BLS By: Alexander M. Wong, basic life support,

1. BASIC LIFE SUPPORT
JOEY J. MARCO
OIC, CDRRMO
Alexander M. Wong
Chief Admin & Training, CDRRMO

2. Learning Objectives
At the end of this session, participants shall be able to:
1. Perform proper Heimlich maneuver techniques
2. Perform correct cardiopulmonary resuscitation techniques
to an adult, child and infant who are in cardiac arrest
3. Discuss other alternative forms of CPR
4. How to Place an unconscious breathing victim in the
recovery position
5. Enumerate the criteria for when to start and when to stop
CPR.

3. Choking

4. Choking

5. Choking Infant

6. Choking
Unconscious

7. Cardio Pulmonary Resuscitation
(CPR)

8. Cardio Pulmonary Resuscitation
(CPR)
series of assessments and interventions
using techniques and maneuvers made to
bring victims of cardiac and respiratory
arrest back to life.
Definition:

9. Cardio Pulmonary Resuscitation
(CPR)
Use heel of hand
Straight arms
1 ½ - 2 inches

10. When Not to Start CPR
All victims of cardiac arrest should receive CPR unless:
1. Patient has a valid DNAR (Do Not Attempt Resuscitation)
order.
2. Patient has signs of irreversible death (Rigor Mortis,
Decapitation, Dependent Lividity).
3. Attempts to perform CPR would place the rescuer at risk of
physical injury.
.

11. BLS Sequence
D
R
C
A
B

12. BLS Sequence
D - danger
R
C
A
B

13. BLS Sequence
R - responsiveness
C
A
B
•Adult and Child
BLS
– Tap the shoulders
to check for
responsiveness
•Infant BLS
– Tap the sole of the
feet to check for
responsiveness

14. BLS Sequence
C - circulation
A
B
• Pulse Check
– Check pulse no
more than 10
seconds
– If there is no
pulse start CPR

15. BLS Sequence
Chest Compressions
• Kneel center of the victim’s shoulder
• Place the heel of one hand on
the sternum in the center of
the chest between the
nipples and
then place the heel of the second
hand on top of the first so that the
hands are overlapped and parallel.

16. BLS Sequence
Chest Compressions
 Position shoulders over
hands with elbows locked
and arms straight
 Compress down and release
pressure smoothly, keeping
hand contact with chest at
all times

17. BLS Sequence
Alternative CPR
• Compression-only CPR:
. Outcome is better than outcome of NO
CPR
• Lay rescuers should do compression-only
if they are unwilling or unable to
provide
rescue breaths

18. BLS Sequence
A - airway
B
Open Airway
 Jaw-Thrust Maneuver is
strictly a Healthcare
Provider technique
Head Tilt-Chin Lift
Maneuver for Lay rescuer

19. BLS Sequence
B - breathing
 Maintain airway
 Pinch nose shut
 Open your mouth wide, take a
normal breath, and make a
tight seal around the outside of
victim’s mouth
 Give 2 full breaths (1 sec/
breath)
 Observe chest rise

20. BLS Sequence
Important Points to Remember
 Ratio - 30 compressions:2 breaths
 Rate - Approx. 100 compressions per
minute
 Depth - 1.5-2 inches
 Cycles
•1 cycle = 30 compressions and 2 breaths
• Five cycles should take no more than 2
minutes

21. Don’ts in External Chest Compressions
1. Jerker
2. Massager
3. Bender
4. Rocker
5. Bouncer
6. Double Crosser

22. Recovery Position

23. When to Stop CPR
T
S
O
P
S

24. When to Stop CPR
T
O
P
S
Spontaneous breathing

25. When to Stop CPR
Trained personnel arrived
Spontaneous breathing
O
P
S

26. When to Stop CPR
Trained personnel arrived
Spontaneous breathing
Operator exhausted
P
S

27. When to Stop CPR
Trained personnel arrived
Spontaneous breathing
Operator exhausted
Physician assumes responsibility
S

28. When to Stop CPR
Trained personnel arrived
Spontaneous breathing
Operator exhausted
Physician assumes responsibility
Scene become unsafe