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BASIC LIFE SUPPORT
Basic
Life
Support
 cardio pulmonary resuscitation is a technique
of basic life support for oxygenating the
brain and heart until appropriate, definitive
medical treatment can restore normal heart
and ventilation action.
Basic
Life
Support
 To maintain an open and clear airway
 To maintain breathing by external ventilation
 To maintain blood circulation by external cardiac
massage.
 To save life of the patient
 To provide basic life support till medical and advanced
life support arrives.
Basic
Life
Support
 CARDIAC ARREST
 VENTRICULAR FIBRILLATION
 VENTRICULAR TACHYCARDIA
 ASYSTOLE
 PULSELESS ELECTRICAL ACTIVITY
 RESPIRATORY ARREST ETC
Basic
Life
Support
 To restore effective circulation and
ventilation.
 To prevent irreversible cerebral damage due
to anoxia. When heart fails to maintain the
cerebral circulation for approximately four
minutes the brain may suffer irreversible
damage.
Basic
Life
Support
◦ How to assess the collapsed victim
◦ How to perform chest compression and
rescue breathing
◦ How to place an unconscious breathing
victim in the recovery position.
Basic
Life
Support
 Approximately 700,000 cardiac arrests per
year in Europe
 Survival to hospital discharge presently
approximately 5-10%
 Bystander CPR vital intervention before arrival
of emergency services – double or triple
survival from SCA (sudden cardiac arrest)
 Early resuscitation and prompt defibrillation
(within 1-2 minutes) can result in >60%
survival
Basic
Life
Support
Basic
Life
Support
Airway
Breathing
Circulation
Basic
Life
Support
Basic
Life
Support
Basic
Life
Support
Basic
Life
Support
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
Basic
Life
Support
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 108
30 chest compressions
2 rescue breaths
Basic
Life
Support
Scene
Rescuer
Victim
Bystanders
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 108
30 chest compressions
2 rescue breaths
Basic
Life
Support
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 108
30 chest compressions
2 rescue breaths
Basic
Life
Support
Shake shoulders gently
Ask “Are you all right?”
.
Locate the trachea with 2 or 3 fingers of the
other hand
Slide these fingers where you can feel the
carotid pulse
Palpate for at least 5 seconds and no more than
10 seconds
Basic
Life
Support
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 108
30 chest compressions
2 rescue breaths
Basic
Life
Support
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 108
30 chest compressions
2 rescue breaths
Basic
Life
Support
Campbell
Basic
Life
Support
Head tilt and chin lift
Basic
Life
Support
Basic
Life
Support
Basic
Life
Support
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 108
30 chest compressions
2 rescue breaths
Basic
Life
Support
 Look, listen and feel
for NORMAL
breathing
 Do not confuse
agonal breathing
with NORMAL
breathing
Basic
Life
Support
 Occurs shortly after the heart stops
in up to 40% of cardiac arrests
 Described as barely, heavy, noisy or gasping
breathing
Basic
Life
Support
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 108
30 chest compressions
2 rescue breaths
Basic
Life
Support
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 108
30 chest compressions
2 rescue breaths
Basic
Life
Support
• 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
– Depth 4-5 cm
– Equal compression : Relaxation
• When possible change CPR
operator every 2 min
Basic
Life
Support
Basic
Life
Support
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 108
30 chest compressions
2 rescue breaths
Basic
Life
Support
 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
Basic
Life
Support
◦ Can’t open mouth
◦Can’t make a good seal
◦ Severely injured mouth
◦Stomach distension
 Mouth to stoma (tracheotomy)
Basic
Life
Support
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
Basic
Life
Support
Basic
Life
Support
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 108
30 chest compressions
2 rescue breaths
Basic
Life
Support
Call 108
Approach safely
Check response
Shout for help
Open airway
Check breathing
Attach AED
Follow voice prompts
Basic
Life
Support
Basic
Life
Support
Basic
Life
Support
Basic
Life
Support
 Some AEDs will
automatically switch
themselves on when
the lid is opened
Basic
Life
Support
Basic
Life
Support
Basic
Life
Support
 Stand clear
 Deliver shock
Basic
Life
Support
30 2
Basic
Life
Support
30 2
Basic
Life
Support
Basic
Life
Support
Basic
Life
Support
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call Emergency System
30 chest compressions
2 rescue breaths
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call Emergency System
Attach AED
Follow voice prompts
Basic
Life
Support
◦ Qualified help arrives and takes over
◦ The victim starts breathing normally
◦ Rescuer becomes exhausted
Basic
Life
Support
Basic
Life
Support
Basic
Life
Support
Basic
Life
Support
 Victim revives
 Trained help arrives
 Too exhausted to continue
 Unsafe scene
 Physician directed (do not resuscitate
orders)
 Cardiac arrest of longer than 30 minutes
◦ (controversial)
Basic
Life
Support
 Delay in starting
 Improper procedures (ex. Forget to pinch
nose)
 No ACLS follow-up and delay in defibrillation
◦ Only 15% who receive CPR live to go home
◦ Improper techniques
 Terminal disease or unmanageable disease
(massive heart attack)
Basic
Life
Support
 Rib fractures
 Laceration related to the tip of
the sternum
◦Liver, lung, spleen
Basic
Life
Support
 Vomiting
 Aspiration
 Place victim on left side
 Wipe vomit from mouth with
fingers wrapped in a cloth
 Reposition and resume CPR
Basic
Life
Support
Basic
Life
Support
Basic
Life
Support
Chest Compressions are the cornerstone of
resuscitation
Rate
Depth
Recoil
Minimizing Interruptions
Feedback is probably helpful
In some cases chest compressions aid
defibrillation
Mechanical chest compressors have not
been demonstrated to be helpful
Basic
Life
Support

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