For staff withdirect patient contact

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What you will learn in this session

1. Relevant guidelines, trust policies and processes2. Assessing a person who has collapsed3. How to call for help4. Effective chest compressions5. Effective rescue breathing6. Effective airway management7. Manage an adult who is choking8. The recovery position9. The importance of a team approach and your role10.Reporting and handover procedures

Why is this important?

Cardiac arrest is the ultimate medical emergency

Quick, basic life supportcan save lives

Good technique increasesthe chances of survival

Bystander CPR before arrival of an emergency team can significantly improve survival from sudden cardiac arrest

[organisational context]

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E.g. likely context: hanging, drowning etc. Then delete THIS box.

Sources of information about Adult Basic Life Support

Resuscitation Council (UK) European Resuscitation Council [Add local resources here]

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Resuscitation Council (UK)(2010)

Adult Basic Life Support

Chain of survival

Adult Basic Life Support

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PERSON IS UNRESPONSIVE shout for help open airway not breathing normally? call [insert local number] 30 chest compressions 2 rescue breaths & 30 chest compressions

Approach safely

Approach with care Check out the scene Is it safe for you to approach? Is the victim safe? Are all bystanders safe?

Check response

Shake shoulders gently Ask loudly:

“Are you all right?” If they respond:

Leave them as you find them

Find out what is wrong Reassess regularly

If they don’t respond: SHOUT FOR HELP!

Open the airway

Turn victim onto her / his back

Open the airway Head tilt Chin lift

Opens the airway

Head tilt, chin lift

Check breathing

Look for chest movement

Listen for breath sounds

Feel for air on your cheek

Calling for help if not breathing normally

[insert relevant calling criteria here}

Ask someone else to call Use your mobile if you’re on your own Only leave the victim if there is no

other option

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What to say

State the nature of the emergency. e.g. “suspected cardiac arrest”

State the exact location

[add information here on automated external defibrillator (AED) if this is your organisation’s policy]

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Start chest compressions

Place the heel of one hand in the centre of the chest

Place heel of other hand on top Interlock fingers vertically

above victims chest, arms straight Compress the chest:

rate 100-120 min depth 5-6 cm equal compression : relaxation

If more than one rescuer is present, change rescuer every 1 - 2 mins

Rescue breaths

After 30 compressions [insert reference to pocket

masks, if policy] Pinch the nose Take a normal breath Place lips over mouth Blow until the chest rises Allow chest to fall Repeat

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30 chest compressions 2 rescue breaths

Continue CPR

Only stop if the victim starts:

Coughing Opening their eyes Speaking Moving purposefully Breathing normally If there is more than one rescuer, change rescuer /

resuscitator every 1 - 2 minutes to prevent tiredness Avoid any delay during changeover Don’t interrupt chest compressions

The recovery position

If the victim starts to breath normally

Choking airway obstruction by a foreign body

Remember!

Children are different, but not a different species

If in doubt use adult guidelines for CPR on a child!

Modifications to Adult BLS for children

Give 5 initial rescue breaths before starting chest compression

If you are on your own, perform CPR for 1 min before going for help

Compress the chest by at least 1/3 of its depth Use two fingers for an infant under 1 year Use one or two hands for a child over 1 year (as required

to achieve an adequate depth of compression)

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THANK YOUAny Questions?

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