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Definition
• Definition: A level of medical care provided
  by prehospital emergency medical services.
  Basic life support consists of essential non-
  invasive life-saving procedures including
  CPR, bleeding control, splinting broken
  bones, artificial ventilation, and basic airway
  management.
check for   D   anger
            S   end for help
   check    R   esponse
   check    A   irways
check for   B   reathing
   give     C   PR
 apply a    D   efibrillator
Check for Danger
(Hazards/Risks/Safety?)
  •   to you
  •   to others
  •   to casualty

For example; electrical wires,
gases, aggressive relatives,
water, etc.

Remove yourself and the
casualty to an area of safety
                                 Andy Field (Hubmedia) via flickr
Check the casualty for a
response.

Use the COWS Method
• C an you hear me?
• O pen your eyes
• W hat is your name?
• S queeze my hand
Gently squeeze shoulders
(i.e. the trapezoid muscle)

If casualty is unresponsive call
for help.
Call 112 to reach
   emergency services
virtually anywhere in the
           world.

    1099 for DMH ?

            Or
notify your Cardiac Arrest
team within the hospital.



                             Image: betsyweber
Check the airway is open and clear
of obstructions.

Use a head tilt, chin lift to open the
airway.

Use a jaw thrust for patients
with suspected spinal
cord, head, neck and facial
trauma. (usually done on
patient’s with a GCS < 8. Not
recommended for unexperienced
people).
In an unconscious patient, the
tongue is the most common
cause of obstruction.

Also check the airway for
blood, vomit & any other
foreign materials.

If breathing begins place in
recovery position.


                                 Vassia Atanassova - Spiritia
Look, listen and feel for
                                breathing, up to 10 seconds.
                                • is chest rising and falling?
                                • can you hear or feel air from
                                  mouth or nose?

                                In Australia it is no longer
                                recommended to deliver rescue
                                breaths but rather continue
                                straight to CPR.
 In clinical situations use a
face mask to administer the
           breaths.                CPR should be the chief
                                          priority.



                                                            image: c0d3in3 via Flickr
If no signs of life – unconscious,
 not breathing and not moving,
   start CPR (cardiopulmonary
          resuscitation)

      CPR involves giving;
 30 compression and 2 breaths
 100 compressions per minute

 (useful tunes for compression
                                       The recommended point of
rate are Staying Alive by the Bee
Gees, Another one Bites the Dust     compresions is the midline over
         to name a few)               the lower half of the sternum.
Remember to push hard and fast,
       straight arms.

     Revival checks conducted
          every 2 minutes
  (look for pulse & signs of life)

   Should swap person doing
compressions every 2min (so they
 don’t become tired and perform
    ineffective compressions)
Doing CPR on Infants
use two fingers instead of using hands
                                             You should check
to deliver compressions.                    for vital signs every
                                                  2 minutes.
   Give 30 compression & 2 breaths
     100 compressions per minute
                                         CPR should continue until the
when delivering breaths do not overdo        return of spontaneous
the amount, as you may cause a lung      circulation or you are relieved
to rupture.                                by a qualified professional.
If Defibrillator is
available, apply and
follow voice prompts.

Remember when
shocking to get everyone
to stand well back.         The Lifepak 500 is the standard product in Australia




          Keep checking for signs of life.
*
 * Note the next two slides are specific to allied health
   professionals and medical students. It is a reminder of some
   devices used for airway management.

Oropharyngeal Airway   Nasopharyngeal   Endotracheal
                                                        Laryngeal mask
     (guedels)             Airway           tube




                                                       Images from wikipedia & flickr
*
* Once the Guedel or
 Nasopharyngeal airway is
 inplace,
  * Apply face mask
  * Use the resuscitator to provide
   ventilations
  * Attach 15L of oxygen to
   resuscitator

 If performing ventilation manually ensure a tight seal between
 the mask and the face.

 Where possible have one person firmly holding the face mask
 down and the other ventilating.
BLS - what’s coming up…
We shall now cover the following aspects of
Basic Life Support.
oCare for Bleeding
oCare for Shock
oFirst Aid for Sprains & Strains
oCare for Dislocations & Fractures
oPoisoning
oBurns
oDiabetic Emergency
1. Apply Pressure to the Wound
2. Raise and Support injured part
3. Bandage Wound
4. Check Circulation below
   wound

5. If severe bleeding persists,
   give nothing by mouth & call
   emergency services
1.   Assess Casualty (DRSABCD)

2.   Call emergency

3.   Position Casualty
      Keep the casualty lying down if
       possible.
      Elevate legs 10-12inches unless you
       suspect a spinal injury

4.   Treat any other injuries

5.   Ensure Comfort
      Cover casualty to maintain warmth
      Provide casualty with fresh air
6.   Monitor & Record breathing and
     pulse
1. Weak rapid pulse
2. Cold, clammy skin
3. Rapid breathing
4. Faintness/dizziness
5. Nausea
6. Pale face, fingernails, lips
R–I–C–E
R est
I ce, apply a cold pack. Do
not apply ice directly to
skin.
C ompress, use an elastic
or comforting wrap – not to
tight.

E levate, above heart level
to control internal bleeding.
Follow DRSABCD. Then proceed with I A-C-T.

I mmobilise area. Use jackets, pillows, blankets and so on.
Stop any movement by supporting injured area.

A ctivate emergency services.
Call 112 or 000.

C are for shock. See care for shock slide.

T reat any additional secondary injuries.
Follow DRSABCD & Check Materials Safety Data Sheet if possible .

                     Signs & Symptoms
                        Abdominal pain
                          Drowsiness
                       Nausea/vomiting
             Burning pains from mouth to stomach
                     Difficulty in breathing
                          Tight chest
                         Blurred vision
                         and so on…….
1. Remove Casualty from Danger
   (follow DRSABCD & remember
   STOP, DROP & ROLL)

2. Cool the burnt area
   (hold burnt area under cold
   running water for a minimum of
   20 minutes.)

3. Remove any constrictions
   (e.g. clothing & jewellery)

4. Cover Burn
   (place sterile, non-stick dressing
   over burn)                           isafmedia via flickr




5. Calm Casualty
1.   Follow DRS ABCD

2. Try to determine whether
     the individual is suffering
     from a high (e.g. thirsty) or
     a low (hungry) blood sugar.

3. If you are unsure, then the
     best option is to give the
     person a sweet drink, as it is
     more important to maintain
     minimum blood sugar
     levels.
                                      isafmedia via flickr


4. Monitor individual & wait
     for arrival of medical
     assistance.
Standard Precautions
Standard Precautions are standard, safe work practices
that are to be applied to all patients regardless of their
         known or presumed infectious status.

Standard Precautions are particularly     Standard Precautions include steps
important in cases with:                  such as:
• Blood (including dried blood)           • hand washing
• All other body fluids, secretions and   • use of appropriate personal
   excretions (excluding sweat),             protective equipment (eg.
   regardless of whether they contain        gloves)
   visible blood                          • management of sharps, and
• Non-intact skin                         • immunisation of health care
• Mucous membranes                           workers.
Notice/Disclosure
I’m not a Medical Professional or a Doctor. Anything that
is mentioned in this presentation, I have learnt during my
 university studies or through certified training programs.

  This presentation is not a substitute for professional
           training or proper medical advice.

          Hope you enjoyed this presentation.

                         Cheers,
                          Aaron

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Basic life support

  • 1. Definition • Definition: A level of medical care provided by prehospital emergency medical services. Basic life support consists of essential non- invasive life-saving procedures including CPR, bleeding control, splinting broken bones, artificial ventilation, and basic airway management.
  • 2. check for D anger S end for help check R esponse check A irways check for B reathing give C PR apply a D efibrillator
  • 3. Check for Danger (Hazards/Risks/Safety?) • to you • to others • to casualty For example; electrical wires, gases, aggressive relatives, water, etc. Remove yourself and the casualty to an area of safety Andy Field (Hubmedia) via flickr
  • 4. Check the casualty for a response. Use the COWS Method • C an you hear me? • O pen your eyes • W hat is your name? • S queeze my hand Gently squeeze shoulders (i.e. the trapezoid muscle) If casualty is unresponsive call for help.
  • 5. Call 112 to reach emergency services virtually anywhere in the world. 1099 for DMH ? Or notify your Cardiac Arrest team within the hospital. Image: betsyweber
  • 6. Check the airway is open and clear of obstructions. Use a head tilt, chin lift to open the airway. Use a jaw thrust for patients with suspected spinal cord, head, neck and facial trauma. (usually done on patient’s with a GCS < 8. Not recommended for unexperienced people).
  • 7. In an unconscious patient, the tongue is the most common cause of obstruction. Also check the airway for blood, vomit & any other foreign materials. If breathing begins place in recovery position. Vassia Atanassova - Spiritia
  • 8. Look, listen and feel for breathing, up to 10 seconds. • is chest rising and falling? • can you hear or feel air from mouth or nose? In Australia it is no longer recommended to deliver rescue breaths but rather continue straight to CPR. In clinical situations use a face mask to administer the breaths. CPR should be the chief priority. image: c0d3in3 via Flickr
  • 9. If no signs of life – unconscious, not breathing and not moving, start CPR (cardiopulmonary resuscitation) CPR involves giving; 30 compression and 2 breaths 100 compressions per minute (useful tunes for compression The recommended point of rate are Staying Alive by the Bee Gees, Another one Bites the Dust compresions is the midline over to name a few) the lower half of the sternum.
  • 10. Remember to push hard and fast, straight arms. Revival checks conducted every 2 minutes (look for pulse & signs of life) Should swap person doing compressions every 2min (so they don’t become tired and perform ineffective compressions)
  • 11. Doing CPR on Infants use two fingers instead of using hands You should check to deliver compressions. for vital signs every 2 minutes. Give 30 compression & 2 breaths 100 compressions per minute CPR should continue until the when delivering breaths do not overdo return of spontaneous the amount, as you may cause a lung circulation or you are relieved to rupture. by a qualified professional.
  • 12.
  • 13. If Defibrillator is available, apply and follow voice prompts. Remember when shocking to get everyone to stand well back. The Lifepak 500 is the standard product in Australia Keep checking for signs of life.
  • 14. * * Note the next two slides are specific to allied health professionals and medical students. It is a reminder of some devices used for airway management. Oropharyngeal Airway Nasopharyngeal Endotracheal Laryngeal mask (guedels) Airway tube Images from wikipedia & flickr
  • 15. * * Once the Guedel or Nasopharyngeal airway is inplace, * Apply face mask * Use the resuscitator to provide ventilations * Attach 15L of oxygen to resuscitator If performing ventilation manually ensure a tight seal between the mask and the face. Where possible have one person firmly holding the face mask down and the other ventilating.
  • 16. BLS - what’s coming up… We shall now cover the following aspects of Basic Life Support. oCare for Bleeding oCare for Shock oFirst Aid for Sprains & Strains oCare for Dislocations & Fractures oPoisoning oBurns oDiabetic Emergency
  • 17. 1. Apply Pressure to the Wound 2. Raise and Support injured part 3. Bandage Wound 4. Check Circulation below wound 5. If severe bleeding persists, give nothing by mouth & call emergency services
  • 18. 1. Assess Casualty (DRSABCD) 2. Call emergency 3. Position Casualty  Keep the casualty lying down if possible.  Elevate legs 10-12inches unless you suspect a spinal injury 4. Treat any other injuries 5. Ensure Comfort  Cover casualty to maintain warmth  Provide casualty with fresh air 6. Monitor & Record breathing and pulse
  • 19. 1. Weak rapid pulse 2. Cold, clammy skin 3. Rapid breathing 4. Faintness/dizziness 5. Nausea 6. Pale face, fingernails, lips
  • 20. R–I–C–E R est I ce, apply a cold pack. Do not apply ice directly to skin. C ompress, use an elastic or comforting wrap – not to tight. E levate, above heart level to control internal bleeding.
  • 21. Follow DRSABCD. Then proceed with I A-C-T. I mmobilise area. Use jackets, pillows, blankets and so on. Stop any movement by supporting injured area. A ctivate emergency services. Call 112 or 000. C are for shock. See care for shock slide. T reat any additional secondary injuries.
  • 22. Follow DRSABCD & Check Materials Safety Data Sheet if possible . Signs & Symptoms Abdominal pain Drowsiness Nausea/vomiting Burning pains from mouth to stomach Difficulty in breathing Tight chest Blurred vision and so on…….
  • 23. 1. Remove Casualty from Danger (follow DRSABCD & remember STOP, DROP & ROLL) 2. Cool the burnt area (hold burnt area under cold running water for a minimum of 20 minutes.) 3. Remove any constrictions (e.g. clothing & jewellery) 4. Cover Burn (place sterile, non-stick dressing over burn) isafmedia via flickr 5. Calm Casualty
  • 24. 1. Follow DRS ABCD 2. Try to determine whether the individual is suffering from a high (e.g. thirsty) or a low (hungry) blood sugar. 3. If you are unsure, then the best option is to give the person a sweet drink, as it is more important to maintain minimum blood sugar levels. isafmedia via flickr 4. Monitor individual & wait for arrival of medical assistance.
  • 25. Standard Precautions Standard Precautions are standard, safe work practices that are to be applied to all patients regardless of their known or presumed infectious status. Standard Precautions are particularly Standard Precautions include steps important in cases with: such as: • Blood (including dried blood) • hand washing • All other body fluids, secretions and • use of appropriate personal excretions (excluding sweat), protective equipment (eg. regardless of whether they contain gloves) visible blood • management of sharps, and • Non-intact skin • immunisation of health care • Mucous membranes workers.
  • 26.
  • 27. Notice/Disclosure I’m not a Medical Professional or a Doctor. Anything that is mentioned in this presentation, I have learnt during my university studies or through certified training programs. This presentation is not a substitute for professional training or proper medical advice. Hope you enjoyed this presentation. Cheers, Aaron