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BASIC LIFE SUPPORT

This
Basic Life Support
document is a property of FDM Training Center for Allied Health Professionals Inc., and the contents are treated confidential.
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Chain of Survival
A strong Chain of Survival can improve chances of survival and recovery for victims of
cardiac arrest, stroke and other emergencies. The six links adult Chain of Survival are:
1. Early recognition & Prevention
2. Activation of Emergency Response
3. High Quality CPR
4. Defibrillation
5. Post Cardiac Arrest Care
6. Recovery

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BLS SURVEY
1 RESCUER
• Check scene safety “Scene is safe”
• Check for responsiveness “Hey are you okay?”
• Shout for help “Help! Someone Help!
• Check for pulse &breathing for at least 5 no more than 10 sec.

*No pulse, No Breathing

• “Activate emergency response and get and AED.”


• Start High Quality CPR.
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5 •
PARAMETERS OF
HIGH QUALITY CPR
Push hard at a depth of 2-2.4 inches (5-6 cm)
• Push fast at a rate of 100-120 compressions/min
• Allow full chest recoil
• Minimize interruptions to less than 10 seconds
• Avoid excessive ventilation

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USE OF AED

2 UNIVERSAL
STEPS
FLASHING LIGHT
POWER BUTTON

SHOCK BUTTON
1. Turn on the AED
2. Follow the prompt

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USE OF AED
1. Turn on the AED
2. Follow the prompt
• Apply pads, plug in connector to the flushing light
• Analyzing heart rhythm : say “Clear to analyze”
• Shock advised,..Charging,.. : You resume compressions
• Stay clear of the patient, press the shock button now:
say “Clear, Shocking in 3, 1..2..3..“ then press the shock
button
• Shock delivered : Continue CPR

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AED Considerations
Excessive chest hair : If the victim has a hairy chest you will need to remove the hair prior to
placing the AED pads on the victim’s chest. You may do this with a razor that is typically
found with an AED or by attaching one set of AED pads and pulling them off forcibly
removing the hair

Medication Patches : remove the medication patch prior to attaching the AED pads.

Water and/or sweat : If the victim is covered in water or sweat attempt to dry the chest prior
to applying the AED pads. Moisture may divert the shock from the heart.

Pacemakers: If the victim has an implanted pacemaker or defibrillator continue to use an AED
as otherwise indicated for other patients. Simply avoid attaching the AED pads directly over
the pacemaker.

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TEAM DYNAMICS
ROLES
ü Clear Roles &
Responsibilities
ü Knowing your limitation
ü Constructive intervention

WHAT TO COMMUNICATE üMutual Respect


ü Knowledge Sharing üClear Messages
üClose-loop Communication
ü Summarizing & Re-evaluating

HOW TO COMMUNICATE
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CHEST COMPRESSION
FRACTION

Total Compression Time


´ 100
Total CPR Time

Goal: 60% - 80%


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5 PARAMETERS OF HIGH
QUALITY CPR (CHILD)
• Push hard at a depth of 2 inches ( 5cm)
• Push fast at a rate of 100 – 120 compressions/min
• Allow full chest recoil
• Minimize interruptions to less than 10 seconds
• Avoid excessive ventilation

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CHILD BLS
WITNESSED ARREST UNWITNESSED ARREST
1. Immediately call for Emergency 1. Start HQCPR for 5 cycles (2
Response minutes)
2. Start HQCPR 2. Immediately call for Emergency
Response
1 RESCUER 2 RESCUERS
30 COMPRESSION IS TO 2 15 COMPRESSION IS TO 2
VENTILATION VENTILATION

30:2 15:2
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5 PARAMETERS OF HIGH
QUALITY CPR (INFANT)
• Push hard at a depth of 1 1/2 inches (4 cm)
• Push fast at a rate of 100 – 120 compressions/min
• Allow full chest recoil
• Minimize interruptions to less than 10 seconds
• Avoid excessive ventilation

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INFANT BLS
WITNESSED ARREST UNWITNESSED ARREST
1. Immediately call for Emergency 1. Start HQCPR for 5 cycles (2
Response minutes)
2. Start HQCPR 2. Immediately call for Emergency
Response

DIFFRENCES 1 RESCUER 2 RESCUERS


Compression to ventilation ratio 30:2 15:2

1 hand 2 2 hands- 2 thumbs


Hand Technique
fingers tech encircling technique

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Category Adult Child Infant

Assessment of
Tap the shoulder Tap the sole
responsiveness

Pulse Check Carotid Carotid/ Femoral Brachial

2 – 2.4 in 2 in 1 ½ in
Compression Depth
(5-6 cm) (5- cm) (4 cm)

Compression to Ventilation 1 rescuer 30:2


1 or 2 rescuer 30:2
Rate 2 rescuer 15:2

1 rescuer : 2 finger
2 hands in the lower half
hand technique
Compression Placement / 2 hands in the lower half of the breastbone
2rescuer : 2 thumb
Technique of the breastbone (optional for patient’s
encircling technique
body built)

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Rescue Breathing Positive pulse but NO breathing

ADULT INFANTS & CHILDREN


1 breath every 6 seconds 1 breath every 2-3 seconds

10 breaths per minute 20-30 breaths per minute

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Advanced Airway
ADULT INFANTS & CHILDREN
1 breath every 6 seconds 1 breath every 2-3 seconds

10 breaths per minute 20-30 breaths per minute

• In performing CPR, with patients that has no pulse & breathing, and
advanced airway is inserted.
• There will be NO COMPRESSION TO VENTILATION RATIO!
• Continuous compressions and Ventilation will depend on patient’s age.

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Adult Choking
• Responsive patient that is choking perform Heimlich Manuever
Responsive patient that is choking Perform Heimlich Manuever
• Patient that is unresponsive, no pulse and no breathing
Patient that is unresponsive, no pulse and Perform CPR and check for the
no breathing Foreign Body Object

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Infant Choking
• Responsive patient that is choking perform Heimlich Manuever
Responsive patient that is choking Perform 5 back slaps & 5 chest thrust
• Patient that is unresponsive, no pulse and no breathing
Patient that is unresponsive, no pulse and Perform CPR and check for the
no breathing Foreign Body Object

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Thank you for choosing
FDM Training Center
for your Forward Learning!

BASIC LIFE SUPPORT

This document is a property of FDM Training Center for Allied Health Professionals Inc., and the contents are treated confidential.
Therefore, unauthorized reproduction is strictly prohibited unless otherwise permitted by the Management.

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