BASIC LIFE SUPPORT FOR HEALTHCARE PROVIDERS … Study Guide 2015... · BASIC LIFE SUPPORT FOR HEALTHCARE PROVIDERS STUDY GUIDE 2015 GUIDELINES 2 Kern CPR Basic Life Support for Healthcare
Post on 07-May-2019
215 Views
Preview:
Transcript
BASICLIFESUPPORTFORHEALTHCAREPROVIDERSSTUDYGUIDE
2015GUIDELINES
2
KernCPRBasicLifeSupportforHealthcareProviders(BLS)StudyGuide
AdultCPR
1. Ensurescenesafety,lookup,down,leftandrightatthescene.Youdon’thelpifyoubecomeavictimyourself.
2. Checkforresponsiveness.Tapandshoutattheperson.3. Oncenoresponseisdeterminedshoutfor“Help!”4. Performapulsecheckandlookforbreathingsimultaneously.Lookforthechesttorise
forabout10secondswhileperformingthepulsecheck.Signsofregularbreathingincluderhythmicbreathing.Gaspingorsnoringsoundsarenotconsideredtoberegularbreathing.
5. Callforhelp,911,AEDetc.6. Ifyoudonotfeelapulse,orareunsureifyoudo,begingiving30chestcompressionsat
arateof100-120perminute(ThinkBeeGee’sStayingAlive).Locatethecenterofthelowerhalfofthebreastbonemakingsuretostayoffofthelowertip.Placethehealofyourhandonthelowerhalfofthebreastboneandpushstraightdown2-2.4inches(4to5cm).Pushhardandfast.
7. Afterthe30compressionsgive2breathswhilewatchingforchestrise.Chestriseisthe
mostimportantsignofeffectivebreaths.Makesuretotilttheheadbackandliftthechin.Thiswillpullthetongueoffthebackofthethroat(Headtiltchinliftshouldbeusedonvictimswithoutasuspectedneckinjury.Useajawthrusttechniqueifoneissuspected).Donotliftfrombehindtheneckasthisisnoteffective.
8. Continue30compressionsto2breathsfor5sets,thiscompletes1fullcycleofCPR.9. WhentheAED(automatedexternaldefibrillator)arrivesfirstturniton.Closelylistento
thepromptsandfollowthemcarefully.ThepersonplacingtheAEDwillworkaroundthepersondoingcompressionstominimizehandsofftime.Onepadwillgoontheupperrightchestandtheotherontheleftsidejustbelowthearmpit.
10. IfAEDsaystodeliverashock,ensurenooneisincontactwiththepersonandpushtheshockbutton.AftertheAEDdeliversashockyouIMMEDIATELYbeginchestcompressionsagain.
NotesonAED:
• Ensurethatyoudonotplacethepadsdirectlyonanimplantedpacemakerormedicationpatch.Seefirstimagebelowforwhatanimplantedpacemakerlookslike
3
• Ifthepatienthasbeensubmergedinwater,removethemfromthewaterandquicklywipethechestdrypriortoapplyingtheAED.DoNOTusetheAEDonsomeonewhoisstillsubmerged.
• OnapatientwithaveryhairchestthehairmayimpedethepadsfromstickingandthereforetheAEDmayfailtoaccuratelyanalyzeanddeliverashock.Ifavailableandtimeallowsthehairshouldbeshavedor“waxed”usinganextrasetofAEDpads(pediatricpadsifavailabletonotdamagetheadultones.)
11. Switchrescuersandreevaluatethepatientevery5cycles,2minutes,whentheAEDinstructsyouto,oryouaretootiredtoadministereffectivecompressions.Continueuntilmoreadvancedmedicalaidhasarrived,youaretootiredtocontinueoryougetapulseback.
12. ThepersoninchargeofbreathsanduseoftheBVM(BagValveMask“Ambu-Bag”)mustensureatightsealusingthe“E-C”clamptechniquewhilemaintaininganopenairway.Theywilldelivertwobreathsafterthesetofcompressionsabout1secondwatchingforchestrise.
Whatifmyadultpatienthasapulsebutisnotbreathing????
Ifduringpatientassessmentyoufindthepatientisunresponsive,notbreathingbutDOEShaveapalpablecarotidpulseyouwillperformRescueBreathing.Toperformrescuebreathingtoanadultyouwilladministeronebreathevery6seconds.Makesurethechestrisestoensureadequateventilation.Seechartnextpageforchildandinfantinformation.
Whatifmyadultpatienthasanadvancedairwayinplace?
Whatisanadvancedairway?....Anadvancedairwayisatypeofmanagedairwayinwhichyoudonotneedtostopcompressionstodeliverabreath.Rescuer1(alwaysinchargeofcompressions)willcontinueatarateof100-120compressionsaminutewithoutstoppingwhileRescuer2(inchargeofmaintainingtheopenway,deliveringventilationsandencouragingRescuer1toperformproperCPR)willdeliveronebreathevery6-8seconds.
ChildCPR
TherearemanysimilaritiesbetweenadultCPRandchildCPRwithafewdifferences.Achildisconsideredanyonebetweentheagesof1-8yearsold.Ifindoubttreatasanadult.
CPRandAEDisthesameaspreviouslystatedforadultwiththeseadditionalconsiderations:
4
1. IfyouwitnessthechildcollapseandbecomeunresponsivegogethelpFIRST,thenreturntothechildwiththeAEDandperformCPR.
2. Ifthereare2rescuers,theventilationtocompressionratiochangesto15:2andadepthofabout2inches.
3. Pediatricpadsarepreferredforuseonachild,howeveriftheyarenotpresentintheAEDcaseadultpadsmaybeused,makingsurethattheydonottouch.
4. Ifachildorinfanthasapulseoflessthan60andisnotbreathingorshowingsignsofpoorperfusion(turningblue)givethechildCPR.Iftheyhaveapulseofmorethan60andarenotbreathinggivethemonebreathevery5seconds,3secondsforaninfant.
InfantCPR
Aninfantisanychildfrombirthto1yearold.
1. Tocheckforresponsivenesstap/flickthebaby’sfoot(doNOTshakethebaby)andshoutatit.Ifnocryorresponseisheardmakesurebabyisonafirm/flatsurface(preferablyabovetheground,i.e.table).
2. Checkthebaby’sbrachialpulsefor5-10seconds.3. Ifnopulseisfeltlocatethelowerhalfofthebreastbonemakingsuretostayoffthevery
tipandthestomacharea.Placethetipsof2fingershereandpressdown30timesabout1½inchesor1/3rdthedepthofthechest.
4. Givingbreathstakeslessairandeffort.Deliveronlyuntilyouseethechestrise.Donottilttheheadtoofarback.Thiscanclosetheairway.Thinkofastraw.Theinfantshouldbeinthe“sniffing”position.Donotplacetowelsbehindthehead.
5. If2rescuersarepresentyouwillusethe“twothumbsencirclinghands”techniquewheretherescuersfaceeachother.Thepersondoingcompressionswillplacetheirthumbssidebysideonthelowerhalfofthebreastboneforcompressions.Rescuer2willagainbeattheheadoftheinfantensuringatight“E-C”techniqueforuseoftheBVMandproperchestrise.
Choking
Foranadultwhoisactivelychokingbutcannotcleartheobjectyouwillplaceyourhandsslightlyabovethebellybuttonwiththethumbsideofonehand.Grasptheotherhandandpullupandin.IfthepersonstopsrespondingyouwillneedtopreformCPR,checkingfortheobjectafterdeliveringbreaths.Forachildyoumayneedtokneelbehindthemtoperformabdominalthrusts.
Ifthevictimisaninfant,placetheinfant(supportingtheheadandneck)inyourforearmanddeliver5backslapsbetweentheshoulderblades,turntheinfantoversupportingtheheadandneckintotheotherforearmandpreform5chestthrustsinthesamelocationyouwouldforCPR.Makesuretheheadoftheinfantislowerthanthebody.Letgravityhelppull
5
itoutandensurethattheobjectdoesnotgetinhaledagainifdislodged.IftheinfantstopsrespondingyouwillneedtopreformCPR
Compression/Ventilations 1Rescuer 2Rescuer Depth Rate Ventilation
Adult 30-2 30-2 2-2.4" 100-120bpm every6secondsChild 30-2 15-2 About2" 100-120bpm every5secondsInfant 30-2 15-2 About11/2" 100-120bpm every3seconds
o 1/3thedepthofthechest
PrinciplesofEffectiveTeamDynamics
• ClearRolesandResponsibilities:everypersoninvolvedintheresuscitationeffortneedstounderstandwhattheirspecificroleisandtheresponsibilitiesrequiredforthatposition.
• KnowingYourLimitations:Everymembershouldbeawareofhis/herownlimitations.Iftheroleissomethingthepersonisnotawareof,isnotstronginorisuncomfortablewith,theyneedtoinformtheteamleaderearlyenoughtogetthesituationcorrected.
• ConstructiveIntervention:Ifsomeoneontheteamisnotperformingthetaskcorrectlyorisabouttomakeamistake,itisanyone’sjob,notjusttheteamleadertosaysomethingtotheminaprofessionalmanner.Ifyouseethemabouttomakeamistakeitisyourroletoinformthem.
• KnowledgeSharing:Askfrequentlyforobservationsandfeedback.Thesecanbegoodorbadobservations.Maybesomethingthatneedstobedone,wasn’tdonewellorwasdoneexceptionallywell.
• SummarizingandReevaluating:Overviewingtheinformationoutloudprovidesanongoingrecordoftreatment,recognizeachangingconditionandsummarizesthetreatmentsandinterventionsperformed.
• Closed-LoopCommunication:TeamLeadershouldcalleachmemberbytheirnamewhilegivinginstructionandnotassignnewtasksuntiltheyconfirmthememberunderstandstheinstruction.TheTeamMembershouldconfirmthattheyunderstandeachtaskbyverballyacknowledgingitandinformtheTeamLeaderwhenithasbeencompleted.
• ClearMessages:Useconcise,clearlanguagetopreventmisunderstanding.• MutualRespect:Allteammembersshoulddisplaymutualrespectand
professionalattitudefortheirteammembers,regardlessoftheirskillortraining.TheTeamLeaderneedstomaintainafriendly,controlledvoiceandavoidshoutingoraggression.
6
top related