BASIC LIFE
SUPPORT
PART I
Elene Khurtsidze
Doctor of
internal medicine

BASIC LIFE SUPPORT - BLS
BLS is foundation for saving lives after cardiac arrest
 For healthcare professionals and people who need the
ability to recognize several life-threatening emergencies,
provide CPR, use an AED and relieve choking in a safe,
timely and effective manner.
Only 10% with cardiac armrest who are saved by EMS
survive for hospital discharge

AGE
How you can detect age of unconscious
person ?

CHAIN OF SURVIVAL FOR ADULTS IN AND
OUTSIDE THE HOSPITAL

CHAIN OF SURVIVAL FOR ADULTS
IN THE HOSPITAL

CHAIN OF SURVIVAL FOR ADULTS
OUTSIDE THE HOSPITAL
• Immediate recognition of cardiac arrest and activation of the
emergency respnce
• Early CPR with an emphasis on chest compression
• Rapid defibrillation with an AED
• Effective advanced life support (including rapid stabilization and
transport to post cardiac arrest care)
• Multidisciplinary post-cardiac arrest care

IN CHILDREN USUALLY CARDIAC
ARREST IF DUE TO RESPIRATORY
FAILURE AND SHOCK
• Prevention of arrest
• Early high-quality bystander CPR
• Rapid activation of emergency response system
• Effective advanced life support (including rapid stabilization and
transport to post cardiac arrest care)
• Integrated post-cardiac arrest care

50% of deaths in adults are caused by
cardiovascular diseases, 50% of them with
coronary heart disease
2/3 as a result of coronary heart disease
mortality out of hospital is l sudden cardiac
arrest (Arrhythmia)
DEATH PHYSIOLOGY

CARDIAC ARREST VS HEART
ATTACK

CARDIAC ARREST VS HEART
ATTACK

CARDIAC ARREST VS HEART
ATTACK
Cardiac arrest
Heart attack

CPR STEPS
Recognition of cardiac arrest
Absence of consciousness
Absence or breathing, so called gasping breathing type
Absence of pulse
Cardiovascular resuscitation should begin not more than 10
seconds after patients assessment!

HANDS-ONLY CPR ADULT PATIENT
1.Verify that the scene is safe for you and for the
victim. Do not come a victim yourself.
2.Check for responsiveness. Tap victims shoulder and
shout ‘’Are you ok?’’
3.If the victim is not responsive shout for nearby help
4.Activate the emergency response system as
appropriate in your setting

ACCESS BREATHING AND PULSE
Scan victims chest for
rise and fall !
Check pulse
At least 5 sec but No
more than 10 sec

CARDIOVASCULAR RESUSCITATION
STAGES
C - circulation - the pressure on the
chest to maintain blood circulation
A – airway opening
B- breathing

During chest
compressions blood will
flow to brain, blood
circulation is maintained
with vital organs
WHY CHEST COMPRESSIONS ARE
IMPORTANT ?

CPR MISSION
Breathing part - Oxygen occurs in the lungs
Cardiovascular reanimation provides oxygen supply with vital
organs
Effective cardiopulmonary resuscitation preserves oxygenation,
ventilation and circulation to restore spontaneous circulation

KEY ISSUES OF HIGH QUALITY
CARDIOPULMONARY
RESUSCITATION:
Hard and flat surface to hold
In adults the pressure on the chest with two hands
Chest compressions 100 – 120 per min
Press down at least 5 cm
Make sure press on victims breast bone

Put the heel of the hand in the center of victims chest
on the lower part of sternum
Put the heel of your other hand on the top of other
hand
Straighten your arms and position your shoulder

At the end of each compression make sure you
allow chest to recoil completely

Alternative teqnicue for chest compresstions