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Resuscitation UpdateGuidelines 2005

Produced by Paddy Morgan

Approved by the

Life Saving Commission

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ObjectivesBy the end of the session the student will:

1. Be aware of the changes in resuscitation. guidelines.

2. Be competent in BLS in adult / child & infant.3. Be able to place a victim in recovery position.4. Be competent in the action for vomit.5. Be competent in the treatment of choking in adult /

child & infant.

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Main Changes• Diagnose cardiac arrest if unresponsive and not

breathing normally.

• Place hands in the centre of the chest.

• Rescue breath over 1 sec rather than 2 sec.

• Ratio of compressions to ventilations 30:2 for all adult victims of sudden cardiac arrest. – Use this same ratio for children when attended by a lay rescuer.

• Adult, omit the initial 2 rescue breaths - 30 compressions immediately after cardiac arrest is diagnosed.

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Danger

No more than 10seconds!

Response – “Are you all right?”

Shout

Airway – Head Tilt / Chin Lift

Breathing

999Compressions – “Centre of chest” 30:2 4-5cm @ 100/min

!Different people are different sizes!

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Compressions

• Centre of chest– Middle of lower half of sternum

•Compression only CPR

•“Over the Head”

•2 person – swap at 2min intervals

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Time

For

Practice

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Recovery Position

1. Stable

2. No weight on Chest

3. Position head so fluid can drain away

“Re-assess”

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Time

For

Practice

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Action for Vomit

2. Lift the shoulder and roll casualty away

from you.

1. Grip the chin securely and position the forearm along the centre of the chest, ensure your hand doesn’t obstruct the airway.

3. Use your knees to provide support

on the casualties back & use your free

hand to support the head.

4. Caution: Casualty may retch - so

maintain firm grip on head.

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Time

For

Practice

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“Are you choking?”

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Adult Choking Protocols

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Paediatric Changes

• 30:2 Ratio

• Age definitionsInfant = child under 1year

Child = Between 1year and puberty

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Child / Infant Resuscitation

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ComparisonAdult Drown Child Baby

Airway STMA* STMA* STMA* Neutral

Breath CPR first 5 initial 5 initial 5 initial

Help Immediate 1min CPR 1min CPR 1 min CPR

Rate 100/min 100/min 100/min 100/min

Ratio 30:2 30:2 30:2 30:2

Depth 4-5cm 4-5cm 1/3 1/3

How 2 Hands 2 Hands 1 or 2 Hand 2 Fingers

* STMA = Sniffing the morning air.

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Paediatric Choking

FBAO=Foreign Body Airway Obstruction (Choking)

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Paediatric Choking Protocols

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Questions?

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Summary• DrsAB9C• Cardiac arrest if no response and not breathing normally• Rescue breath 1 second• 30:2, in “centre of chest”• Children simplified