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Basic Life Support & AED
Resuscitation Council UK 2010 Guidance

2013


East Midlands SS

Sinfin Lane

Derby

DE73 7HH


www.compactlearning.co.uk




Brought to you by Trust Interventions Limited 2013
Adult Basic Life Support



                                 UNRESPONSIVE



                                   Shout for help



                                     Open Airway


                                 NOT BREATHING
                                  NORMALLY?


                                         Call 999


                                     30 chest
                                   compressions


                                 2 rescue breaths
                                 30 compressions




Brought to you by Trust Interventions Limited 2013
Paediatric Basic Life Support
   (Healthcare professionals with a duty to respond)



                                UNRESPONSIVE



                                  Shout for help



                                   Open Airway



                                5 rescue breaths


                                   NO SIGNS OF
                                      LIFE?


                                    15 chest
                                  compressions


                                2 rescue breaths


                                    15 chest
                                  compressions

                          Call Resuscitation Team



Brought to you by Trust Interventions Limited 2013
Adult Choking Treatment Algorithm




                                          Assess severity




        Severe                                                Mild
 airway obstruction                                  airway obstruction
  (ineffective cough)                                  (effective cough)



                        Concscious                                 Encourage cough
                       5 back blows                                Contiunue to check
                    5 abdominal thrusts                            for deterioration to
                                                                  ineefective cough or
                                                                    until obstruction
                                                                         relieved

                        Unconscious
                         Start CPR




Brought to you by Trust Interventions Limited 2013
Paediatric Choking Treatment
                   Algorithm




                                    Assess severity



  Ineffective cough                                  Effective cough


                       Concscious
                      5 back blows
                        5 thrusts                                 Encourage cough
                     (chest for infant)                         Contiunue to check for
                                                                     deterioration to
                      (abdominal for                             ineefective cough or
                       child>1 year)                           until obstruction relieved


                    Unconscious
                     Start CPR




Brought to you by Trust Interventions Limited 2013
The Chain of Survival




      Early                                                                   Post
   recognition                                            Early
                                                                         resuscitation
   and call for            Early CPR - to            Defibrillation -
                                                                           care - to
     help - to               buy time                to restart the
     prevent                                                            restore quality
                                                         heart
  cardiac arrest                                                             of life




Brought to you by Trust Interventions Limited 2013
The use of Automated External
               Defibrillators
                                    UNRESPONSIVE




                  Call for help




              Open Airway                                Send or go for AED
         Not breathing normally                               Call 999




                               CPR 30:2 Until AED is attached




                                    AED asseses
                                      rhythm


                    Shock advised                     No shock advised


        1 Shock                   Immediately resume CPR 30:2 for 2 min



           Immediately                               Continue until victim starts to
           resume CPR                                wake up, ie moves,opens eyes
          30:2 for 2 min                                and breathes normally




Brought to you by Trust Interventions Limited 2013
Anaphylactic reaction?
                                         Anaphylactic
                                          reaction?


                      Airway, Breathing, Circulation, Disabilit
                                    y,Exposure


                              Diagnosis -look for:
                              Acute onset of illness
          Life-threatening Airway and/ or breathing and/ or Circulation
                                   problems


                                        Call for help
                                        Lie patient flat
                                     Raise patient's legs
                                 (if breathing not impaired)


                                Intramuscular Adrenaline


                               1 Life threatening problems:

Airway: swelling, hoarseness, stridor

Breathing: rapid breathing, wheeze, fatigue, cyanosis, spO2 < 92% Confusion

Circulation: pale, clammy, low blood pressure, faintness, drowsy/ coma


                                2 Intramuscular Adrenaline

IM doses of 1:1000 adrenaline (repeat after 5min if no better)

Adult 500 micrograms IM (0.5 mL)

Child more than 12 yrs: 500 micrograms IM (0.5mL)

Child 6 – 12 yrs 300 micrograms IM (0.3mL)

Child less than 6 yrs: 150 micrograms IM (0.15mL)
  Brought to you by Trust Interventions Limited 2013

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Basic life support

  • 1. Basic Life Support & AED Resuscitation Council UK 2010 Guidance 2013 East Midlands SS Sinfin Lane Derby DE73 7HH www.compactlearning.co.uk Brought to you by Trust Interventions Limited 2013
  • 2. Adult Basic Life Support UNRESPONSIVE Shout for help Open Airway NOT BREATHING NORMALLY? Call 999 30 chest compressions 2 rescue breaths 30 compressions Brought to you by Trust Interventions Limited 2013
  • 3. Paediatric Basic Life Support (Healthcare professionals with a duty to respond) UNRESPONSIVE Shout for help Open Airway 5 rescue breaths NO SIGNS OF LIFE? 15 chest compressions 2 rescue breaths 15 chest compressions Call Resuscitation Team Brought to you by Trust Interventions Limited 2013
  • 4. Adult Choking Treatment Algorithm Assess severity Severe Mild airway obstruction airway obstruction (ineffective cough) (effective cough) Concscious Encourage cough 5 back blows Contiunue to check 5 abdominal thrusts for deterioration to ineefective cough or until obstruction relieved Unconscious Start CPR Brought to you by Trust Interventions Limited 2013
  • 5. Paediatric Choking Treatment Algorithm Assess severity Ineffective cough Effective cough Concscious 5 back blows 5 thrusts Encourage cough (chest for infant) Contiunue to check for deterioration to (abdominal for ineefective cough or child>1 year) until obstruction relieved Unconscious Start CPR Brought to you by Trust Interventions Limited 2013
  • 6. The Chain of Survival Early Post recognition Early resuscitation and call for Early CPR - to Defibrillation - care - to help - to buy time to restart the prevent restore quality heart cardiac arrest of life Brought to you by Trust Interventions Limited 2013
  • 7. The use of Automated External Defibrillators UNRESPONSIVE Call for help Open Airway Send or go for AED Not breathing normally Call 999 CPR 30:2 Until AED is attached AED asseses rhythm Shock advised No shock advised 1 Shock Immediately resume CPR 30:2 for 2 min Immediately Continue until victim starts to resume CPR wake up, ie moves,opens eyes 30:2 for 2 min and breathes normally Brought to you by Trust Interventions Limited 2013
  • 8. Anaphylactic reaction? Anaphylactic reaction? Airway, Breathing, Circulation, Disabilit y,Exposure Diagnosis -look for: Acute onset of illness Life-threatening Airway and/ or breathing and/ or Circulation problems Call for help Lie patient flat Raise patient's legs (if breathing not impaired) Intramuscular Adrenaline 1 Life threatening problems: Airway: swelling, hoarseness, stridor Breathing: rapid breathing, wheeze, fatigue, cyanosis, spO2 < 92% Confusion Circulation: pale, clammy, low blood pressure, faintness, drowsy/ coma 2 Intramuscular Adrenaline IM doses of 1:1000 adrenaline (repeat after 5min if no better) Adult 500 micrograms IM (0.5 mL) Child more than 12 yrs: 500 micrograms IM (0.5mL) Child 6 – 12 yrs 300 micrograms IM (0.3mL) Child less than 6 yrs: 150 micrograms IM (0.15mL) Brought to you by Trust Interventions Limited 2013