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BLS for JVP 2015

Updated
by

hazel grate

on 25 May 2015

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Transcript of BLS for JVP 2015

The Basic Life Support Training Program is designed to facilitate the SLMC Associates in the proper technique of rendering CardioPulmonary Cerebral Resuscitation, Rescue Breathing and Foreign Body Airway Obstruction management to any victim - adult, child and infant.

Included in this program is the correct manner of administering the Heimlich Maneuver.
Review the current BLS and ACLS guidelines
Recognize a life threatening emergency
Learn the importance of the Chain of Survival
Manage
BLS is a level of medical care which is used for patients with life-threatening illness or injury until the patient can be given full medical care.
The use of special equipment to maintain breathing and circulation for the victim of an emergency.
For post resuscitative and long term resuscitation
Includes early recognition of the emergency and activation of the emergency medical services (EMS) or emergency response system.
Most effective when started immediately after the victim collapsed.
This procedure involves a combination of rescue breathing and chest compression. It should be done until defibrillation and Advanced Cardiac Life Support (ACLS) can restore normal heart and lung function.
Placement of automated external defibrillators (AED) in the hands of large numbers of people trained in their use may be the key intervention for increasing the chances of survival for out-of-hospital cardiac arrest patients.
Early ALS provided by paramedics at the scene is the critical link in the management of cardiac arrest.
Transport the in-hospital post– cardiac arrest patient to an appropriate critical-care unit capable of providing comprehensive post– cardiac arrest care.
- When breathing and circulation stops
0 - 4 minutes: brain damage unlikely
4 - 6 minutes: brain damage probable
- A permanent end of brain functions due to the deprivation of oxygenated blood
6 - 10 minutes: brain damage likely
10 minutes or more: brain damage is certain
Scene safety:


Identify your self
Assess for Mechanism of Injury (MOI)
Count number of victims
Body Substance Isolation Precaution (BSIP)
- Personal Protective Equipment (PPE)
- Ensure safety of rescuer, victim and bystander
- Look for any hazards
Consciousness / Responsiveness
Check Pulse
Tap the shoulder of the victim and shout:
“hey, are you alright?” (2x)
OR
“hey, can you hear me?” (2x)
* UNCONSCIOUSSNESS or UNRESPONSIVENESS is
one of the major signs of CARDIAC ARREST ( Critical
Victim)
* CRITICAL VICTIM needs immediate and continues
interventions.
* IMMEDIATELY Activate Medical Assistance or
Transport Facility
2. For LONE Rescuer – use CALL FIRST and CARE
FIRST Principle.
- Rescuer must activate medical assistance before assessment of victim
- Indicated for victims above 12 years old and children with history of cardiac arrhythmia. (especially if there is available AED).
- Rescuer must assess the victim and give immediate resuscitation
before activating emergency response system.
- Indicated for children below 12 yrs. old, infants, and victims of
drowning, submersion, poisoning and arrest with trauma.
- Any victim of drug overdose.
The Healthcare Provider (HP) should take no more than 10 seconds to check for a pulse and, if the rescuer does not definitely feel a pulse within that time period, the rescuer should start chest compressions.
SCENE SURVEY
PRIMARY
SURVEY
SECONDARY
SURVEY
Commonly known as HEART ATTACK
A heart attack occurs when the blood supply to part of the heart muscle (myocardium) is severely reduced or stopped.
1. Chest discomfort is the most common sign
- described as uncomfortable, squeezing and tight
- center of chest behind breastbone, may spread to
either shoulders, neck, lower jaw or arms
2. Other signs
- sweating, shortness of breath, nausea, weakness
1. Recognize the signals of heart attack and take action.
2. Have patient stop what he or she is doing and sit or lie him/her down in a comfortable position. Do not let the patient move around.
3. Have someone call the physician or ambulance for help.
4. If patient is under medical care, assist him/her in taking his/her prescribed medicine/s.

- assessment of victim with pulse and breathing
- INTERVIEW, OBSERVATION, and EXAMINATION
swollen airway passages
tongue
foreign body obstructing the airway
partial obstruction and that the victim can still cough and answer the question “Are you choking?”
poor air exchange and increased breathing difficulty, a silent cough, cyanosis, or inability to speak or breathe and if the patient becomes unconscious due to an obstruction
Signs for circulation may continue for some time but there is an Absence of Breathing
Signs for circulation may continue for some time and Breathing is present but inadequate to maintain life.
Mouth to Mouth
Mouth to Nose
Mouth
to
Mouth & Nose
Mouth to Stoma
Mouth to Face Shields
Mouth to Face Mask
Use of Bag Valve Mask Device
is the sudden or abrupt loss of heart function.
Breathing and Circulation STOP at the same time.
American Red Cross
American Heart Association
30 Compressions
Open the Airway
Give 2 Rescue Breaths
- Effective chest compressions are essential for
providing blood flow during CPR.


- Allow complete recoil of the chest after each
compression, to allow the heart to fill completely
before the next compression
- To provide effective chest compressions, push hard and push fast.
Head Tilt Chin Lift
Jaw Thrust Maneuver
The Lay Rescuer (LR) should not check for a pulse and should assume that cardiac arrest is present if an adult suddenly collapses or an unresponsive victim is not breathing normally.
1. If the VICTIM is UNCONSCIOUS please immediately
Activate Emergency Response System…Then DO the assessment…
Rigor Mortis
Tissue Decomposition
Valid DNAR Order
Trisomy 13 (Patau Syndrome)
Anencephaly
Lividity
Obvious Fatal Trauma
Unwitnessed death in the presence of serious & fatal illness
Trisomy 18 (Edward Syndrome)
When NOT to START CPCR & RB
When to STOP CPR
S - Spontaneous Breathing & Pulse has been RESTORED
O - Operator (Rescuer) is too exhausted
P - Physician assumes responsibility
T - Turned over to Professional Help
S - Scene becomes UNSAFE
Don'ts in External Chest Compression
Thank You!
l
@gr8_nurse
Full transcript