Abilitati Urgente - BLS ENG

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ABILITĂȚI PRACTICE DE

MEDICINĂ DE URGENȚĂ

BASIC LIFE SUPPORT _ ENG

Asist. Univ. Dr. SORIN LĂCAN


Medic specialist medicină de urgență

Aprilie
Martie 2020
2020
AGENDA
• SURVIVAL CHAIN
• BASIC LIFE SUPPORT
• AED
SURVIVAL CHAIN
BASIC LIFE SUPPORT
BASIC LIFE SUPPORT

SAFETY
CONSCIOUSNESS
ASK FOR HELP
OPEN THE AIRWAY
CHECK BREATHING
CALL 112
30 CHEST COMPRESSIONS

2 RESCUE BREATHS
RESCUER’S SAFETY
SAFETY
Safety should be ensured for:
CONSCIOUSNESS
– Rescuer
ASK FOR HELP
– Patient
OPEN THE AIRWAY
– Nearby persons
CHECK BREATHING
CALL 112
30 CHEST COMPRESSIONS
2 RESCUE BREATHS

An injured/ dead rescuer cannot help anymore the ones in need !!!
CONSCIOUSNESS
SAFETY
CONSCIOUSNESS
ASK FOR HELP
OPEN THE AIRWAY
CHECK BREATHING
CALL 112
30 CHEST COMPRESSIONS
2 RESCUE BREATHS
CONSCIOUSNESS

1) “Are you all right?”


2) Gentle shoulder shake
3) Pain stimuli

If responding:
→ Leave the victim in the same position
→ Avoid dangeours
→ Find out what had happened
→ Frequent reassessment
CONSCIOUSNESS

UNCONSCIOUS
PATIENT
ASK FOR HELP
SAFETY
CONSCIOUSNESS
ASK FOR HELP
OPEN THE AIRWAY
CHECK BREATHING
CALL 112
30 CHEST COMPRESSIONS
2 RESCUE BREATHS
OPEN THE AIRWAY
SAFETY
CONSCIOUSNESS
ASK FOR HELP
OPEN THE AIRWAY
CHECK BREATHING
CALL 112
30 CHEST COMPRESSIONS
2 RESCUE BREATHS
OPEN THE AIRWAY

HEAD TILT (HYPEREXTENSION)


- one hand on the patient’s forehead

CHIN LIFT
- 2 fingers on the patient’s chin
CHECK BREATHING
SAFETY
CONSCIOUSNESS
✓(P) Look ASK FOR HELP
✓(A) Listen OPEN THE AIRWAY
CHECK BREATHING
✓(S) Feel CALL 112
30 CHEST COMPRESSIONS
For maximum 10 secunds
2 RESCUE BREATHS
INCONSCIENT
NOT BREATHING

CARDIO-RESPIRATORY
ARREST PATIENT!
SAFETY
CONSCIOUSNESS
ASK FOR HELP
OPEN THE AIRWAY
CHECK BREATHING
CALL 112
30 CHEST COMPRESSIONS
2 RESCUE BREATHS
CHEST COMPRESSIONS
30 CHEST COMPRESSIONS

SAFETY
CONSCIOUSNESS
ASK FOR HELP
OPEN THE AIRWAY
CHECK BREATHING
CALL 112
30 CHEST COMPRESSIONS
2 RESCUE BREATHS
CHEST COMPRESSIONS
LAY THE PATIENT ON A FIRM SURFACE
➢ Heel of the first palm on the middle of the stern
➢ Place the second hand over the first
➢ Cross your fingers
➢ Straight elbows, perpendicular over the sternum
➢ Compress the sternum
➢ Rate of 100 compr/min
➢ Depth of 5 cm
➢ Compresion “=“ relaxation
➢ Every 2 min – another rescuer taking turn
RESCUE BREATHS
SAFETY
CONSCIOUSNESS
ASK FOR HELP
OPEN THE AIRWAY
CHECK BREATHING
CALL 112
30 CHEST COMPRESSIONS
2 RESCUE BREATHS
2 RESCUE BREATHS

➢ Pinch the nose


➢ Seal your lips over the patient’s mouth
➢ Exhale until the thorax rises – 1 sec
➢ Let the thorax relax (exhale) – 2 sec
SAFETY
CONSCIOUSNESS
ASK FOR HELP
OPEN THE AIRWAY
CHECK BREATHING
CALL 112
30 CHEST COMPRESSIONS
2 RESCUE BREATHS
Defibrilator
Extern
Automat

Automated
External
Defibrillator
RESUSCITATION + A.E.D.
SAFETY
CONSCIOUSNESS
ASK FOR HELP
OPEN AIRWAY
CHECK BREATHING
CALL 112
TURN ON A.E.D.
FOLLOW A.E.D.
INSTRUCTIONS
OPEN A.E.D.
ATTACH PATCHES
RHYTHM ASSESSMENT
DO NOT TOUCH THE PATIENT
ELECTRIC SHOCK IS INDICATED

• Clear the area

• Make sure no one is in


touching the victim

• Deliver the SHOCK


SHOCK HAS BEEN DELIVERED
FOLLOW A.E.D. INSTRUCTIONS

30 : 2
NO SHOCK NEEDED
FOLLOW A.E.D. INSTRUCTIONS

30 : 2
IF THE VICTIM IS RESUMING NORMAL BREATHING,
PLACE THE VICTIM IN SAFETY LATERAL POSITION
SAFETY LATERAL POSITION
SAFETY SAFETY
CONSCIOUSNESS CONSCIOUSNESS
ASK FOR HELP ASK FOR HELP
OPEN THE AIRWAY OPEN AIRWAY
CHECK BREATHING CHECK BREATHING
CALL 112 CALL 112
30 CHEST COMPRESSIONS TURN ON A.E.D.
2 RESCUE BREATHS FOLLOW A.E.D.
INSTRUCTIONS
BLS

• https://www.youtube.com/watch?v=mnjRFsWcEdo
BLS AED

• https://www.youtube.com/watch?v=fb29LCjX4-E
ABILITĂȚI PRACTICE DE
MEDICINĂ DE URGENȚĂ

BASIC LIFE SUPPORT

Asist. Univ. Dr. SORIN LĂCAN


Medic specialist medicină de urgență

Aprilie
Martie 2020
2020

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