4
Southern Health
Housekeeping
NHS Foundation Trust
Toilets
Phones
Ground Rules
Fire Alarms
Objectives
Refreshments
Emergency Kit
Location
Smoking
Emotional
Awareness
Recognise and manage a deteriorating patient inc. choking, bleeding and anaphylaxis
Initiate and maintain basic life support on an adult and a paediatric patient
Use an Automated External Defibrillator (AED) safely and appropriately
Familiarisation of local Do Not Attempt Cardiopulmonary Resuscitation Policy (DNACPR) and its application
Awareness of local policy, reporting requirements, emergency equipment and individual responsibilities
Chain of Survival
Basic Life Support
Management
- (9)999 if concerned
- Recovery position if needed
- Post falls checklist
Recognition
- Bleeding
- Bruising
- Rashes
- Medicinal patches
- Wounds (infected)
- Medical alert bands
Disability
Management
- Escalate if required based upon your assessment
- Document findings in patient notes
Exposure
Management
Circulation
- Sit or lay them down
- Manage bleeding or wounds
- (9)999 if needed
- Obtain emergency equipment if available
Chest Pain
Paediatric
BLS
Paediatric
BLS
What can you say about this man's circulation?
5 Rescue Breaths
1/3 depth of chest
30:2 (15:2)
uDNACPR
SH CP 31
Unified Do Not Attempt Cardio
Pulmonary Resuscitation Policy
(uDNACPR)
Deteriorating Patient
Patients are still for
treatment
Management
SHCP 31
uDNACPR
Policy
Exceptions...
5.8.2 When a person suffers an acute,
unforeseen, but immediately life-
threatening situation, such as
Anaphalyxis
or
Choking
.
CPR would be appropriate while the
reversible cause is treated.
Breathing
- Sit them up
- Consider oxygen
- (9)999 if needed
If in doubt...
start CPR
Hampshire Hospitals
NHS Foundation Trust
Adult
BLS
Recognition
Look
Listen
(D R) A B C D E Assessment
Feel
Safety Considerations
What can you say about his breathing?
Anaphylaxis
Management
Airway
Anaphylaxis
- (9)999 if concerned
- Ligature removal
- Head tilt, chin lift
Automated external defibrillator (AED)
Still to come....
- Choking
- Anaphylaxis
- Recovery Position
Reduced Consciousness
Follow the instructions the AED gives you
Reduced Consciousness with fluid
Recognition
Anaphylaxis has 3 main characteristics
Sudden onset and rapid progression of symptoms
Life threatening airway and/or breathing and/or circulation problems
Skin and/or mucosal changes
(not always present)
Treatment
CPR Scenario
999
Auto injectors
Is her airway clear?
What can you say about her airway?
Contact us
Resus @ SouthernHealth.NHS.uk
Any Questions or Comments?
Chain of Survival
Adult
BLS
Choking
Recognition
life-saver.org.uk
Treatment
adults and children over 1yr
Treatment
Infants
Take a break
Incident and Near Miss Reporting
Any
Questions?