1 / 42

Podstawowe czynności resuscytacyjne BLS

Podstawowe czynności resuscytacyjne BLS. Cel. Zrozumieć : Zagrożenia dla ratownika Jak przeprowadzić BLS Różnice pomiędzy BLS przeprowadzanym przez osoby niefachowe i personel medyczny. Risks to the rescuer. Eliminate or minimise risk Manual Handling Beware of environmental danger:

cooper-delaney
Download Presentation

Podstawowe czynności resuscytacyjne BLS

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Podstawowe czynności resuscytacyjneBLS

  2. Cel Zrozumieć: • Zagrożenia dla ratownika • Jak przeprowadzić BLS • Różnice pomiędzy BLS przeprowadzanym przez osoby niefachowe i personel medyczny

  3. Risks to the rescuer • Eliminate or minimise risk • Manual Handling • Beware of environmental danger: • traffic • electricity • gas • water

  4. Risks to the rescuer:poisoning • Hydrogen cyanide or hydrogen sulphide gas • mask and non-return • Corrosive chemicals • absorbed through skin and respiratory tract • protective clothing

  5. Risks to the rescuer:infection • 15 documented cases of CPR related infection - mainly Neisseria meningitidis • Tuberculosis • Not hepatitis B or C, or CMV • 3 cases of HIV transmission from high-risk cutaneous exposure

  6. Risks to the rescuer:precautions against infection • Gloves and eye protection • Sharps box • Face-mask with one-way valves • Manikins • clean regularly

  7. Assessment Ensure safety of rescuer and victim

  8. Shake and Shout

  9. Is the victim responsive?YES • Check for injuries • Reassess • Get help

  10. Is the victim responsive?NO • Shout for help • Open their airway • Check for breathing

  11. Opening the airway • Head tilt • Chin lift • If cervical spine injury suspected: • jaw thrust

  12. Assess Breathing • Look for chest movement • Listen for breath sounds • Feel for expired air • Assess for 10 seconds before deciding breathing is absent

  13. Is the victim breathing?YES • If safe, use recovery position • Telephone for help • Reassess at intervals

  14. Recovery Position 1st Stage

  15. Recovery Position 2nd Stage

  16. Recovery Position 3rd Stage

  17. Recovery Position 4th Stage

  18. Is the victim breathing?NO • Telephone for help • Give two slow effective rescue breaths • Make up to 5 attempts

  19. Rescue breathing(Expired air ventilation) • Occlude victim’s nose • Maintain chin lift • Take a deep breath • Ensure a good mouth-to-mouth seal

  20. Rescue breathing(Expired air ventilation) • Blow steadily (2 sec) into victim’s mouth • Watch for chest rise • Maintain chin lift, remove mouth • Watch chest fall

  21. Watch for chest fall

  22. Finger sweep

  23. Assess Circulation • Look, listen and feel for normal breathing, coughing, or movement by the victim • Check the carotid pulse (if trained) • Take no more than 10 seconds

  24. Is a circulation present?YES • Continue with rescue breathing • Reassess for signs of a circulation • about every minute

  25. Is a circulation present?NO • Start chest compressions • Continue with rescue breathing

  26. Identify costal margin

  27. Identify xiphisternum

  28. Identify hand position on sternum

  29. Chest compressions: Depress sternum 4-5 cm Rate: 100 per minute

  30. Chest compressions

  31. One Person CPR

  32. Chest compression: breath ratio • 15 compressions : 2 breaths for • 1-person CPR • 2-person CPR

  33. Go for help immediately: More than one rescuer Single rescuer: adult with cardiac problem, once established that patient not breathing CPR for 1 minute first: Trauma Drowning Drug or alcohol intoxication Infant or child When to go for help?

  34. Continue resuscitation until: • Qualified help arrives and takes over • The victim shows signs of life • You become exhausted

  35. Mouth-to-nose ventilation • If mouth-to-mouth technically difficult • If mouth seriously injured • Rescue from water • Resuscitation carried out by a child • Aesthetic reasons

  36. Compression-only CPR • Reluctance to perform mouth-to-mouth ventilation • Chest compression alone better than no CPR • If possible combine with head tilt • Appropriate for telephone-CPR

  37. Cervical spine injury? • If possible, maintain alignment of head, neck and chest • Minimum head tilt only • Jaw thrust preferable • Assistance often required

  38. Choking: Back Blows

  39. Abdominal Thrusts

  40. In-hospital Basic Life Support Patient Collapsed Shout for HELP and assess responsiveness Not responsive Responsive Definite Pulse and Breathing Present? Yes No Call cardiac arrest team / Get defibrillator Start BLS if defibrillator not immediately available Call for medical assistance Airway manoeuvres Oxygen, monitor, i.v. Apply pads / monitor Defibrillate if appropriate Ventilate with oxygen Chest compressions Find notes Prepare handover ALS on arrival of Cardiac Arrest Team

  41. Any Questions?

  42. Summary • ABC of basic life support • rescue breathing • chest compressions • modifications

More Related