European Resuscitation Council

European Resuscitation CouncilBasic Life Support &Automated ExternalDefibrillation Course

OBJECTIVESEuropean Resuscitation Council• At the end of this courseparticipants should be able to demonstrate:– How to assess the collapsed victim.– How to perform chest compression and rescuebreathing.– How to operate an automated external defibrillatorsafely.– How to place an unconscious breathing victim in therecovery position.

BACKGROUNDEuropean Resuscitation Council• Approximately 700,000 cardiac arrests per yearin Europe• Survival to hospital discharge presentlyapproximately 5-10%• Bystander CPR vital intervention before arrival ofemergency services• Early resuscitation and prompt defibrillation(within 1-2 minutes) can result in >60% survival

CHAIN OF SURVIVALEuropean Resuscitation Council

Approach safelyEuropean Resuscitation CouncilCheck responseShout for helpOpen airwayCheck breathingCall 11230 chest compressions2 rescue breaths

APPROACH SAFELY!European Resuscitation CouncilSceneRescuerVictimBystandersApproach safelyCheck responseShout for helpOpen airwayCheck breathingCall 11230 chest compressions2 rescue breaths

CHECK RESPONSEEuropean Resuscitation CouncilApproach safelyCheck responseShout for helpOpen airwayCheck breathingCall 11230 chest compressions2 rescue breaths

CHECK RESPONSEEuropean Resuscitation CouncilShake shoulders gentlyAsk “Are you all right?”If he responds• Leave as you find him.• Find out what is wrong.• Reassess regularly.

SHOUT FOR HELPEuropean Resuscitation CouncilApproach safelyCheck responseShout for helpOpen airwayCheck breathingCall 11230 chest compressions2 rescue breaths

OPEN AIRWAYEuropean Resuscitation CouncilApproach safelyCheck responseShout for helpOpen airwayCheck breathingCall 11230 chest compressions2 rescue breaths

CHECK BREATHINGEuropean Resuscitation CouncilApproach safelyCheck responseShout for helpOpen airwayCheck breathingCall 11230 chest compressions2 rescue breaths

CHECK BREATHINGEuropean Resuscitation Council• Look, listen and feelfor NORMALbreathing• Do not confuseagonal breathing withNORMAL breathing

AGONAL BREATHINGEuropean Resuscitation Council• Occurs shortly after the heart stopsin up to 40% of cardiac arrests• Described as barely, heavy, noisy orgasping breathing• Recognise as a sign of cardiac arrest

European Resuscitation CouncilApproach safelyCheck responseShout for helpOpen airwayCheck breathingCall 11230 chest compressions2 rescue breaths

30 CHEST COMPRESSIONSEuropean Resuscitation CouncilApproach safelyCheck responseShout for helpOpen airwayCheck breathingCall 11230 chest compressions2 rescue breaths

CHEST COMPRESSIONSEuropean Resuscitation Council• Place the heel of one hand inthe centre of the chest• Place other hand on top• Interlock fingers• Compress the chest– Rate 100 min -1– Depth 4-5 cm– Equal compression : relaxation• When possible change CPRoperator every 2 min

RESCUE BREATHSEuropean Resuscitation CouncilApproach safelyCheck responseShout for helpOpen airwayCheck breathingCall 11230 chest compressions2 rescue breaths

RESCUE BREATHSEuropean Resuscitation Council• Pinch the nose• Take a normal breath• Place lips over mouth• Blow until the chestrises• Take about 1 second• Allow chest to fall• Repeat

CONTINUE CPR30 2European Resuscitation Council

Approach safelyEuropean Resuscitation CouncilCheck responseShout for helpOpen airwayCheck breathingCall 11230 chest compressions2 rescue breaths

DEFIBRILLATIONEuropean Resuscitation Council

Approach safelyEuropean Resuscitation CouncilCheck responseShout for helpOpen airwayCheck breathingCall 112Attach AEDFollow voice prompts

SWITCH ON AEDEuropean Resuscitation Council• Some AEDs willautomatically switchthemselves on whenthe lid is opened

ATTACH PADS TOCASUALTY’S BARE CHESTEuropean Resuscitation Council

ANALYSING RHYTHMDO NOT TOUCH VICTIMEuropean Resuscitation Council

SHOCK INDICATED• Stand clear• Deliver shockEuropean Resuscitation Council

SHOCK DELIVEREDFOLLOW AED INSTRUCTIONS30 2European Resuscitation Council

NO SHOCK ADVISEDFOLLOW AED INSTRUCTIONS30 2European Resuscitation Council

European Resuscitation CouncilIF VICTIM STARTS TOBREATHE NORMALLY PLACEIN RECOVERY POSITION

European Resuscitation Council

CPR IN CHILDRENEuropean Resuscitation Council• Adult CPRtechniques can beused on children• Compressions 1/3 ofthe depth of the chest

AED IN CHILDRENEuropean Resuscitation Council• Age > 8 years• use adult AED• Age 1-8 years• use paediatric pads /settings if available(otherwise use adultmode)• Age < 1 year• use only ifmanufacturerinstructions indicate itis safe

ANY QUESTIONS?European Resuscitation Council

European Resuscitation CouncilApproach safelyCheck responseShout for helpOpen airwayCheck breathingCall 11230 chest compressionsApproach safelyCheck responseShout for helpOpen airwayCheck breathingCall 112Attach AED2 rescue breathsFollow voice prompts