Basic Life Support

BASIC LIFE SUPPORT(BLS)
Presented By:
Patrick Gwynn R. Babante, CBDE-II
Technical Officer
WHATISBASICLIFESUPPORT?
The sequences of operations undertaken
to restore the circulation of oxygenated
blood following a sudden pulmonary or
cardiac arrest until they can be provided
complete medical care at a hospital are
referred to as Basic Life Support
(BLS).The use of medications or intrusive
skills is not included in BLS.
It can be provided by trained medical personnel,
including paramedics, and by Anyone who knows,
How To do it, anywhere, immediately, without any
other equipment.
WHATISBASICLIFESUPPORT?
PURPOSES OF CPR
 Maintaining circulation and
oxygenation in order to maintain
a cardiac output to keep vital organs
alive.
INDICATIONS OF CPR
CARDIAC ARREST
RESPIRATORY ARREST
COMBINATION OF BOTH
AMERICAN HEART
ASSOCIATION (AHA)
GUIDELINES
The American Heart Association (AHA) is a non-
profit organization in the United States.
They are known for publishing standards on basic life
support and advanced cardiac life support (ACLS).
During the Covid-19 Pandemic, Only Hands-Free CPR is
allowed to avoid the transmission of viruses.
WHA
T IS CAB-D APPROACH?
There is a common acronym in BLS
used to guide providers in the
appropriate steps to assess and treat
patients in respiratory and cardiac
distress. This is CAB-D (Circulation,
Airway, Breathing, Defibrillate)
CAB–CIRCULATION AIRWAYBREATHING
CHAIN OF SURVIVAL
FIVE LINKS OF ADULT CHAIN OF SURVIVAL-
•Early recognition of cardiac arrest.
•Activation of the Emergency Response System.
•Early CPR, to provide blood supply to vital organs.
•Early defibrillation to restart the heart.
•Comprehensive post-cardiac arrest care to restore
quality of life.
ACTIONS FOR PERFORMING ADULT CPR
1 Assess scene safety.
2 Determine responsiveness
3 Check carotid pulse
4 Perform chest compressions
5 Open Airway
6 Check Breathing and deliver breathe.
SCENE 1- YOU FIND AN ADULT LYING ON GROUND
ASSESS SCENE
SAFETY
Assess to make sure the scene is safe for you to
respond to the down patient.
SHOUT OR CALL FOR HELP
Call 911 Immediately
after securing the scene
ASSESS RESPONSIVENESS
Shake the shoulder and speak to the adult
asking ARE YOU ALLRIGHT? . Look at the
chest and torso for movement and normal
breathing simultaneously.
CHECK CIRCULATION
Check the patient for a palpable carotid
pulse for 5-10 seconds. (Do not check for
more than 10 seconds.)
IF THERE IS NO PULSE AND
NO/ABNORMAL BREATHING
START CPR
CARDIO-PULMONARY RESUSCITATION
To start CPR, place patient in supine position on a firm
and flat surface.
Kneel down to the patient and locate the position for
chest compression on person’s chest.
LOCATION OF CHEST
COMPRESSIONS
Locate the lower 1/3
of the patient’s
sternum between the
nipples in the midline
of body.
HAND POSITIONING FOR CHEST
COMPRESSIONS
1. Lock your arms.
2. Place the heel of one
hand over the center of
the person's chest,
between the nipples.
Place your other hand on
top of the first hand.
3. Keep your elbows
straight and position
your shoulders directly
above your hands.
Use your upper body weight (not just your arms) as
you push straight down on the chest at least 2 inches
(approximately 5 centimeters) but not greater than
2.4 inches (approximately 6 centimeters).
GOOD QUALITY CHEST
COMPRESSIONS
Press hard and fast.
Allow for full chest recoil with each compression.
Allow for only minimal interruptions to chest
compressions.
CHEST
COMPRESSIONS
Deliver 30 chest compressions initially.
Push hard at a rate of 100 -120 compressions
per minute.
AIRWAY
•After initial 30 chest compressions ,assess and
establish airway.
• Give 2 rescue breaths using an Ambu bag, each
lasting for 1 seconds and assess for visible chest rise
with each breath
AIRWAY :OPEN THE AIRWAY
AFTER GIVING 30 CHEST
COMPRESSIONS OPEN
VICTIM’S AIRWAY.
There are two maneuvers to open the
airway
HEAD- TILT CHIN-LIFT MANEUVER
(Or Jaw thrust maneuver if spinal cord
injury is suspected).
JAW THRUST MANEUVER
METHODS OF RESCUE
BREATHS
 Ventilation With Bag and Mask
 Ventilation With an Advanced
Airway
RESCUE BREATHING
Each rescue breath should last approximately 1
second.
Watch for chest rise.
Allow time for the air to expel from the
patient.
CARDIO-PULMONARY
RESUSCITATION
•1 cycle of adult CPR is 30 chest compressions to 2 rescue breaths.
•Perform 5 cycles of CPR (lasts approximately 2 minutes).
CONTINUE CPR
30
2
If two providers are present: switch rolls
between compressor and rescue breather every
5 cycles.
HIGH QUALITY CPR
30 compressions to 2 breaths
100-120 compressions per minute
RATE AND DEPTH OF
CPR
CONTINUE RESUSCITATION UNTIL
 Qualified help arrives and takes over
 The victim starts breathing normally
 Rescuer becomes exhausted
AUTOMATED
EXTERNAL
DEFIBRILLATOR
An AED, or automated external
defrillator, is a device that has
the ability to detect irregular
heart rhythm and it automatically
delivers a defibrillation shock to
stop irregular heart beat and allow
a normal rhythm to resume.
AEDs are designed to be used by
any laypersons.
ATTACH PADS TO CASUALTY’S
BARE CHEST
DEFIBRILLATION
I CLEAR
YOU CLEAR
ALL CLEAR
IF VICTIM STARTS TO BREATHE
NORMALLY PLACE IN
RECOVERY POSITION
RECOVERY POSITION
COMPLICATIONS OF CPR
1. RIB FRACTURE
2. Internal injuries to
organs
3. Laceration related to
the tip of the
sternum
4. Vomiting and
aspiration
5. Gastric distension.
1 sur 37

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Basic Life Support

  • 1. BASIC LIFE SUPPORT(BLS) Presented By: Patrick Gwynn R. Babante, CBDE-II Technical Officer
  • 2. WHATISBASICLIFESUPPORT? The sequences of operations undertaken to restore the circulation of oxygenated blood following a sudden pulmonary or cardiac arrest until they can be provided complete medical care at a hospital are referred to as Basic Life Support (BLS).The use of medications or intrusive skills is not included in BLS.
  • 3. It can be provided by trained medical personnel, including paramedics, and by Anyone who knows, How To do it, anywhere, immediately, without any other equipment. WHATISBASICLIFESUPPORT?
  • 4. PURPOSES OF CPR  Maintaining circulation and oxygenation in order to maintain a cardiac output to keep vital organs alive.
  • 5. INDICATIONS OF CPR CARDIAC ARREST RESPIRATORY ARREST COMBINATION OF BOTH
  • 6. AMERICAN HEART ASSOCIATION (AHA) GUIDELINES The American Heart Association (AHA) is a non- profit organization in the United States. They are known for publishing standards on basic life support and advanced cardiac life support (ACLS). During the Covid-19 Pandemic, Only Hands-Free CPR is allowed to avoid the transmission of viruses.
  • 7. WHA T IS CAB-D APPROACH? There is a common acronym in BLS used to guide providers in the appropriate steps to assess and treat patients in respiratory and cardiac distress. This is CAB-D (Circulation, Airway, Breathing, Defibrillate)
  • 9. CHAIN OF SURVIVAL FIVE LINKS OF ADULT CHAIN OF SURVIVAL- •Early recognition of cardiac arrest. •Activation of the Emergency Response System. •Early CPR, to provide blood supply to vital organs. •Early defibrillation to restart the heart. •Comprehensive post-cardiac arrest care to restore quality of life.
  • 10. ACTIONS FOR PERFORMING ADULT CPR 1 Assess scene safety. 2 Determine responsiveness 3 Check carotid pulse 4 Perform chest compressions 5 Open Airway 6 Check Breathing and deliver breathe.
  • 11. SCENE 1- YOU FIND AN ADULT LYING ON GROUND
  • 12. ASSESS SCENE SAFETY Assess to make sure the scene is safe for you to respond to the down patient.
  • 13. SHOUT OR CALL FOR HELP Call 911 Immediately after securing the scene
  • 14. ASSESS RESPONSIVENESS Shake the shoulder and speak to the adult asking ARE YOU ALLRIGHT? . Look at the chest and torso for movement and normal breathing simultaneously.
  • 15. CHECK CIRCULATION Check the patient for a palpable carotid pulse for 5-10 seconds. (Do not check for more than 10 seconds.)
  • 16. IF THERE IS NO PULSE AND NO/ABNORMAL BREATHING START CPR
  • 17. CARDIO-PULMONARY RESUSCITATION To start CPR, place patient in supine position on a firm and flat surface. Kneel down to the patient and locate the position for chest compression on person’s chest.
  • 18. LOCATION OF CHEST COMPRESSIONS Locate the lower 1/3 of the patient’s sternum between the nipples in the midline of body.
  • 19. HAND POSITIONING FOR CHEST COMPRESSIONS 1. Lock your arms. 2. Place the heel of one hand over the center of the person's chest, between the nipples. Place your other hand on top of the first hand. 3. Keep your elbows straight and position your shoulders directly above your hands.
  • 20. Use your upper body weight (not just your arms) as you push straight down on the chest at least 2 inches (approximately 5 centimeters) but not greater than 2.4 inches (approximately 6 centimeters).
  • 21. GOOD QUALITY CHEST COMPRESSIONS Press hard and fast. Allow for full chest recoil with each compression. Allow for only minimal interruptions to chest compressions.
  • 22. CHEST COMPRESSIONS Deliver 30 chest compressions initially. Push hard at a rate of 100 -120 compressions per minute.
  • 23. AIRWAY •After initial 30 chest compressions ,assess and establish airway. • Give 2 rescue breaths using an Ambu bag, each lasting for 1 seconds and assess for visible chest rise with each breath
  • 24. AIRWAY :OPEN THE AIRWAY AFTER GIVING 30 CHEST COMPRESSIONS OPEN VICTIM’S AIRWAY. There are two maneuvers to open the airway HEAD- TILT CHIN-LIFT MANEUVER (Or Jaw thrust maneuver if spinal cord injury is suspected). JAW THRUST MANEUVER
  • 25. METHODS OF RESCUE BREATHS  Ventilation With Bag and Mask  Ventilation With an Advanced Airway
  • 26. RESCUE BREATHING Each rescue breath should last approximately 1 second. Watch for chest rise. Allow time for the air to expel from the patient.
  • 27. CARDIO-PULMONARY RESUSCITATION •1 cycle of adult CPR is 30 chest compressions to 2 rescue breaths. •Perform 5 cycles of CPR (lasts approximately 2 minutes).
  • 28. CONTINUE CPR 30 2 If two providers are present: switch rolls between compressor and rescue breather every 5 cycles.
  • 29. HIGH QUALITY CPR 30 compressions to 2 breaths 100-120 compressions per minute
  • 30. RATE AND DEPTH OF CPR
  • 31. CONTINUE RESUSCITATION UNTIL  Qualified help arrives and takes over  The victim starts breathing normally  Rescuer becomes exhausted
  • 32. AUTOMATED EXTERNAL DEFIBRILLATOR An AED, or automated external defrillator, is a device that has the ability to detect irregular heart rhythm and it automatically delivers a defibrillation shock to stop irregular heart beat and allow a normal rhythm to resume. AEDs are designed to be used by any laypersons.
  • 33. ATTACH PADS TO CASUALTY’S BARE CHEST
  • 35. IF VICTIM STARTS TO BREATHE NORMALLY PLACE IN RECOVERY POSITION
  • 37. COMPLICATIONS OF CPR 1. RIB FRACTURE 2. Internal injuries to organs 3. Laceration related to the tip of the sternum 4. Vomiting and aspiration 5. Gastric distension.