Resuscitation Training
Adult Basic Life Support
Resuscitation Officers
Bruce Kerr, HHGH; ext 2317/bleep 2307
Juliet Quine, WGH; ext 7218/bleep 1447
Proceed through the presentation using the arrow keys
Activating the Cardiac Arrest Call
• Dial 2222
• State adult OR paediatric OR maternal
(for pregnant women) cardiac arrest
• State exact location; ward, level, building
and site
Please note that 2222 is the number for any emergency
e.g. fire, assault, fast bleeping etc
Adult Cardiac Arrest Team
HHGH & WGH
• On call Medical Registrar, SHO & PRHO
• On call Anaesthetic Registrar/SHO
• Operating Department Practitioner/
Anaesthetic Nurse if available
• Senior Nurse
• Porter
If more staff attend than is necessary, the team leader should request that
excess staff leave.
Adult Cardiac Arrest Team
SACH
•
•
•
•
On call RMO
Care of elderly SHO if available
Anaesthetist if available
Operating Department Practitioner/anaesthetic
nurse if available
• Senior Nurse if available
• Porter
• If a cardiac arrest call is activated, switchboard
will automatically call 999 ambulance service
Adult Cardiac Arrest Team
MVH
• On call care of the elderly RMO
• On call Anaesthetic Registrar/SHO if available
• Operating Department Practitioner/ Anaesthetic
Nurse if available
• On call Oncology SHO
• Senior Nurse
• Porter
If more staff attend than is necessary, the team leader should request that
excess staff leave.
Emergency Bleep Testing
HHGH, SACH & WGH
• Any bleep that is programmed to receive
emergency calls will be tested daily before
midday
• If your bleep is programmed to receive
emergency calls (of any type) and this test
is not received by midday, switchboard
should be contacted immediately
Emergency Bleep Testing
MVH
• Any bleep that is programmed to receive
emergency calls will be tested daily before
midday
• On receiving the test bleep, switchboard
should be contacted to confirm receipt of
the test
• If confirmation is not received switchboard
will contact bleep holders individually
Adult Basic Life Support
Demonstration
Click on picture to commence video
Adult Basic Life Support
Demonstration with commentary
Summary of Adult Basic Life Support
• Safety – Check surrounding area for
hazards. Do not put yourself at risk.
AND
• Shout – Shout for help and activate
emergency buzzer if available
• Stimulate – Talk to patient and gently
shake to elicit response
Summary of Adult Basic Life Support
• Airway – Check mouth and clear with
suction if necessary. Leave well fitting
dentures in situ. Open airway using head
tilt and chin lift or jaw thrust if C-spine
injury suspected
• Breathing and Circulation – Assess for
breathing, carotid pulse and other signs of
life for up to 10 seconds. Agonal gasps
are not a sign of life.
Summary of Adult Basic Life Support
• If no definite signs of life activate cardiac arrest
call and begin CPR
• Start with 30 chest compressions at a rate of
100 per minute and a depth of 4-5cm. Hands
should be placed in the centre of the chest.
• Following chest compressions administer 2
breaths if a pocket mask or bag-valve-mask is
available (mouth to mouth is not acceptable
practice within WHHT). Do not attempt more
than 2 breaths each time before returning to
chest compressions.
•
If no pocket mask or bag valve mask is immediately available begin
continuous compressions until equipment arrives.
Summary of Adult Basic Life Support
• Continue with CPR at ratio of 30:2 until
advanced life support is commenced or the
patient exhibits signs of life.
• If the patient is intubated continuous
compressions at a rate of 100 per minute and
continuous breaths at a rate of 10 per minute
should be administered
• Ideally a rescuer should do no more than 2
minutes of chest compressions (to avoid
fatigue)
Modifications to basic life support
• If the patient is noticeably pregnant they
should be tilted 15-300 to their left by
means of a Cardiff wedge or pillow.
Alternatively the uterus can be displaced
manually. This is to reduce the effects of
aorto-caval compression. Both basic and
advanced life support should be continued
following the standard adult European
Resuscitation Council guidelines.
Respiratory Arrest
Demonstration with commentary
Respiratory Arrest
After full S, S, S, A, B, C assessment, if a
patient is found to be unresponsive,
apnoeic, but has a DEFINITE pulse
• The cardiac arrest call should be activated
• Ventilations should be commenced at a rate of
10 per minute (inspiration 1 second, expiration 5
seconds).
• Breathing and circulation should be reassessed
every 10 breaths/minute
Resuscitation of ‘Neck-Breathers’
Demonstration with commentary
Choking
Demonstration
Choking
Demonstration with commentary
Choking Summary
• Confirm that the patient is choking (as
opposed to anaphylaxis, myocardial
infarction, seizure etc)
• If patient is coughing effectively
encourage them to continue coughing but
do nothing else
Choking Summary
• If the patient is not coughing effectively
and is conscious give up to 5 back blows
• If these are not successful give up to 5
abdominal thrusts
• Continue to alternate 5 back blows and 5
abdominal thrusts until airway is cleared
or the patient becomes unconscious
• The cardiac arrest team should be called
if initial back blows are unsuccessful
Choking Summary
• If the patient becomes unconscious begin
CPR 30:2 (even if signs of life/pulse are
present)
• This should be continued until the
obstruction is relieved – at which point the
patient should be reassessed and
appropriate treatment administered
The Recovery Position
Demonstration with commentary
Preparation of Cardiac Arrest
Drugs
Demonstration with commentary
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