BASIC LIFE SUPPORT

WITH LIFE SAVING TECHNIQUES

One day practical workshop on procedures for treating casualties during any emergency

W H E N- I T STRIKES

From the experts who trained over 1,00,000 people covering 850 factories

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Table of Contents
FIVE STEPS OF FIRST AID ................................................................... 5 CPR / CPCR - CARDIO PULMONARY ............................................. 6
1. CPR IN CHILDREN ............................................................................................ 12 2. CPR IN PREGNANCY ....................................................................................... 12

HEART ATTACK ................................................................................. 13 EYE INJURY .......................................................................................... 14 CONVULSIONS .................................................................................... 15
1. CONVULSIONS IN ADULTS ............................................................................ 15 2. CONVULSIONS IN CHILDREN ....................................................................... 16

POISONING .......................................................................................... 17 SWALLOWED POISON ...................................................................... 18
1. FOR AN UNCONSCIOUS CASUALTY ........................................................... 18

BURNS - TREATMENT ....................................................................... 19 DIABETES .............................................................................................. 20 ASTHMA ................................................................................................ 21 SEVERE BLEEDING ............................................................................ 22 SCALP BANADAGE ............................................................................ 23 TREATMENT FOR FRACTURED COLLAR BONE ....................... 24 TREATMENT FOR FRACTURED UPPER ARM ............................ 24

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................................HANDED SEAT .............................................................. THE TWO ...................................CARRYING POSITIONS ........... 25 1....... CRADLE METHOD ..................... 27 4 .................. 25 2....... 26 EMERGENCY PHONE NOS ................................................. HUMAN CRUTCH ............................................................................................................................................................ DRAG METHOD .................................... 26 4............................................................ 25 3...............

Recovery 2.LACK OF HEART BEAT (60 . DTD D .DISPOSAL . RECOVERY POSITION / TRANSPORT 5 .before taking to the doctor D . Feel & Smell T .20 per minute) B.Open the airway B .BREATHING .PROMOTE .LACK OF BLOOD (4 to 5 litres) D.80 per minute) C.to the hospital 3.Things becoming worse P .FIVE STEPS OF FIRST AID 1. FOUR LACKS During diagnosis check for A.Look. ABC Keep brain supplied with oxygen by follwing ABC of Resusciation A .CIRCULATION .Precious Life P .PRESERVE .AIRWAY .Maintain Circulation 5.DIAGNOSIS . PPP P .LACK OF CONSCIOUSNESS (shake & shout) 4.PREVENT .Maintain Breathing C .LACK OF BREATHING (15 .TREATMENT .to know the problem . Listen.

♦ “A” is for Airway What an airway consists of is demonstrated in the fig. This can be done in two ways: 6 .CPR / CPCR . To prevent this the airway must be opened so that air entry and exit is possible through the airway. C must always be followed. This enables the person to be brought back to life.Breathing C .Airway B .CARDIO PULMONARY CEREBRAL RESUSCIATION CPR or CPCR / Basic Life Support: Cardio Pulmonary Cerebral Resusciation (HEART) (LUNGS) (BRAIN) (TO BRING BACK) CPR is an exercise wherein a rescuer takes over the functions of the heart/lungs artificially. It implies here that CPR is done only on a person whose heart is not beating adequately or lungs are not working adequately or both. B.The concept of CPR is very simple to learn as it consists only of: A .Circulation This sequence of A. so that the brain is adequately supplied by blood with Oxygen and Glucose. In an unconscious person the airway tends to get blocked commonly because of tongue falling back or a foreign object.

Feeling . By Looking . HEAD TILT NECK LIFT METHOD Consists of placing one hand on the jaw(at the chin) and another on the forehead and moving both the hands in opposite directions at the same time so that thechin is pulled up. Listening . proceed to artificial breaths. If no breathing is present. Jaw Thrust is done. to which the tongue is attached and hence it gets pulled up. as it will 2. do the following: a. Make sure there is no movements at the neck. b.For this.1. 7 .For chest movements 2. Now that the airway is open the victim may breathe on his own failing which the rescuer has to breathe for the victim. JAW THRUST METHOD: Only in the case of neck injury. How to know if the victim is breathing? 1.For warm air coming out of nose or mouth Look for 10 seconds. However this cannot be tried in patients with neck injury.For breath sounds if possible 3. Use fingers to hook the jawbone just below the ear and pull with Jaw forward.

♦ “B” is for Breathing There are two ways of giving artificial breaths. Mouth to Nose 1. and make a tight seal around victim’s mouth. Mouth to Mouth 2. 8 . Step 1: Keep the airway open Step 2: Pinch the nostrils. 1. Step 3: Take a FULL breath(in adults only). Blow for about 2 seconds. MOUTH TO MOUTH It is the easier of the two because it allows for comfortable sealing of rescuer and victims mouth.

If not felt go ahead with external cardiac compressions. 9 . This can be prevented by SELLICK’S MANOUVRE. ♦ “C” is for Circulation Look for neck pulse and check for 10 Sec. OR If the victim is unconscious and not breathing go ahead with external cardiac compression. Cover the victim’s nose with your mouth.Do not forget to watch for chest rise and stop if its too much. Blow and watch for chest rise. 2. which is dangerous because when stomach gets filled with air it can suddenly release the air back along with its contents usually food which can get into the lungs. Step 5: Keep the airway open. Take your head away. MOUTH TO NOSE Step 1: Step 2: Step 3: Step 4. This is preferred in cases when the victim’s mouth contains • • • Blood Vomitus Poison What can go wrong? Air can go into the stomach instead of lungs. Close the mouth of the victim. Take your head away from victim’s mouth to prevent taking victim’s breath into you. Repeat until you have given 2 adequate breaths. Use 2 fingers to press downwards on the ‘C’ shaped cartilage on the neck.

15 compressions are given at a time followed by 2 breaths. Remember to maintain the speed at about 100 compressions / minute for an adult.7 times / minute. You can use your body weight to rock forwards and backwards or use muscles to give the compression. you will tire faster. 15:2 ratio should be should be carried atleast 6 . Continue CPR until you shift the patient to a hospital or until he revives. Step 2: Get as close to the victim as possible. Slide it down to meet the 2 fingers. The ratio remains same for 2 person CPR. place 2 fingers of other hand next to this finger towards the head. place the first hand on top of the other hand. Now.4 cms. 10 .If you use muscular action. Now. Place the heel of your other hand a little above the first pointing towards the head. Feel the small bony point and place one finger on that. Move your shoulders directly above the victim’s chest and press downwards upto 3 .Step 1: Run finger along lower rib margin up to the junction of 2 margins.

♦ Recovery Position Step 1: Open the airway and straighten the limbs of the victim. Ensure victim’s airway is open and the lower arm is free and lying on its back with the palm facing 11 . palm facing outwards.Tuck the arm nearest to you under the thigh. Step 4: Bend victim’s upper leg at the knee so that it makes a right angle to the body. Step 3: Pull the far leg and roll the patient towards you. Step 2: Bring the other arm across the victim’s chest and place hand. against the cheek. so that the patient is lying on his/her side.

CPR IN PREGNANCY The womb of a pregnant lady compresses the inferior vena-cava. 12 . Instead painful stimuli like pinching and tapping the sole can be done. In breathing both mouth and nose of infant is covered by rescuer. a large vein which carries blood from the lower part of body back to heart and runs on the right side at the back of abdomen. INFANTS: Shake and shout is not recommended. This does not allow the heart to pump adequate oxygen rich blood. It can be avoided by: A cushion or pillow can be placed under the right hip. Airway is short and undue extension is not recommended. which will accordingly modify CPR as follows. Amount of air blown is less but rate of blowing is more as infants breathe faster. CPR is more successful in children and hence MUST be done always. External Cardiac Compression is given at level of nipples with 2 fingertips and rate is faster again upto a depth of 2 cm. A Volunteer can push the uterus to the left.CPR IN CHILDREN In children the size of the child becomes an important aspect.

c. let him administer it himself. And also ask the victim to take deep breath and cough. b. Monitor & record the casualty’s breathing and pulse constantly. Help the casualty into a halfsitting position.HEART ATTACK 1. d. head and knees. MONITOR BREATHING AND PULSE a. If the casualty has tablets or a puffer aerosol for angina. Reassure casualty. GIVE CASUALTY ASPIRIN a. b. Tell the controller that you suspect a heart attack. Give the casualty one tablet of aspirin. a. if available. Encourage the casualty to rest and keep any bystanders at a distance. Support his sholders. DIAL AMBULANCE a. b. if he asks you to do so. 13 . Help him if necessary. 4. b. Tell him to chew it slowly. c.MAKE CASUALTY COMFORTABLE 3. 2. Call the casualty’s doctor also.

Tell the casualty to keep her “GOOD” eye still. in children hands can be tied to prevent them from rubbing eyes.EYE INJURY 1. 14 . b. Lay casualty on her back. 3. Also moist swab or corner of tissue or clean handkerchief can be used. Use water to pour over the effected eye. which should be at a lower to the other eye. Call an ambulance if you cannot transport the casualty lying down. and ask her to hold it over the injured eye and to keep her uninjured eye closed. b. holding her head on your knees to keep it as still as possible. 2. as movement of the uninjured eye may damage the injured eye further. TAKE OR SEND CASUALTY TO HOSPITAL a. SUPPORT CASUALTY’S HEAD a. GIVE EYE DRESSING TO CASUALTY Give the casualty a sterile dressing or clean pad.

Try to ease her fall. A guaze piece or a handkerchief can be used to prevent victim from biting the tongue but care has to be taken not to allow it to be aspirated. Stay until the casualty is fully recovered. 3. until the convulsions cease 4. b. Clear away any surrounding objects to prevent injury to the casualty. Place casualty in recovery position. b. c. b. LOOSEN CASUALTY’S CLOTHING a. PROTECT CASUALTY a. Talk to her calmly and reassuringly 2. with soft material. b. 15 . if possible. PLACE CASUALTY IN RECOVERY POSITION a. Undo tight clothing around casualty’s neck. Protect the casualty’s head. SUPPORT CASUALTY a.CONVULSIONS CONVULSIONS IN ADULTS 1. Ask bystanders to keep clear.

Clear away any nearby objects. PROTECT THE CHILD a. COOL THE CHILD a. PUT CHILD IN RECOVERY POSITION Once the convulsions have ceased. Keep her head tilted well back. 16 . SPONGE WITH TEPID WATER Start at her head and work down. Surround the child with soft padding. put the child in the recovery position. 3. Ensure a good supply of cool air 2. b. Remove the clothing b.CONVULSIONS IN CHILDREN 1. 4.

When was it swallowed? b. If caustic or corrosive material was swallowed. What was swallwed? 2. lips and tongue will be burnt and black immedialtely. How much was swallowed? 3. petroleum products. strychnine and rat poison d. b. unconscious or drowsy. e.POISONING Swallowed poisons remain in stomach only for a short time where only small amounts are absorbed while most absorption takes place after poison passes into small intestine. Do not induce vomiting during seizures. of swallowing. Keep victim on left side. This can be done using soap water. this position delays stomach emptying into small intestine. Burns. Vomiting removes 30 – 50% of poison from stomach and must be induced within 30 min. Nausea and vomiting c. c. Abdominal pain and cramping. Diarrhea d. Find out: 1. Poison containers nearby WHAT TO DO: a. WHAT TO LOOK FOR: a. 17 . Dilute with water or milk. odours and stains in mouth e. If instructed and available give activated charcoal mixed with water. Drowsiness and unconsciousness f. f. Check ABC for unconscious victim.

and level of response every ten minutes until help arrives. Give as much information as possible about the swallowed poison b. DIAL AMBULANCE a. 18 . Monitor and record breathing. CHECK AIRWAY AND BREATHING a. PLACE CASUALTY IN RECOVERY POSITION Ensure the airway remains open 3. pulse. Check there is no foreign matter in the mouth b.SWALLOWED POISON FOR AN UNCONSCIOUS CASUALTY 1. Check the airway and check breathing 2.

TREATMENT 1. While cooling the burn. Carefully remove any clothing or jewelry from the affected area before the injury starts to swell. or a clean piece of material b. Pour cold liquid on injury for ten minutes. Be ready to resuscitate if needed 2. d. TAKE OR SEND CASUALTY TO HOSPITAL a. Reassure the casualty 4. watch for signs of difficulty in breathing. COVER THE BURN a.BURNS . Call an ambulance if you cannot transport the casualty to hospital b. Cover the burn and surrounding area with a sterile dressing. 19 . c. REMOVE ANY CONSTRICTIONS a. COOL THE BURN a. 3. Make the casualty comfortable b. Record details of the casualty’s injuries and any possible hazards.

hunger. WHAT TO LOOK FOR: 1. Weightloss WHAT TO DO: Go to the doctor immediately. Excessive thirst. 20 . WATCH OUT FOR: Blood sugar going low when there is . urination 2.DIABETES It is a disease caused due to lack of insulin in your body.Excessive sweating -Shivering -Dizziness Immediately give a glass of water with sugar or something sweet to eat.

These problems are caused by over sensivity of lungs airways. Make victim sit upright and slightly bend forward d. crying and smoke. emotions like anger. Victim should double his or her usual fluid intake e. Take medications / inhaler prescribed by doctor c. Seek medical assitance 21 . infections. making breathing difficult. Nostrils flaring with breath e.ASTHMA Asthma may present with ACUTE EPISODES when air passages in lungs get narrower. air pollution. Blue skin c. WHAT TO LOOK FOR: a. which over react to some factors like exercise. Coughing b. Wheezing or high pitched whistling sounds while breathing WHAT TO DO: a. Victim unable to speak full sentences d. Victim should rest b.

3.SEVERE BLEEDING 1. Make sure the injured part is raised above the level of the casualty’s heart. Check the circulation beyond the bandage at intervals. Bandage another pad on top if blood seeps through. APPLY PRESSURE TO THE WOUND a. BANDAGE WOUND a. RAISE AND SUPPORT INJURED PART a. MONITOR CASUALTY AND TREAT FOR SHOCK a. c. Apply a sterile dressing over any original pad. and level of response. cover the wound. and bandage firmly in place. Monitor and record breathing. Lay the casualty down. b. DIAL AMBULANCE Give details of the site of the injury and the extent of the bleeding when you telephone. c. Remove or cut the casualty’s clothing to expose wound. 22 . If a sterile dressing or pad is immediately available. c. b. Apply direct pressure over the wound with your fingers or palm of 2. b. Handle the injured part gently if you suspect the injury involves a fracture. pulse. loosen it if 4. 5.

if he becomes unconscious. If bleeding persists. reapply pressure on the pad. place him in the recovery position. Secure the dressing using a triangular bandage. Take or send the casualty to hospital in the treatment position 23 . replace any displaced skin flaps. Apply firm direct pressure over a sterile dressing or clean pad.SCALP BANDAGE TREATMENT Wearing disposable gloves. if possible. Lay a conscious casualty down with his head and shoulders slightly raised.

24 . Place the arm on her injured side across her chest. Support the arm in an elevation sling d. Sit the casualty down. and tie a broad-fold bandage around the chest over the sling. c. transporting in the sitting position. Support the arm in an arm sling. Place soft padding between the arm and chest. Gently place the injured arm across her chest in the position that is most comfortable. and secure the limb to her chest e.TREATMENT FOR FRACTURED COLLAR BONE a. d. f. Ask her to support her arm. Take or send the casualty to hospital. Take or send the casualty to hospital. b. e. if possible. b. TREATMENT FOR FRACTURED UPPER ARM a. c. transporting as a sitting case. Sit the casualty down. Secure the arm to her chest with a broad-fold bandage over the sling.

If casualty is wearing a jacket. or clothing.CARRYING POSITIONS HUMAN CRUTCH a. d. grasp her armpits. b. Grasp his waistband. 25 . Pass his arm around your neck. Move off on the inside foot. b. d. c. Reassure the casualty throughout. to support him. unbutton it and pull it up under the victim’s head. c. DRAG METHOD a. f. and walk at the casualty’s pace. A walking stick or staff may give him additional support. e. Grasp the jacket under the shoulders and pull. Crouch behind her. and grasp his hand or wrist with your hand. Place the casualty’s arms across her chest. Stand on the casualty’s injured or weaker side. Pass your other arm around the casualty’s waist. and pull. Take small steps.

d. and lift.HANDED SEAT a. e. Move in close to the casualty. b. above the waist. Pass your other arm under her thighs. c. rise slowly. b. Pass your other hands under the casualty’s knees. c. Bring your linked arms up to the middle of the casualty’s thighs. Pass one of your arms around the casualty’s trunk. 26 . Squat facing each other on either side of the casualty. Hug her body towards you. Squat beside the casualty. and grasp her waistband.CRADLE METHOD a. Keeping your backs straight. THE TWO . and grasp each other’s wrist. Cross arms behind her back. d. and move off together.

POLICE DG’s Office: Commissioner’s Office: Bomb Disposal Squad: 100 22221777 / 22942595 22260707 22212743 / 22942493 / 22942333 2. AMBULANCE ROAD ACCIDENTS ( CTC ): HEART BRIGADE: APOLLO HOSPITAL BELLANDUR ACCIDENT RELIEF CARE WOCKHARDT ST.JOHNS MALLYA 102 1062 1050 & 1051 1066 22207777 1057 / 4199 4444 22223384 22242325 27 .EMERGENCY PHONE NOS 1. FIRE 101 22971600 / 1550 / 1500 SOUTH : 26589977 NORTH : 23563805 EAST : 41263305 WEST : 23503030 CENTRAL: 25532319 LPG EMERGENCY SERVICES (Only Gas Leakage): 3.

IMPORTANT HOSPITALS ST.JOHNS HOSPITAL: MANIPAL HOSPITAL: MALLYA HOSPITAL: BANGALORE HOSPITAL: WOCKHARDT HOSPITAL: SAGAR APOLLO: HOSMAT HOSPITAL: NIMHANS JAYADEVA HOSPITAL NARAYANA HRUDAYALAYA SATHYA SAI HOSPITAL 5.4. EYE BANKS EYE BANK INFORMATION BW LIONS EYE HOSPITAL MODI EYE HOSPITAL NARAYANA NETRALAYA MINTO HOSPITAL 28 25530724 25024444 22277997 41187600 1057 / 41994444 / 66214444/ 23004444 / 23014444 26536700 25593796 26995000 26534600 27835001 28411501 26564516 25591362 26701150 26705206 1053 22235005 41287198 23472026 26707176 DR. GENERAL HOPITALS (GOVT) SANJAY GANDHI HOSPITAL BOWRING HOSPITAL VICTORIA HOSPITAL VANI VILAS HOSPITAL 6.AGARWALS EYE HOSPITAL 22240736 .

EMERGENCY OXYGEN SERVICES HOSMAT KIMS LAKSHMI SERVICE TRUST PRAXAIR INDIA PVT LTD BANGALORE MEDICAL GASES 25593796 26673056 26645595 30576821 25614111 22264205 22208148 25287903 23431233 22441907 23447666 26995000 29 .7.TTK BLOOD BANK GRACE BLOOD BANK NAVEEN BLOOD BANK SUSHRUTA BLOOD BANK NIMHANS 8. BLOOD BANKS KARNATAKA RED CROSS LIONS BLOOD BANK ROTARY .

9. 24 HOUR PHARMACIES HOSMAT HOSPITAL KIMS HOSPITAL MALLYA HOSPITAL STARR HOSPITAL TRUST WOCKHARDT 25593756 26673056 22277979 41108300 41287979 / 411076540 66214125 1051 / 22977500 26673056 23608888 27835015 2226888 / 105711 26536700 11. GENERAL Snake Catchers Mohammed Aneez 9844037424 / 5487424 30 . HEART LINE (CARDIAC) JAYADEVA HOSPITAL KIMS HOSPITAL MS RAMIAH HOSPITAL NARAYANA HRUDAYALAYA WOCKHARDT HOSPITAL SAGAR APOLLO HOSPITAL 10.

4th A Main. Bannerghatta Road. Fax: 080-40220575.ushafire. N. Bilekahalli.S. “SUNDARI” #102.WHEN-IT-STRIKES CRISIS MANAGEMENT PVT. LTD. LTD. Bangalore-560076 Ph: 080-40220555.. E-Mail: training@ushaarmour.com Web Site: www.Palya. .com BRANCHES DELHI * RUDRAPUR * CHENNAI * MUMBAI * MADURAI * * COIMBATORE* SECUNDERABAD * PONDICHERY * MANGALORE* AN ASSOCIATE OF USHA ARMOUR PVT.. 6th Cross.

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