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Adult Basic Life Support (BLS) : Prof DR Resham B Rana DMCTH, Bhaluhi Devdaha Rupandehi, Nepal

This document provides guidelines for performing adult basic life support (BLS). It outlines the steps to take which include: approaching safely, checking the victim's response, shouting for help, checking breathing, activating emergency services, giving 30 chest compressions, and then 2 rescue breaths. The objectives are to demonstrate how to assess a collapsed victim, perform chest compressions and rescue breathing, and place an unconscious victim in the recovery position. BLS involves restoring circulation through chest compressions and ventilation until further help arrives.

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Resham Rana
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47 views29 pages

Adult Basic Life Support (BLS) : Prof DR Resham B Rana DMCTH, Bhaluhi Devdaha Rupandehi, Nepal

This document provides guidelines for performing adult basic life support (BLS). It outlines the steps to take which include: approaching safely, checking the victim's response, shouting for help, checking breathing, activating emergency services, giving 30 chest compressions, and then 2 rescue breaths. The objectives are to demonstrate how to assess a collapsed victim, perform chest compressions and rescue breathing, and place an unconscious victim in the recovery position. BLS involves restoring circulation through chest compressions and ventilation until further help arrives.

Uploaded by

Resham Rana
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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ADULT

BASIC LIFE SUPPORT


(BLS)
Prof Dr Resham B Rana
DMCTH, Bhaluhi Devdaha
Rupandehi, Nepal
ADULT
BASIC LIFE SUPPORT
(BLS)

ACLS Team
NAMS, Bir Hospital
Kathmandu, Nepal
OBJECTIVES

Participants should be able to demonstrate:

• 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.
BACKGROUND

• 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
CHAIN OF SURVIVAL
BASIC LIFE SUPPORT

Sequences of procedures performed to restore the


circulation of oxygenated blood after a sudden
cardiac arrest.
Chest compressions and pulmonary ventilation
performed by anyone who knows ho to do it,
anywhere, immediately, without any other
equipment.
Protective devices
Approach Safely

Check response

Shout for help

Check breathing

Activate EMS

30 chest compressions

2 Breaths
APPROACH SAFELY!

Scene

Rescuer
Approach Safely
Victim

Bystanders
CHECK RESPONSE

Check response
CHECK RESPONSE

Shake shoulders gently


Ask “Are you all right?”
If he responds
• Leave as you find him.
• Find out what is wrong.
• Reassess regularly.
RESPONSIVE
UNRESPONSIVE

Shout for help


CHECK BREATHING

Check breathing
CHECK BREATHING

• Look for NORMAL breathing

• Do not confuse agonal


breathing with NORMAL
breathing
AGONAL BREATHING

• Occurs shortly after the heart stops


in up to 40% of cardiac arrests

• Described as barely, heavy, noisy or gasping breathing

• Recognise as a sign of cardiac arrest


Erroneous information can result in withholding CPR from cardiac arrest victim
Activate EMS
30 CHEST COMPRESSIONS
CHEST COMPRESSIONS

• Place the heel of one hand in


the centre of the chest
• Place other hand on top
• Interlock fingers
• Compress the chest
– Rate at least 100 min-1
– Depth at least 5 cm
– Equal compression : relaxation
• When possible change CPR
operator every 2 min
• Minimal interruption
OPEN AIRWAY

Head tilt and chin lift


- lay rescuers
- non-healthcare rescuers

No need for finger sweep


unless solid material can be seen in the
airway
OPEN AIRWAY

Head tilt, chin lift + jaw thrust


- healthcare professionals
RESCUE BREATHS

2 Breaths
RESCUE BREATHS

• 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
RESCUE BREATHS

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 (at least)
CONTINUE CPR

30 2
CONTINUE RESUSCITATION UNTIL

• Qualified help arrives and takes over

• The victim starts breathing normally

• Rescuer becomes exhausted


Approach Safely

Check response

Shout for help

Check breathing

Activate EMS

30 chest compressions

2 Breaths
THANK YOU

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