Open the airway

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For staff with
direct patient contact
Add name of trust / organisation in box 1 and
name of trainer in box 2. Delete THIS box.
What you will learn
in this session
1. Relevant guidelines, trust policies and processes
2. Assessing a person who has collapsed
3. How to call for help
4. Effective chest compressions
5. Effective rescue breathing
6. Effective airway management
7. Manage an adult who is choking
8. The recovery position
9. The importance of a team approach and your role
10.Reporting and handover procedures
Why is this important?
 Cardiac arrest is the ultimate
medical emergency
 Quick, basic life support
can save lives
 Good technique increases
the chances of survival
 Bystander CPR before arrival
of an emergency team can
significantly improve survival from
sudden cardiac arrest
[organisational context]
Insert a slide here to indicate basic
life support issues in your
organisation
E.g. likely context: hanging,
drowning etc.
Then delete THIS box.
Sources of information
about Adult Basic Life Support
 Resuscitation Council (UK)
 European Resuscitation Council
 [Add local resources here]
Add local information from line 3, then delete
THIS box.
Resuscitation Council (UK)
(2010)
Adult Basic Life Support
Chain of survival
Adult Basic Life Support
 PERSON IS UNRESPONSIVE
 shout for help
 open airway
 not breathing normally?
 call [insert local number]
 30 chest compressions
 2 rescue breaths & 30 chest compressions
Add local number in line 5, then delete THIS
box.
Approach safely
 Approach with care
 Check out the scene
 Is it safe for you to approach?
 Is the victim safe?
 Are all bystanders safe?
Check response
Shake shoulders gently
Ask loudly:
“Are you all right?”
If they respond:
Leave them
as you find them
Find out what is wrong
Reassess regularly
If they don’t respond:
SHOUT FOR HELP!
Open the airway
Turn victim
onto her / his back
Open the airway
Head tilt
Chin lift
Head tilt, chin lift
Opens the airway
Check breathing
 Look for chest movement
 Listen for breath sounds
 Feel for air on your cheek
Calling for help
if not breathing normally
 [insert relevant calling criteria here}
 Ask someone else to call
 Use your mobile if you’re on your own
 Only leave the victim if there is no
other option
Add local number in line 1
then delete THIS box.
What to say
 State the nature of the emergency. e.g. “suspected
cardiac arrest”
 State the exact location
 [add information here on automated external defibrillator
(AED) if this is your organisation’s policy]
Add local info to line 3
then delete THIS box.
Start chest compressions
Place the heel of one hand
in the centre of the chest
Place heel of other hand on top
Interlock fingers vertically
above victims chest, arms straight
Compress the chest:
rate 100-120 min
depth 5-6 cm
equal compression : relaxation
If more than one rescuer is present,
change rescuer every 1 - 2 mins
Rescue breaths
After 30 compressions
[insert reference to pocket
masks, if policy]
Pinch the nose
Take a normal breath
Place lips over mouth
Blow until the chest rises
Allow chest to fall
Repeat
Add local info to line 2
then delete THIS box.
Continue CPR
30 chest compressions
2 rescue breaths
Only stop
if the victim starts:
 Coughing
 Opening their eyes
 Speaking
 Moving purposefully
 Breathing normally
 If there is more than one rescuer, change rescuer /
resuscitator every 1 - 2 minutes to prevent tiredness
 Avoid any delay during changeover
 Don’t interrupt chest compressions
The recovery position
If the victim starts to breath normally
Choking airway obstruction
by a foreign body
Remember!
 Children are different, but not a different species
 If in doubt use adult guidelines for CPR on a child!
Modifications to Adult BLS
for children
 Give 5 initial rescue breaths before starting chest
compression
 If you are on your own, perform CPR for 1 min before
going for help
 Compress the chest by at least 1/3 of its depth
 Use two fingers for an infant under 1 year
 Use one or two hands for a child over 1 year (as required
to achieve an adequate depth of compression)
THANK YOU
Any Questions?
Insert trainer’s name, telephone number and email here
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number and email. Delete THIS box
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