Presented By:: Harpreet Kaur M.Sc. (N) 2 Year Critical Care Nursing
Presented By:: Harpreet Kaur M.Sc. (N) 2 Year Critical Care Nursing
Presented By:: Harpreet Kaur M.Sc. (N) 2 Year Critical Care Nursing
Presented by:
HARPREET KAUR
M.Sc.(N) 2nd year
Critical Care Nursing
BLS
(Basic Life Support)
DEFINITION
• Sequences of procedures performed to restore the
circulation of oxygenated blood after a sudden
pulmonary and or cardiac arrest.
• Chest compresssions and pulmonary ventilation
performed by anyone who knows how to do it,
anywhere, immediately, without any other
equipment.
• It is also called as CPR, (cardio pulmonary
resuscitation).
• It is the non-invasive assessment and
intervention used to quickly identify and
treat victims of respiratory, cardiovascular
emergencies.
• It is a Combination of rescue breathing and
chest compressions
INDICATIONS
• CARDIAC ARREST : sudden, unexpected loss of
heart function, breathing and consciousness.
”HELP ! Is there
anyone
around?”
Inter-mammary line
• Straighten your arm with knees locked and
position your shoulder directly over the hands.
• Push hard and fast
Press down atleast 2 inches (5cm) with
each compression.
Deliver compressions in a smooth fashion
at a rate of atleast 100/min.
• At the end of each compression, make sure to
allow complete chest recoil after each
compression.
Adjust position that your shoulders are on
top of the victim and in line with hands
Provide cycles of compressions and
breathing.
30 compressions with 2 breaths is one
cycle
30 : 2 in adults (with one or two rescuer)
30 : 2 in infant and children (with one
rescuer)
15 : 2 in infant and children (with two
rescuer)
Complete 5 cycles and then check carotid
pulse
AIRWAY
Open the airway for breaths
2 methods are there to open the airway:
• Head tilt- chin lift
• Jaw thrust
Switch duties
with the
second rescuer
Perform chest every 5 cycles
compressions or about
2minutes,
taking less
than 5 sec to
switch
Rescuer 2: At victim’s head
Maintain an open Switch duties
airway with the
Give breaths
watching for chest second rescuer
rise and avoiding every 5 cycles
excessive or about
ventilation. 2minutes,
Correct the rescuer taking less
1 to perform
adequate CPR.
than 5 sec to
switch
DEFIBRILLATION
AED (Automated External
Defibrillators)
• Automated external defibrillators (AEDs)
are computerized devices that can identify
cardiac rhythms that need a shock and
these can deliver shock.
• When VT is present, the heart muscle
fibres quiver and do not contract together
to pump blood.
Contd…
• This delivers shock to stop the quivering of the
heart fibres and allows the muscle fibres of
the heart to ‘reset’ so that they can begin to
contract at same time.
• Once an organized rhythm occurs, the heart
muscle may begin to contract effectively and
begin to generate a pulse (called ROSC)
Parts of AED