adult basic life support s enior medics
DESCRIPTION
Adult Basic Life Support S enior Medics. In Hospital Life Support. Objectives. Summary of current RC(UK) guidelines Equipment Focus on In Hospital BLS Out of Hospital Paediatrics Choking. 2222 Adult Calls. Survivor / non survivor by rhythm 2013. 7% - Not required 53% - BVM - PowerPoint PPT PresentationTRANSCRIPT
Adult Basic Life Support
Senior Medics
In Hospital Life Support
Objectives
•Summary of current RC(UK) guidelines•Equipment •Focus on In Hospital BLS
•Out of Hospital•Paediatrics
•Choking
2222 Adult Calls2012 2013
Total 323 331Arrests 168 194Resp Arrest 9 11Peri-arrest 60 70False Alarm 49 46Unknown 11 10No 2222 call 26 18
Survivor / non survivor by rhythm 2013
VT VF Asystole PEA0%
10%
20%
30%
40%
50%
60%
SurvivorsNon-Survivors
7% - Not required 53% - BVM 15% - IGEL/LMA (2x IGEL fails) 20% - ETT <1% - Trachy 5% - Unknown
DefibrillatorsMRX XL
FR2+
Switchboard and main entrance Trelawney
Pads
Present & Future
Drug Box• 6x Adrenaline 1mg PreFILL (10ml of
1:10,000)• 2x Amiodarone PreFILL (300mg/10ml)• 1x Atropine PreFILL (3mg/10ml)• 2x Atropine PreFILL (600mcg in 5ml)• 2x Calcium Chloride PreFILL(10%)• 2x Magnesium Amps (50%)• Naloxone 2mg/2ml – PreFILL• 1x Sodium Bicarbonate Polyfuser (8.4%
250ml)• Saline
Equipment - misc• Pacing Machines• Rapid Sequence
Induction - Drugs• Transfer
equipment• EZ IO • ETCO2
Adult ALSAlgorithm
Guidelines 2010• Focus – Quality Compressions / Minimal
Pausing• Adult, Paed & Newborn ratio remains
same• Comp Rate – 100-120 per min• Depth – Adult 5-6 cm : Paed At least 1/3rd
Guidelines 2010
•Atropine no longer recommended in Asystole/PEA
•Adrenaline after the 3rd Shock•No Drugs via ET Tube•Charging Defib whilst compressing
Paediatric Arrests
Any questions
Objectives
•Focus on In Hospital BLS•Out of Hospital•Paediatric
•Summary of new guidance•Choking
1 2
D Ensures safe to approach R Assesses the victim to be unresponsive – shake & shout s Shouts for assistance – “Stand by” or “Can I have a hand please” A Open airway – head tilt and or chin lift
B CAssess signs of life; breathing +/- pulse – takes no longer than 10 seconds
HELP Asks assistant to call for crash team - 2222
CPR
Starts compressions with minimal delay: Demonstrates effective compressions (lower half of sternum, 5-6cm depth, rate 100-120)
30:2 Demonstrates 30 compressions to 2 breaths/ventilations BVM
Demonstrates adequate ventilations with BVM or pocket mask(2 person or 1 person technique)
Adult In Hospital Life Support – Peer AssessmentName – Person 1 (Caps): _____________________________________________Name – Person 2 (Caps): _____________________________________________