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ResuscitationUpdate

Guidelines2005ProducedbyPaddyMorganApprovedbytheLifeSavingCommissionpjmfeb05ResuscitationUpdate

Guideline1ObjectivesBytheendofthesessionthestudentwill:Beawareofthechangesinresuscitation.guidelines.BecompetentinBLSinadult/child&infant.Beabletoplaceavictiminrecoveryposition.Becompetentintheactionforvomit.Becompetentinthetreatmentofchokinginadult/child&infant.pjmfeb05ObjectivesBytheendofthese2MainChangesDiagnosecardiacarrestifunresponsiveandnotbreathingnormally.Placehandsinthecentreofthechest.Rescuebreathover1secratherthan2sec.Ratioofcompressionstoventilations30:2foralladultvictimsofsuddencardiacarrest.Usethissameratioforchildrenwhenattendedbyalayrescuer.Adult,omittheinitial2rescuebreaths-30compressionsimmediatelyaftercardiacarrestisdiagnosed.pjmfeb05MainChangesDiagnosecardiaca3pjmfeb05pjmfeb054DangerNomorethan10seconds!Response–“Areyouallright?”ShoutAirway–HeadTilt/ChinLiftBreathing999Compressions–“Centreofchest”30:24-5cm@100/min!Differentpeoplearedifferentsizes!pjmfeb05DangerNomorethan10seconds!R5CompressionsCentreofchestMiddleoflowerhalfofsternumCompressiononlyCPR“OvertheHead”2person–swapat2minintervalspjmfeb05CompressionsCentreofchestCom6TimeForPracticepjmfeb05Timepjmfeb057RecoveryPositionStableNoweightonChestPositionheadsofluidcandrainaway

“Re-assess”pjmfeb05RecoveryPositionStablepjmfeb8TimeForPracticepjmfeb05Timepjmfeb059ActionforVomit2.Lifttheshoulderandrollcasualtyawayfromyou.1.Gripthechinsecurelyandpositiontheforearmalongthecentreofthechest,ensureyourhanddoesn’tobstructtheairway.3.Useyourkneestoprovidesupportonthecasualtiesback&useyourfreehandtosupportthehead.4.Caution:Casualtymayretch-somaintainfirmgriponhead.pjmfeb05ActionforVomit2.Liftthesh10TimeForPracticepjmfeb05Timepjmfeb0511“Areyouchoking?”pjmfeb05“Areyouchoking?”pjmfeb0512AdultChokingProtocolspjmfeb05AdultChokingProtocolspjmfeb13PaediatricChanges30:2RatioAgedefinitions Infant=childunder1year Child=Between1yearandpubertypjmfeb05PaediatricChanges30:2Ratiopj14Child/InfantResuscitationpjmfeb05Child/InfantResuscitationpj15ComparisonAdultDrownChildBabyAirwaySTMA*STMA*STMA*NeutralBreathCPRfirst5initial5initial5initialHelpImmediate1minCPR1minCPR1minCPRRate100/min100/min100/min100/minRatio30:230:230:230:2Depth4-5cm4-5cm1/31/3How2Hands2Hands1or2Hand2Fingers*STMA=Sniffingthemorningair.pjmfeb05ComparisonAdultDrownChildBabyA16PaediatricChokingFBAO=ForeignBodyAirwayObstruction(Choking)pjmfeb05PaediatricChokingFBAO=Foreign17PaediatricChokingProtocolspjmfeb05PaediatricChokingProtocolspj18Questions?pjmfeb05Questions?pjmfeb0519SummaryDrsAB9CCardiacarrestifnoresponseandnotbreathingnormallyRescuebreath1second30:2,in“centreofchest”Childrensimplifiedpjmfeb05SummaryDrsAB9CCardiacarrest20ResuscitationUpdate

Guidelines2005ProducedbyPaddyMorganApprovedbytheLifeSavingCommissionpjmfeb05ResuscitationUpdate

Guideline21ObjectivesBytheendofthesessionthestudentwill:Beawareofthechangesinresuscitation.guidelines.BecompetentinBLSinadult/child&infant.Beabletoplaceavictiminrecoveryposition.Becompetentintheactionforvomit.Becompetentinthetreatmentofchokinginadult/child&infant.pjmfeb05ObjectivesBytheendofthese22MainChangesDiagnosecardiacarrestifunresponsiveandnotbreathingnormally.Placehandsinthecentreofthechest.Rescuebreathover1secratherthan2sec.Ratioofcompressionstoventilations30:2foralladultvictimsofsuddencardiacarrest.Usethissameratioforchildrenwhenattendedbyalayrescuer.Adult,omittheinitial2rescuebreaths-30compressionsimmediatelyaftercardiacarrestisdiagnosed.pjmfeb05MainChangesDiagnosecardiaca23pjmfeb05pjmfeb0524DangerNomorethan10seconds!Response–“Areyouallright?”ShoutAirway–HeadTilt/ChinLiftBreathing999Compressions–“Centreofchest”30:24-5cm@100/min!Differentpeoplearedifferentsizes!pjmfeb05DangerNomorethan10seconds!R25CompressionsCentreofchestMiddleoflowerhalfofsternumCompressiononlyCPR“OvertheHead”2person–swapat2minintervalspjmfeb05CompressionsCentreofchestCom26TimeForPracticepjmfeb05Timepjmfeb0527RecoveryPositionStableNoweightonChestPositionheadsofluidcandrainaway

“Re-assess”pjmfeb05RecoveryPositionStablepjmfeb28TimeForPracticepjmfeb05Timepjmfeb0529ActionforVomit2.Lifttheshoulderandrollcasualtyawayfromyou.1.Gripthechinsecurelyandpositiontheforearmalongthecentreofthechest,ensureyourhanddoesn’tobstructtheairway.3.Useyourkneestoprovidesupportonthecasualtiesback&useyourfreehandtosupportthehead.4.Caution:Casualtymayretch-somaintainfirmgriponhead.pjmfeb05ActionforVomit2.Liftthesh30TimeForPracticepjmfeb05Timepjmfeb0531“Areyouchoking?”pjmfeb05“Areyouchoking?”pjmfeb0532AdultChokingProtocolspjmfeb05AdultChokingProtocolspjmfeb33PaediatricChanges30:2RatioAgedefinitions Infant=childunder1year Child=Between1yearandpubertypjmfeb05PaediatricChanges30:2Ratiopj34Child/InfantResuscitationpjmfeb05Child/InfantResuscitationpj35ComparisonAdultDrownChildBabyAirwaySTMA*STMA*STMA*NeutralBreathCPRfirst5initial5initial5initialHelpImmediate1minC

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