2 BLS- HAZARDSHazards- Make sure the scene is safe for you to help. Make sure you have universal precautions: gloves, Face Mask, and Apron
3 BLS- HELLO + HELPDetermine if the patient is conscious by tapping and shouting "Are you OK?" If no response have someone call for the crash cart
4 BLS- AirwayPosition the patient on their back. Open the airway with a head-tilt chin-lift or jaw-thrust maneuver.Suction the airway and clear out any foreign bodiesInsert an appropriate sized Guedel airway
5 BLS - Breathing LOOK-LISTEN-&-FEELING for breaths CHECK REATHING FOR 5-10 SECONDS.If they isn’t breathing VENTILATE TWICE -Rescue Breathing
6 BLS- Circulation Check Check for a pulse by palpating(feeling) the carotid artery. CHECK THE PULSE FOR 10 SECONDS.
7 BLS- CirculationIf there is no pulse BEGIN CHEST COMPRESSIONS at a rate of 15 COMPRESSIONS to 2 BREATHS for both one and two man CPR
8 BLS - CPRRecheck the pulse after ONE MINUTE. CONTINUE UNTIL HELP ARRIVES, OR UNTIL YOU FEEL TOO TIRED TO CONTINUE. Approximately 4 cycles will pass before the pulse check
9 Advanced Life SupportRecommended Minimum Equipment for the Management of Adult Cardiopulmonary ArrestAIRWAY EQUIPMENTSelf inflating resuscitation bag with oxygen reservoir and tubing -BVMLaryngoscopes x 2 - normal and long bladesSpare laryngoscope bulbs and batteries
10 ALS AIRWAY EQUIPMENT 1" ribbon gauze/tape Scissors Syringe - 20 mls Oxygen cylinders x 2 (if no wall oxygen)KY Jelly
11 ALS - Equipment CIRCULATION EQUIPMENT Intravenous cannulae 18 gauge x 3, 14 gauge x 3Hypodermic needles 21 gauge x 10Syringes 2 mls x 6, 5 mls x 6, 10 mls x 6, 20 mls x 6Intravenous giving setsIV Infusion Fluid- MRL
13 ALS - Additional Equipment ADDITIONAL ITEMSECG ElectrodesDefibrillation Gel padsPulse OximeterGloves/Goggles/ApronsNIBP Monitor
14 ALS- Management Heart rhythms associated with cardiac arrest can be divided into two groups:1.) ventricular fibrillation / pulselessventricular tachycardia (VF/VT)2.)Other rhythms. Asystole and pulselesselectrical activity (PEA).
15 ALS -Rhythm Why the Differentiation? The management of these two groups of arrhythmias is differentDefibrillation in those patients with VF/VTDrugs used in the other rhythms
16 ALS- Rhythm Recognition SimilaritiesCPR , Airway management and Ventilation, venous access, the administration of epinephrine (adrenaline) and the identification and correction of contributing factors, are common to both groups.