Basic Life Support is a must know subject to all health care workers. In this presentation, both Sinhala and English translations are there.
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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
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
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
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
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