1、pjm feb 05Resuscitation UpdateGuidelines 2005Produced by Paddy MorganApproved by theLife Saving Commissionpjm feb 05ObjectivesBy 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 re
2、covery position.4.Be competent in the action for vomit.5.Be competent in the treatment of choking in adult/child&infant.pjm feb 05Main 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
3、 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.pjm feb 05pjm feb 05DangerNo more than 10seconds!Res
4、ponse “Are you all right?”ShoutAirway Head Tilt/Chin LiftBreathing999Compressions “Centre of chest”30:2 4-5cm 100/min!Different people are different sizes!pjm feb 05Compressions Centre of chest Middle of lower half of sternumCompression only CPR “Over the Head”2 person swap at 2min intervalspjm feb
5、05TimeForPracticepjm feb 05Recovery Position1.Stable2.No weight on Chest3.Position head so fluid can drain away“Re-assess”pjm feb 05TimeForPracticepjm feb 05Action for Vomit2.Lift the shoulder and roll casualty away from you.1.Grip the chin securely and position the forearm along the centre of the c
6、hest,ensure your hand doesnt obstruct the airway.3.Use your knees to provide supporton the casualties back&use your free hand to support the head.4.Caution:Casualty may retch-so maintain firm grip on head.pjm feb 05TimeForPracticepjm feb 05“Are you choking?”pjm feb 05Adult Choking Protocolspjm feb 0
7、5Paediatric Changes 30:2 Ratio Age definitionsInfant=child under 1yearChild=Between 1year and pubertypjm feb 05Child/Infant Resuscitationpjm feb 05ComparisonAdultDrownChildBabyAirwaySTMA*STMA*STMA*NeutralBreathCPR first5 initial5 initial5 initialHelpImmediate1min CPR1min CPR1 min CPRRate100/min100/m
8、in100/min100/minRatio30:230:230:230:2Depth4-5cm4-5cm1/31/3How2 Hands2 Hands1 or 2 Hand2 Fingers*STMA=Sniffing the morning air.pjm feb 05Paediatric ChokingFBAO=Foreign Body Airway Obstruction(Choking)pjm feb 05Paediatric Choking Protocolspjm feb 05Questions?pjm feb 05Summary DrsAB9C Cardiac arrest if no response and not breathing normally Rescue breath 1 second 30:2,in“centre of chest”Children simplified
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