E u r o p e a n R e s u s c i t a t i o n C o u n c i l

ADULT
BASIC LIFE SUPPORT
(BLS)
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
OBJECTIVES

Stuents s!oul "e a"le to e#onstrate:

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.
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
BAC$%ROU&D

Approximately 700,000 cardiac arrests per year in

Europe

Survival to hospital discharge presently

approximately 5-10%

Bystander !" vital intervention before arrival of

emergency services # double or triple survival
from SA $sudden cardiac arrest%

Early resuscitation and prompt defibrillation $within

&'( minutes% can result in >60% survival

E u r o p e a n R e s u s c i t a t i o n C o u n c i l
C'AI& OF SURVIVAL
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
BASIC LIFE SUPPORT

SE)*E+ES ,- !",E.*"ES !E"-,"/E. 0, "ES0,"E

0HE 1"*2A01,+ ,- ,345E+A0E. B2,,. A-0E" A S*..E+
!*2/,+A"4 A+.6," A".1A A""ES0

HES0 ,/!"ESS1,+S A+. !*2/,+A"4 7E+012A01,+

!E"-,"/E. B4 A&(O&E 8H, 9+,8S H,8 0, ., 10:
A&()'ERE* I++EDIATEL(* )IT'OUT A+4 ,0HE" E,UIP+E&T

Protecti-e e-ices
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
Approac! sa.el/
C!ec0 response
S!out .or !elp
Open air1a/
C!ec0 "reat!in2
Call 334
56 c!est co#pressions
4 rescue "reat!s
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
APPROAC' SAFEL(7

Scene

"escuer

7ictim

Bystanders
Approac! sa.el/
C!ec0 response
S!out .or !elp
Open air1a/
C!ec0 "reat!in2
Call 334
56 c!est co#pressions
4 rescue "reat!s
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
C'EC$ RESPO&SE
Approac! sa.el/
C!ec0 response
S!out .or !elp
Open air1a/
C!ec0 "reat!in2
Call 334
56 c!est co#pressions
4 rescue "reat!s
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
Sha;e shoulders gently
As; <Are you all right=>
1f he responds

2eave as you find him.

-ind out what is wrong.

"eassess regularly.
C'EC$ RESPO&SE
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
S'OUT FOR 'ELP
Approac! sa.el/
C!ec0 response
S!out .or !elp
Open air1a/
C!ec0 "reat!in2
Call 334
56 c!est co#pressions
4 rescue "reat!s
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
OPE& AIR)A(
Approac! sa.el/
C!ec0 response
S!out .or !elp
Open air1a/
C!ec0 "reat!in2
Call 334
56 c!est co#pressions
4 rescue "reat!s
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
OPE& AIR)A(

'ea tilt an c!in li.t

' lay rescuers
' non'healthcare rescuers

&o nee .or .in2er s1eep

unless solid material can be seen in the airway

E u r o p e a n R e s u s c i t a t i o n C o u n c i l
OPE& AIR)A(
'ea tilt* c!in li.t 8 9a1 t!rust
' healthcare professionals
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
C'EC$ BREAT'I&%
Approac! sa.el/
C!ec0 response
S!out .or !elp
Open air1a/
C!ec0 "reat!in2
Call 334
56 c!est co#pressions
4 rescue "reat!s
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
C'EC$ BREAT'I&%

2oo;: listen and feel for

+,"/A2 breathing

.o not confuse agonal

breathing with +,"/A2
breathing
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
A%O&AL BREAT'I&%

,ccurs shortly after the heart stops

in up to ?@A of cardiac arrests

.escribed as barely: heavy: noisy or

gasping breathing

"ecognise as a sign of cardiac arrest

Erroneous information can result in withholding !" from cardiac arrest victim

E u r o p e a n R e s u s c i t a t i o n C o u n c i l
Approac! sa.el/
C!ec0 response
S!out .or !elp
Open air1a/
C!ec0 "reat!in2
Call 3:: ; 334
56 c!est co#pressions
4 rescue "reat!s
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
FOREI%&<BOD( AIR)A(
OBSTRUCTIO& (FBAO)
Approximately &B @@@ adults and children receive treatment for
-BA, in the *9 yearly

SEVERE obstruction +ILD obstruction S15+S

an not
breathe6wheeCy
breathing6silent
attempts to cough6
unconsciousness
an spea;: cough:
breathe
,ther signs
*nable to spea;:
may nod
<4ES> <Are you cho;ing=>
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
ADULT FBAO TREAT+E&T
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
BAC$ BLO)S
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
ABDO+I&AL T'RUSTS
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
56 C'EST CO+PRESSIO&S
Approac! sa.el/
C!ec0 response
S!out .or !elp
Open air1a/
C!ec0 "reat!in2
Call 334
56 c!est co#pressions
4 rescue "reat!s
E u r o p e a n R e s u s c i t a t i o n C o u n c i l

!lace the heel of one hand in

the centre of the chest

!lace other hand on top

1nterloc; fingers

ompress the chest

"ate &@@ min
'&
.epth ?'D cm
EEual compression :
relaxation

8hen possible change !"

operator every ( min
C'EST CO+PRESSIO&S
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
RESCUE BREAT'S
Approac! sa.el/
C!ec0 response
S!out .or !elp
Open air1a/
C!ec0 "reat!in2
Call 334
56 c!est co#pressions
4 rescue "reat!s
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
RESCUE BREAT'S

!inch the nose

0a;e a normal breath

!lace lips over mouth

Blow until the chest

rises

0a;e about & second

Allow chest to fall

"epeat
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
RESCUE BREAT'S

RECO++E&DATIO&S=

' Tial -olu#e

D@@ # B@@ ml

' Respirator/ rate

give each breaths over about &s with enough

volume to ma;e the victimFs chest rise

' C!est<co#pression<onl/

continuously at a rate of &@@ min

E u r o p e a n R e s u s c i t a t i o n C o u n c i l
CO&TI&UE CPR

G@ (
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
Approac! sa.el/
C!ec0 response
S!out .or !elp
Open air1a/
C!ec0 "reat!in2
Call 334
56 c!est co#pressions
4 rescue "reat!s
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
DEFIBRILLATIO&
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
Call 334
Approac! sa.el/
C!ec0 response
S!out .or !elp
Open air1a/
C!ec0 "reat!in2
Attac! AED
Follo1 -oice pro#pts
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
AUTO+ATED E>TER&AL
DEFIBRILLATOR (AED)

Some AE.s will

automatically switch
themselves on when the
lid is opened
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
ATTAC' PADS TO
CASUALT(?S BARE C'EST
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
A&AL(SI&% R'(T'+
DO &OT TOUC' VICTI+
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
S'OC$ I&DICATED

Stand clear

.eliver shoc;
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
S'OC$ DELIVERED
FOLLO) AED I&STRUCTIO&S
G@ (
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
&O S'OC$ ADVISED
FOLLO) AED I&STRUCTIO&S
G@ (
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
IF VICTI+ STARTS TO
BREAT'E &OR+ALL( PLACE
I& RECOVER( POSITIO&
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
Approac! sa.el/
C!ec0 response
S!out .or !elp
Open air1a/
C!ec0 "reat!in2
Call 334
56 c!est co#pressions
4 rescue "reat!s
Approac! sa.el/
C!ec0 response
S!out .or !elp
Open air1a/
C!ec0 "reat!in2
Call 334
Attac! AED
Follo1 -oice pro#pts
E u r o p e a n R e s u s c i t a t i o n C o u n c i l
CO&TI&UE RESUSCITATIO& U&TIL

)ualified help arrives and ta;es over

0he victim starts breathing normally

"escuer becomes exhausted

E u r o p e a n R e s u s c i t a t i o n C o u n c i l
REPETITIO&

&. +ame adult basic life support seEuences of actions.

(. 8hat is the manoeuvre for ;eeping the airway open

called=

G. 8hat is the numeral combination of chest compression and

rescue breaths in adult basic life support=
?. 8here do you place your hands while performing chest
compressions=
D. How would you describe Hagonal breathing<=
B. 8hat is the telephone number of emergency response system=

I. +ame ( techniEues applied in severe airway obstruction=

E u r o p e a n R e s u s c i t a t i o n C o u n c i l

T'A&$ (OU

onsultations: /onday G.G@ # ?.@@pm