BLS for Prehospital Providers Course. BLS PHP Workshop Objectives. Discuss how historical feedback from the EMS community shaped the development of the course Describe the new format: “flipping the c lassroom”
Discuss how historical feedback from the EMS community shaped the development of the course
Describe the new format: “flipping the classroom”
Describe the most critical roles of the resuscitation team, and secondary roles as responders increase: the “pit crew approach”
Identify the importance of chest compression fraction (CCF) for survival rates
Demonstrate the high-performance teams concept
Identify procedure for how Training Centers and Instructors administer course keys to students
Why BLS PHP?
In 2012, the AHA assembled an EMS Advisory Panel consisting of field providers from around the country. That group made the following recommendations:
Flipping the Classroom
BLS PHP Course―An Inside Look
Increase Survival Rates
Use the pit crew approach to teach how to conduct a code with teams varying from 2 to 6 people
Introduce BLS Instructors to the concept of structured and supported debriefing
Create scenario-based training that may represent a student’s next call in the field
Develop core course segments that provide the opportunity for medical directors to tailor the course to local response protocols
BLS PHP Course Components: Online Portion
Interactive Online Content
EMS-oriented scenarios and realistic settings for the prehospital environment
Termination of resuscitative efforts
Pit crew approach
Medical cause of victim driving off the road
Moving patient for better access and improved resuscitation
Practice like you play
BLS PHP Course Components: Classroom Portion
Role of Ventilation
Medical vs Trauma
Use of AED
Lend supportive information
Substantiate―they are based upon available science
Many agencies use AHA guidelines to devise local treatment protocols
Protocols and guidelines not always parallel
Capturing and optimizing the percentage of arrest time that high-quality chest compressions are performed has a predictable improvement in survival.
The term chest compression fraction, or CCF, is just that―trying to achieve the 80% threshold, which increases survival by 200% to 300%.
Suggested roles for a 6-member team:
1. Compressor: Does 5 cycles of chest compressions
2. Airway: Opens the airway; provides bag-mask ventilation (and uses airway adjuncts as appropriate)
3. Monitor/Defibrillator: Brings and operates an AED (ACLS and PALS providers bring a manual monitor/defibrillator); may alternate with Compressor every 5 cycles. If a monitor is present, it should be placed in a position where it can be seen by everyone
4. Team Leader: Assigns roles and makes treatment decisions; provides feedback (when needed) to the rest of the team
5. Observer/Recorder: Records the time of interventions (and frequency and duration of interruptions in compressions); communicates these to the Team Leader
6. IV/IO/Medications (ACLS provider role): Initiates IV/IO access; administers medications
Questions for Discussion:
How could you improve the actions of the teams you observed (for the cardiac arrest in vehicle, child drowning, and cardiac arrest in bathroom scenarios)?
Do your teams do anything different from what you observed in the scenarios that you think improves patient outcomes?
Are there observational or clinical data you could share to help improve team performance?
Would you like clarification on any actions or components of the video?
BLS PHP Course:
Instructor Supplement and CD
Please use this link to complete a short survey on the workshop you have attended: