Name: _____________________________ YR/SEC: ________________

BLS GRADING SHEET

1 2 3 4 5

BASIC LIFE SUPPORT

SCENE SURVEY
1. Survey the scene 2. Introduce self I am _____, a trained aider, Can I help?

ACTIVATE MED ASSISTANCE

3. Phone first 4. Ask by stander to call for help 5. Ask by stander to come back after the call

ABCs
6. Checks for unresponsiveness Hey, hey are you okay? (2x) 7. Open airway: Head tilt-chin lift. Inspect for airway obstruction. 8. Check breathing for 5 seconds. Count: 1, 1002, 1003, 1004, 1005 if breathless, give 2 RB. 9. Check for circulation: 10 seconds. 1, 1002,1003,1010. *If no signs of CIRCULATION proceed to CPR

CPR 10. Counting: 30 chest compression, RB; x 5 cycle 1, 2, 3, 4, 5,

6, 7, 8, 9, 10,15, 20, 1, 2,9&1 then 2 RB 11. Check circulation for 10 seconds COUNT: 1, 1002, 1003,1010 ***Victim has No breathing but with signs of circulation. Perform RB RESCUE BREATH 12. RB- 1 Rescue breath: 5 seconds: 12 cycles ( Start and ends with breathing )

13. COUNT: Breathe, 1, 1002, 1003, 1001, breathe, 1, 1002,

1003, 1002, breathe, 1, 1002,1003, 1003, breathe until 1012, breathe

14. Check circulation for 10 seconds.

COUNT: 1, 1002, 10031010

15. If victim has regained breathing and pulse, do the

recovery position. Check breathing with dorsal aspect of palm for 5 seconds. Do secondary survey

TOTAL SCORE