDIOPULMONARY RESUSCITATION(ADULT)
හෘත් කන්තුක පුනර්ජීවනය
1. Look around to see if it is safe to approach
2. Tap the victim’s shoulder and shout “Are you okay?”
3. Check to see if the victim is breathing by looking at their chest. If
they are not breathing, or not breathing normally (only gasping),
call 1919.
4. Check the carotid pulse on the side of the neck closest to you
for 5-10 seconds
5. If no pulse, start with 30 chest compressions on the lower half of the
breastbone.
6. The rate should be at least 100 compressions per minute, but not more
than 120.
7. Open the airway and give 2 breaths using a pocket mask or bag valve
mask.
8. Continue 5 sets of 30 compressions and 2 breaths until the ambulance
arrives to take over, the AED arrives, or you are too tired
Cardiopulmonary Resuscitation
හෘත් කන්තුක පුනර්ජීවනය (Child)
1. Make sure the scene is safe to approach
2. Tap the child and shout “Are you okay?”
3. Check to see if the child is breathing by looking at their chest. If they
are not breathing, or not breathing normally (only gasping), call 1919. If
you are alone, perform CPR for 2 minutes, then call.
4. Check the carotid pulse on the side of the neck closest to you for 5-10
seconds
5. If no pulse, begin 30 chest compressions on the lower half of the
breastbone with one or two hands.
6. The rate should be at least 100 compressions per minute
7. Open the airway and give 2 breaths using a pocket mask or bag valve
mask.
8. Continue 5 sets of 30 compressions and 2 breaths until the ambulance
arrives to take over, the AED arrives, or you are too tired to continue
Cardiopulmonary Resuscitation
හෘත් කන්තුක පුනර්ජීවනය (Infant)
1. Make sure the scene is safe to approach
2. Tap the baby and shout “Are you okay?”
3. Check to see if the baby is breathing by looking at their chest. If they
are not breathing, or not breathing normally (only gasping), call 1919. If
you are alone with the baby, perform 5 sets of 30 compressions and 2
breaths, then call.
4. Check the brachial pulse on the upper arm closest to you for 5-10
seconds.
5. If no pulse, start with 30 chest compressions using 2 fingers on chest.
6. The rate should be at least 100 compressions per minute.
7. Open the airway and give 2 breaths using a pocket mask or bag valve
mask.
8. Continue 5 sets of 30 compressions and 2 breaths until the ambulance
arrives to take over, the AED arrives, or you are too tired to continue
Cardiopulmonary Resuscitation
Three basic vital functions:
• Airway
• Breathing
• Circulation
• වා මග
• හුස්ම ගැනීම
• රුධිර සංසරණය
BLS sequence
Kneel by the side of
the victim
රරෝගියාරේ පැත්රෙන්
දණ ගසා ගන්න
• Shake shoulders
• Ask “Are you all right?”
• රරෝගියාරේ උරහිසට දෑත් වලින්
ෙදින් ෙට්ටු කරන්න
• ෙට්ටු කරන ගමන් "ඔයාට
රමොකද උරන් " යන්න ශබ්ද
නගා අසන්න
If he responds
• Leave as you find him
• Find out what is wrong
• Reassess regularly
ප්‍රතිචාර නනොදක්වයි නම්
උදව් ඉල්ලා කෑගසන්න
Unresponsive
Shout for help
වා මග විවෘෙ කර ගන්න,
ආගන්තුක රේහ ඇත්නම් ඉවත්
කරන්න
Unresponsive
Shout for help
Open airway
• හුස්ම ගැනීම හා රුධිර සංසරණය
පරීක්ෂා කරන්න
Unresponsive
Shout for help
Open airway
Check breathing
Check Circulation
• Look, listen and feel for
NORMAL breathing
• No breathing – apnea
• Gasps (Agonal breathing)
• පපුව උස් පහත් වීම බලන්න
හුස්ම ගැනීරම් හඬ අසන්න හා
හුස්ම ගැනීම දැරනනවාද
බලන්න
• ඒ සමග රුධිර සංසරණය
පරීක්ෂා කරන්න
Agonal breathing
• Occurs shortly after heart stops in up to 40% of cardiac
arrests
• Described as barely, heavy, noisy or gasping breathing
• Recognize as a sign of cardiac arrest
• Do not confuse Agonal breathing with NORMAL breathing
හදිසි රසේවා ගිලන්
රථයට කො කරන්න
1919
Unresponsive
Shout for help
Open airway
Check breathing
Call 155
(112)
Call 1919
Check Circulation
පපු රෙරපුම
පටන්ගන්න
Unresponsive
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
Chest compression
• Place the heel of one hand in the
Centre of the chest
• Place other hand on top
• Interlock the fingers
• නුහුරු අරත් පසු අල්ල පපුව මැදින් ෙබා
ගන්නවරනක් අෙ ඊට උඩින් ෙබාරගන
ඇගිලි රලොක් කරගන්න
Compress the chest
Rate 100 min-1
Depth 4-5 cm
Equal compression : relaxation
රව්ගය මිනිත්තුවට වාර 100
රෙරපුම රසන්ටිමීටර 4-5 ගැඹුරට
සිදුකරන්න
When possible (2 or more
rescuers) change CPR operator
every 2 min. to prevent fatigue
හැකිනම් පපුරෙරපුම ලබාරදන්නා විනාඩි
2 කට වරක් මාරු වන්න
කෘතීම ශ්වසන වාර
2 ක් ලබා රදන්න
Unresponsive
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
2 rescue breaths
• Pinch nose
• Place and seal your lips over the
victim´s mouth
• Blow until the chest rises
• Takes about 1 second
• Allow chest to fall
• Repeat (10 – 12 times per minute)
Continue CPR
30 : 2
Defibrillation
Automated External Defibrillators (AEDs)
A new generation of “smart“ defibrillators
• Advanced computer technologies
• Ability to interpreted heart (ECG) rhythm
• Ability to determine whether defibrillation is required
• Delivery of electric shock
• Guides the operator through every action
• Provides voice and message prompts
• Legal aspects
නවීන ොක්ෂණරයන් යුතුව නිපදවා ඇති රමය ස්වයංක්‍රීයව හදවරත් විදුත්
ක්‍රියාකාරී බව හදුනාරගන (ECG) අසාමානය විදුත් ක්‍රියාවකදී ස්වයංක්‍රීයව
විදුත් කදම්භයක් හදවෙට ලබාදී නැවෙ යථා ෙත්වයට (සාමානය රිේමයට )
පත් කරනු ලබයි.
රමය රරෝගියාට සම්බන්ධ කල පසු රරෝගියා රනොඇල්ලිය යුතුය රහේතුව විදුලි
සැර වැදීම රහේතුරවනි
Call for help
Send for AED
1919
How to use an AED on an adult
1. Power on the AED and follow the AEDs spoken directions
2. Attach the AED pads to the victim’s bare chest.
3. Say in a loud voice “clear”
4. If the AED advises a shock, clear the victim
5. Press the Shock button
6. Immediately resume CPR. After 5 cycles the AED will prompt you to repeat steps
3 and 4
• AED use on a child: Same steps as above except use child
CPR pads. If you do not have child CPR pads, use the adult
pads.
• AED use on an infant: A manual defibrillator is preferred to
an AED. You should use infant pads if you need to use the
AED on a baby
Switch on AED
AEDs will automatically switch
themselves on when the lid is opened
AED යන්ත්‍රය ඔන් කරගන්න
Attach pads to casualty’s bare chest
• Collar bone එකට
පහලින් සහ පපුරව්
දකුණුපස උඩ
රකලවරේ එක් Pad
එකක් අලවන්න
• අරනක වම් ෙන පුඩුවට
වම් පැත්රෙන් සහ
කිහිල්ලට අඟලක්
පහලින් Pad එරක් උඩ
රකරෙවර ඉහලට
සිටින රසේ අලවන්න
Analyze rhythm – do not touch victim
හදවරත් රිේමය හදුනා ගැනීමට
යන්ත්‍රය ට කාලය ලබා රදන්න
රමවිට රරෝගියාව කිසිවකු
විසින් රනොඇල්ලිය යුතුය
Shock indicated – stand clear
• යන්ත්‍රය විසින්
අසාමානය අවස්ථාව
හදුනාරගන විදුත්
කම්පනය ලබාදීමට
සැරරසන විට stand
clear රලස සංඥාවක්
ලබා රේ
• Shock deliver button
එක ඔබන්න
• කම්පනය ලබා දුන් පසු
Shock delivered
නමින් යන්ත්‍රය විසින්
සංඥාවක් ලබා රේ
• Rescuer giving defibrillation shock is responsible for his
safety
• Rescuer is responsible for the safety of other people
surrounding the victim
• හෘද ක්‍රියාකාරීත්වය බලන්න ක්‍රියාකාරීත්වය රනොමැති නැවෙ CPR පටන්
ගන්න
• විනාඩි 2 ක් CPR ලබා රදන්න විනාඩි 2කින් පසු නැවෙ යන්ත්‍රය ස්වයංක්‍රීයව
නැවෙ අරබයි
• එවිට රපර පරිදි ක්‍රියා කරන්න
• රරෝහලකට රගනයන රෙක් රහෝ වවදය කණ්ඩායම රපමිරණන රමම
ක්‍රියා වලිය සිදු කරන්න
• රවනත් අබාධ ඇත්නම් එයට පිළියම් රයොදන්න (ප්‍රථමාධාර ලබාරදන්න)
Immediately resume CPR
30 : 2
Give CPR every moment, when AED is not
available, always if AED is not available within
5 minutes
30 : 2
If victim starts to breathe normally place
him in recovery position
• රරෝගියා ප්‍රකෘති ෙත්වයට පත් වූ පසු recovery position හි ෙබන්න
CPR should not usually be abandoned
after 20 minutes
Basic Life Support Sinhala + English
Basic Life Support Sinhala + English

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Basic Life Support Sinhala + English

  • 2. Definition Basic life support (BLS) is defined as a variety of non invasive emergency procedures performed to assist in the immediate survival of a patient, including cardiopulmonary resuscitation, hemorrhage control, stabilization of fractures, spinal immobilization, and basic first aid.
  • 3.
  • 4.
  • 5. Cardiopulmonary Resuscitation හෘත් කන්තුක පුනර්ජීවනය Definition: CPR is an emergency first-aid procedure that is used to maintain respiration and blood circulation in a person, whose breathing and heartbeats have suddenly stopped, (one or more vital functions failed ).
  • 6. CARDIOPULMONARY RESUSCITATION(ADULT) හෘත් කන්තුක පුනර්ජීවනය 1. Look around to see if it is safe to approach 2. Tap the victim’s shoulder and shout “Are you okay?” 3. Check to see if the victim is breathing by looking at their chest. If they are not breathing, or not breathing normally (only gasping), call 1919. 4. Check the carotid pulse on the side of the neck closest to you for 5-10 seconds
  • 7. 5. If no pulse, start with 30 chest compressions on the lower half of the breastbone. 6. The rate should be at least 100 compressions per minute, but not more than 120. 7. Open the airway and give 2 breaths using a pocket mask or bag valve mask. 8. Continue 5 sets of 30 compressions and 2 breaths until the ambulance arrives to take over, the AED arrives, or you are too tired
  • 8. Cardiopulmonary Resuscitation හෘත් කන්තුක පුනර්ජීවනය (Child) 1. Make sure the scene is safe to approach 2. Tap the child and shout “Are you okay?” 3. Check to see if the child is breathing by looking at their chest. If they are not breathing, or not breathing normally (only gasping), call 1919. If you are alone, perform CPR for 2 minutes, then call. 4. Check the carotid pulse on the side of the neck closest to you for 5-10 seconds
  • 9. 5. If no pulse, begin 30 chest compressions on the lower half of the breastbone with one or two hands. 6. The rate should be at least 100 compressions per minute 7. Open the airway and give 2 breaths using a pocket mask or bag valve mask. 8. Continue 5 sets of 30 compressions and 2 breaths until the ambulance arrives to take over, the AED arrives, or you are too tired to continue
  • 10. Cardiopulmonary Resuscitation හෘත් කන්තුක පුනර්ජීවනය (Infant) 1. Make sure the scene is safe to approach 2. Tap the baby and shout “Are you okay?” 3. Check to see if the baby is breathing by looking at their chest. If they are not breathing, or not breathing normally (only gasping), call 1919. If you are alone with the baby, perform 5 sets of 30 compressions and 2 breaths, then call. 4. Check the brachial pulse on the upper arm closest to you for 5-10 seconds.
  • 11. 5. If no pulse, start with 30 chest compressions using 2 fingers on chest. 6. The rate should be at least 100 compressions per minute. 7. Open the airway and give 2 breaths using a pocket mask or bag valve mask. 8. Continue 5 sets of 30 compressions and 2 breaths until the ambulance arrives to take over, the AED arrives, or you are too tired to continue
  • 12. Cardiopulmonary Resuscitation Three basic vital functions: • Airway • Breathing • Circulation • වා මග • හුස්ම ගැනීම • රුධිර සංසරණය
  • 13. BLS sequence Kneel by the side of the victim රරෝගියාරේ පැත්රෙන් දණ ගසා ගන්න
  • 14. • Shake shoulders • Ask “Are you all right?” • රරෝගියාරේ උරහිසට දෑත් වලින් ෙදින් ෙට්ටු කරන්න • ෙට්ටු කරන ගමන් "ඔයාට රමොකද උරන් " යන්න ශබ්ද නගා අසන්න
  • 15. If he responds • Leave as you find him • Find out what is wrong • Reassess regularly
  • 16. ප්‍රතිචාර නනොදක්වයි නම් උදව් ඉල්ලා කෑගසන්න Unresponsive Shout for help
  • 17. වා මග විවෘෙ කර ගන්න, ආගන්තුක රේහ ඇත්නම් ඉවත් කරන්න Unresponsive Shout for help Open airway
  • 18. • හුස්ම ගැනීම හා රුධිර සංසරණය පරීක්ෂා කරන්න Unresponsive Shout for help Open airway Check breathing Check Circulation
  • 19. • Look, listen and feel for NORMAL breathing • No breathing – apnea • Gasps (Agonal breathing) • පපුව උස් පහත් වීම බලන්න හුස්ම ගැනීරම් හඬ අසන්න හා හුස්ම ගැනීම දැරනනවාද බලන්න • ඒ සමග රුධිර සංසරණය පරීක්ෂා කරන්න
  • 20. Agonal breathing • Occurs shortly after heart stops in up to 40% of cardiac arrests • Described as barely, heavy, noisy or gasping breathing • Recognize as a sign of cardiac arrest • Do not confuse Agonal breathing with NORMAL breathing
  • 21. හදිසි රසේවා ගිලන් රථයට කො කරන්න 1919 Unresponsive Shout for help Open airway Check breathing Call 155 (112) Call 1919 Check Circulation
  • 22. පපු රෙරපුම පටන්ගන්න Unresponsive Shout for help Open airway Check breathing Call 112 30 chest compressions
  • 23. Chest compression • Place the heel of one hand in the Centre of the chest • Place other hand on top • Interlock the fingers • නුහුරු අරත් පසු අල්ල පපුව මැදින් ෙබා ගන්නවරනක් අෙ ඊට උඩින් ෙබාරගන ඇගිලි රලොක් කරගන්න
  • 24. Compress the chest Rate 100 min-1 Depth 4-5 cm Equal compression : relaxation රව්ගය මිනිත්තුවට වාර 100 රෙරපුම රසන්ටිමීටර 4-5 ගැඹුරට සිදුකරන්න
  • 25. When possible (2 or more rescuers) change CPR operator every 2 min. to prevent fatigue හැකිනම් පපුරෙරපුම ලබාරදන්නා විනාඩි 2 කට වරක් මාරු වන්න
  • 26. කෘතීම ශ්වසන වාර 2 ක් ලබා රදන්න Unresponsive Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths
  • 27. 2 rescue breaths • Pinch nose • Place and seal your lips over the victim´s mouth • Blow until the chest rises • Takes about 1 second • Allow chest to fall • Repeat (10 – 12 times per minute)
  • 30. Automated External Defibrillators (AEDs) A new generation of “smart“ defibrillators • Advanced computer technologies • Ability to interpreted heart (ECG) rhythm • Ability to determine whether defibrillation is required • Delivery of electric shock • Guides the operator through every action • Provides voice and message prompts • Legal aspects
  • 31. නවීන ොක්ෂණරයන් යුතුව නිපදවා ඇති රමය ස්වයංක්‍රීයව හදවරත් විදුත් ක්‍රියාකාරී බව හදුනාරගන (ECG) අසාමානය විදුත් ක්‍රියාවකදී ස්වයංක්‍රීයව විදුත් කදම්භයක් හදවෙට ලබාදී නැවෙ යථා ෙත්වයට (සාමානය රිේමයට ) පත් කරනු ලබයි. රමය රරෝගියාට සම්බන්ධ කල පසු රරෝගියා රනොඇල්ලිය යුතුය රහේතුව විදුලි සැර වැදීම රහේතුරවනි
  • 32.
  • 33. Call for help Send for AED 1919
  • 34. How to use an AED on an adult 1. Power on the AED and follow the AEDs spoken directions 2. Attach the AED pads to the victim’s bare chest. 3. Say in a loud voice “clear” 4. If the AED advises a shock, clear the victim 5. Press the Shock button 6. Immediately resume CPR. After 5 cycles the AED will prompt you to repeat steps 3 and 4
  • 35. • AED use on a child: Same steps as above except use child CPR pads. If you do not have child CPR pads, use the adult pads. • AED use on an infant: A manual defibrillator is preferred to an AED. You should use infant pads if you need to use the AED on a baby
  • 36. Switch on AED AEDs will automatically switch themselves on when the lid is opened AED යන්ත්‍රය ඔන් කරගන්න
  • 37. Attach pads to casualty’s bare chest • Collar bone එකට පහලින් සහ පපුරව් දකුණුපස උඩ රකලවරේ එක් Pad එකක් අලවන්න • අරනක වම් ෙන පුඩුවට වම් පැත්රෙන් සහ කිහිල්ලට අඟලක් පහලින් Pad එරක් උඩ රකරෙවර ඉහලට සිටින රසේ අලවන්න
  • 38.
  • 39. Analyze rhythm – do not touch victim හදවරත් රිේමය හදුනා ගැනීමට යන්ත්‍රය ට කාලය ලබා රදන්න රමවිට රරෝගියාව කිසිවකු විසින් රනොඇල්ලිය යුතුය
  • 40. Shock indicated – stand clear • යන්ත්‍රය විසින් අසාමානය අවස්ථාව හදුනාරගන විදුත් කම්පනය ලබාදීමට සැරරසන විට stand clear රලස සංඥාවක් ලබා රේ • Shock deliver button එක ඔබන්න • කම්පනය ලබා දුන් පසු Shock delivered නමින් යන්ත්‍රය විසින් සංඥාවක් ලබා රේ
  • 41. • Rescuer giving defibrillation shock is responsible for his safety • Rescuer is responsible for the safety of other people surrounding the victim
  • 42. • හෘද ක්‍රියාකාරීත්වය බලන්න ක්‍රියාකාරීත්වය රනොමැති නැවෙ CPR පටන් ගන්න • විනාඩි 2 ක් CPR ලබා රදන්න විනාඩි 2කින් පසු නැවෙ යන්ත්‍රය ස්වයංක්‍රීයව නැවෙ අරබයි • එවිට රපර පරිදි ක්‍රියා කරන්න • රරෝහලකට රගනයන රෙක් රහෝ වවදය කණ්ඩායම රපමිරණන රමම ක්‍රියා වලිය සිදු කරන්න • රවනත් අබාධ ඇත්නම් එයට පිළියම් රයොදන්න (ප්‍රථමාධාර ලබාරදන්න)
  • 44. Give CPR every moment, when AED is not available, always if AED is not available within 5 minutes 30 : 2
  • 45. If victim starts to breathe normally place him in recovery position • රරෝගියා ප්‍රකෘති ෙත්වයට පත් වූ පසු recovery position හි ෙබන්න
  • 46. CPR should not usually be abandoned after 20 minutes