1. Resuscitation Training Adult Basic Life Support Resuscitation Officers Bruce Kerr, HHGH; ext 2317/bleep 2307 Juliet Quine, WGH; ext 7218/bleep 1447
Proceed through the presentation using the arrow keys

2. Activating the Cardiac Arrest Call
Dial 2222
State adult OR paediatric OR maternal (for pregnant women) cardiac arrest
State exact location; ward, level, building and site
Please note that 2222 is the number for any emergency
e.g. fire, assault, fast bleeping etc

3. Adult Cardiac Arrest Team HHGH & WGH
On call Medical Registrar, SHO & PRHO
On call Anaesthetic Registrar/SHO
Operating Department Practitioner/ Anaesthetic Nurse if available
Senior Nurse
Porter
If more staff attend than is necessary, the team leader should request that
excess staff leave.

4. Adult Cardiac Arrest Team SACH
On call RMO
Care of elderly SHO if available
Anaesthetist if available
Operating Department Practitioner/anaesthetic nurse if available
Senior Nurse if available
Porter
If a cardiac arrest call is activated, switchboard will automatically call 999 ambulance service

5. Adult Cardiac Arrest Team MVH
On call care of the elderly RMO
On call Anaesthetic Registrar/SHO if available
Operating Department Practitioner/ Anaesthetic Nurse if available
On call Oncology SHO
Senior Nurse
Porter
If more staff attend than is necessary, the team leader should request that
excess staff leave.

6. Emergency Bleep Testing HHGH, SACH & WGH
Any bleep that is programmed to receive emergency calls will be tested daily before midday
If your bleep is programmed to receive emergency calls (of any type) and this test is not received by midday, switchboard should be contacted immediately

7. Emergency Bleep Testing MVH
Any bleep that is programmed to receive emergency calls will be tested daily before midday
On receiving the test bleep, switchboard should be contacted to confirm receipt of the test
If confirmation is not received switchboard will contact bleep holders individually

8. Adult Basic Life Support Demonstration Click on picture to commence video

9. Adult Basic Life Support Demonstration with commentary

10. Summary of Adult Basic Life Support
Safety – Check surrounding area for hazards. Do not put yourself at risk.
AND
Shout – Shout for help and activate emergency buzzer if available
Stimulate – Talk to patient and gently shake to elicit response

11. Summary of Adult Basic Life Support
Airway – Check mouth and clear with suction if necessary. Leave well fitting dentures in situ. Open airway using head tilt and chin lift or jaw thrust if C-spine injury suspected
Breathing and Circulation – Assess for breathing, carotid pulse and other signs of life for up to 10 seconds. Agonal gasps are not a sign of life.

12. Summary of Adult Basic Life Support
If no definite signs of life activate cardiac arrest call and begin CPR
Start with 30 chest compressions at a rate of 100 per minute and a depth of 4-5cm. Hands should be placed in the centre of the chest.
Following chest compressions administer 2 breaths if a pocket mask or bag-valve-mask is available (mouth to mouth is not acceptable practice within WHHT). Do not attempt more than 2 breaths each time before returning to chest compressions.
If no pocket mask or bag valve mask is immediately available begin continuous compressions until equipment arrives.

13. Summary of Adult Basic Life Support
Continue with CPR at ratio of 30:2 until advanced life support is commenced or the patient exhibits signs of life.
If the patient is intubated continuous compressions at a rate of 100 per minute and continuous breaths at a rate of 10 per minute should be administered
Ideally a rescuer should do no more than 2 minutes of chest compressions (to avoid fatigue)

14. Modifications to basic life support
If the patient is noticeably pregnant they should be tilted to their left by means of a Cardiff wedge or pillow. Alternatively the uterus can be displaced manually. This is to reduce the effects of aorto-caval compression. Both basic and advanced life support should be continued following the standard adult European Resuscitation Council guidelines.

15. Respiratory Arrest Demonstration with commentary

16. Respiratory Arrest After full S, S, S, A, B, C assessment, if a
patient is found to be unresponsive,
apnoeic, but has a DEFINITE pulse
The cardiac arrest call should be activated
Ventilations should be commenced at a rate of 10 per minute (inspiration 1 second, expiration 5 seconds).
Breathing and circulation should be reassessed every 10 breaths/minute

17. Resuscitation of ‘Neck-Breathers’ Demonstration with commentary

18. Choking Demonstration

19. Choking Demonstration with commentary

20. Choking Summary
Confirm that the patient is choking (as opposed to anaphylaxis, myocardial infarction, seizure etc)
If patient is coughing effectively encourage them to continue coughing but do nothing else

21. Choking Summary
If the patient is not coughing effectively and is conscious give up to 5 back blows
If these are not successful give up to 5 abdominal thrusts
Continue to alternate 5 back blows and 5 abdominal thrusts until airway is cleared or the patient becomes unconscious
The cardiac arrest team should be called if initial back blows are unsuccessful

22. Choking Summary
If the patient becomes unconscious begin CPR 30:2 (even if signs of life/pulse are present)
This should be continued until the obstruction is relieved – at which point the patient should be reassessed and appropriate treatment administered

23. The Recovery Position Demonstration with commentary

24. Preparation of Cardiac Arrest Drugs Demonstration with commentary

25. To register your training you must complete a short quiz by clicking here.
Registration will only work on a computer that has access to the Trust Intranet. For more information please contact the Postgraduate Centre.