BLS - Basic Life Support for Healthcare Providers American Heart Association/ BLS Course Study Guide & Review

BLS - Basic Life Support for Healthcare Providers American Heart Association/ BLS Course Study Guide & Review.Disclaimer: This document is solely produced by Performance CPR Training according to the American Heart Association 2010 Guidelines. However, this BLS Course Study Guide & Review does not warrant or assume any legal liability or responsibility for the accuracy, completeness, or usefulness of any information or process disclosed. Performance CPR Training Performance CPR Training. BLS Course Study Guide & Review. Page 2 BLS Healthcare Provider & Renewal Course BLS Course Study Guide & Review  THIS IS ONLY FOR HEALTHCARE PROVIDER & RENEWAL PARTICIPANTS NOT HEARTSAVER CANDIDATES  All licensed Professionals Must Take the AHA BLS HEALTHCARE PROVIDER  Please review this BLS Study Guide & Review before coming to class BLS CPR consists of 3 main components (C-A-B): ‐ Compressions ‐ Airway ‐ Breathing Performance CPR Training. BLS Course Study Guide & Review. Page 3 ADULT Adult Chain of Survival:  Early access: Establish Unresponsiveness/no breathing then activate EMS/911  Early CPR: Provide BLS/CPR within 4 minutes  Early defibrillation: Have an AED on them and shocking within 5 minutes of the arrest  Early advanced care: EMS/code team arriving soon thereafter Choking ‐ Adult 1. Conscious Choking • Are you choking? • Can you speak? • Can I HELP you? • Provide inward and upward Abdominal thrust, just above the navel. 2. Unconscious Choking: (NO BLIND FINGER SWEEPS) • Call 911 • Open the airway remove the object if you see it, then begin CPR (30 compressions to 2 breaths) • Every time you open the airway to give breaths look for the object • Then continue CPR (30 to 2) 3. Adult Rescue breathing: It is done only when the victim is not breathing adequately but has a pulse. Rescue breathing for the adult is 1 breath every 5 –6 seconds or 10‐12/min. Agonal Gasps are inadequate breaths associated with Cardiac Arrest not Choking. CPR ‐ Adult 1. Adult 1 rescuer CPR • Determine Unresponsiveness (shake and shout), if no response • Check for no breathing or normal breathing (minimum 5 seconds; maximum 10 seconds) • Activate emergency medical system and call for an AED • Check for carotid pulse for (minimum 5 seconds; maximum 10 seconds) If there is no detectable pulse, start chest compressions at the center of the chest, at the nipple line, with the heal of one hand on top of the other, at a ratio of: 30 compressions (Acceptable 18 seconds for 30 compressions) • Give 2 breaths (1 second each) • Deliver second cycle of 30 compressions at correct hand position (Acceptable 23 compressions) • Give 2 breaths (1 second each) • Continue CPR until help arrives Performance CPR Training. BLS Course Study Guide & Review. Page 4 Push Hard, and Push Fast: compress at a minimum rate of at least 100 compressions per minute and a depth of 2 inches, and allow full chest recoil after each compression. Minimize the interruptions in chest compressions. 2. Adult 2 Rescuer CPR: Ratio of 30 compressions to 2 breaths, Rate 100/minute or 5 cycles in 2 minutes (Ventilator) the rescuer at the head, – (Compressor) the rescuer at the chest • Ventilator determines responsiveness, if no response • Ventilator checks for no breathing or normal breathing (minimum 5 seconds; maximum 10 seconds) • Compressor or bystander activates emergency medical system (call 911) and call for an AED • Ventilator checks for circulation, carotid pulse (minimum 5 seconds; maximum 10 seconds) If the victim has circulation (pulse) If the victim does not have circulation (no pulse) Ventilator will rescue breath for them: ‐ 1 breath every 5‐6 seconds for about 10‐12 per minute (each breath should be delivered over 1 second making the chest rise) Compressor will start chest compressions, with the heel of two hands at a ratio of: ‐ 30 compressions by the compressor to 2 ventilations by the ventilator at a rate of at least 100 per minute and a depth of 2” or deeper for larger person ‐ The ventilator can check for a pulse during compressions to make sure they are effective by feeling a pulse every compression. ‐ After every 5 cycles or 2 minutes of CPR switch to maintain effective CPR Performance CPR Training. BLS Course Study Guide & Review. Page 5 CHILD AND INFANT (Pediatrics) Pediatrics Chain of Survival:  Prevention is # 1  Early and effective bystander CPR, for two minutes if alone  Rapid activation of EMS or Call 911  Early and effective advanced Life support (EMS) (includes rapid stabilization and transport to definitive care and rehabilitation) Child (1 year of age to puberty) Puberty‐look for: males‐chest, facial, under and/or arm hair, females‐ early breast development Choking ‐ Child 1. Conscious Choking: • Are you choking? • Can you speak? • Can I HELP you? (ask the parent if you can help their child) • Provide inward and upward abdominal thrust, just above the navel to relive the obstruction. 2. Unconscious Choking: NO BLIND FINGER SWEEPS • Call for help, send bystander to call 911 or activate EMS • Open the airway; remove the object if you see it, then begin CPR, with a ratio of 30 compressions to 2 breaths • Every time you open the airway to give breaths look for the object • Then continue CPR with a ratio of 30 compressions to 2 breaths • If no one came to call 911 or activate EMS, you call after 2 minutes of CPR 3. Rescue Breathing: 1 breathe every 3 to 5 seconds or 12 to 20/min (only enough air to make the chest rise over 1 second each) Push Hard, and Push Fast: compress at a minimum rate of 100 compressions per minute Allow full chest recoil after each compression. Minimize interruptions in chest compressions.