1) The document provides guidelines for compression-only life support (COLS) to be performed by untrained laypersons on victims experiencing cardiopulmonary arrest outside of a hospital setting. 2) COLS involves early recognition of medical emergency, beginning chest compressions immediately, and early transfer to emergency medical services. 3) The guidelines aim to provide a simple, uniform resuscitation process across India that can be performed by anyone, as doctors and paramedics are not always immediately available.

1. COLS

2. Compression Only Life Support
(COLS)
Syed Moied Ahmed
Rakesh Garg
Jigeeshu Vasishtha Divatia
SSC Chakra Rao
Bibhuti Bhusan Mishra
M Venkatagiri Kalandoor
Mukul Chandra Kapoor
Baljit Singh
Dr Tushar Chokshi

3. The cardiopulmonary resuscitation
(CPR) guidelines of
compression-only life support
(COLS)
For management of the victim with
cardiopulmonary arrest in adults provide a
stepwise algorithmic approach for optimal
outcome of the victim outside the hospital
by untrained laypersons

4. These guidelines have been
developed to recommend practical,
uniform and acceptable
resuscitation algorithms across
India
Doctors and paramedics cannot
be everywhere or reach the victim in time

5. To keep the steps so simple,
even an uneducated layperson
can understand and perform it easily
COLS AIM

6. •Early recognition and activation
•Early chest compression
•Early transfer
3 key steps of COLS

7. When you see any person
suddenly collapsed or comatose

11. Where do I place my hands during chest compression

15. 1

17. check quickly for a response

19. Duration for
compression only life support
• Continue chest compression for 5 consecutive cycles
(30 compressions in each)
• If there is more than one rescuer, then they should
exchange hands after every 5 cycles
• Till there is a sign of return of spontaneous circulation
(movement of any part of the body, coughing or
vocalizing)
• The aim of COLS is to provide continuous
uninterrupted chest compressions to improve the
survival and neurological outcome

20. How Long Can I Continue Doing COLS?
* Till medical help or a trained rescuer arrives.
* Till victim is revived (showing signs of life)
* Till you (the rescuer) is exhausted and cannot
do any more compressions.
* If the place you are in becomes unsafe.

21. When do I not do COLS at all?
* If the place is unsafe.
* If the patient is responsive (awake, talking, breathing
normally)
* If the body has become stiff (suggesting signs of
irreversible death)

22. Target Groups
COLS apply to bystanders, who do not know
CPR well, or are reluctant to perform rescue
breaths
• Schools and Colleges
• Public Spaces
• Factories
• Residential Places

23. What is to be done after
return of spontaneous
circulation
If the victim is revived or there is
return of spontaneous circulation,
then he/she should be placed in
either left or right lateral position

24. Last Steps
• COLS needs to be continued till medical help
arrives (ambulance service)
• Victim needs definitive medical care and
management of the underlying aetiology of
the cardiopulmonary arrest
• Transfer of the victim for better medical help
and victim is handed over to a medical care
facility or victim becomes responsive
(moving, coughing or vocalizing

26. Be a Life Saver
Every Citizen is
a Life Saver