12/02/2015EastofEnglandAmbulanceServiceNHSTrustBasicLifeSupportandAutomatedExternalDefibrillationDateEastofEnglandAmbulanceServiceNHSTrustBLS&AED12/02/20152Objectives•Attheendofthiscourseparticipantsshouldbeabletodemonstrate:–Howtoassessthecollapsedcasualty.–HowtoperformBasicLifeSupport(BLS).–Howtoplaceanunconsciousbreathingvictimintherecoveryposition.–Introductiontooperatinganautomatedexternaldefibrillator(AED)safely.DateEastofEnglandAmbulanceServiceNHSTrustBLS&AED12/02/20153Background•IntheUKapproximately30,000peoplesustaincardiacarrestoutsidehospitalandaretreatedbyemergencyserviceseachyear.•BystanderCPRandearlyDefibrillationarevitalinterventionsbeforethearrivalofemergencyservices.•Ifdefibrillationisdeliveredpromptly,survivalratesashighas75%havebeenreported.•Thechancesofsuccessfuldefibrillationdeclineatarateofabout10%witheachminuteofdelay.DateEastofEnglandAmbulanceServiceNHSTrustBLS&AED12/02/20154Anyonecandoit?DateEastofEnglandAmbulanceServiceNHSTrustBLS&AED12/02/201552%4%30%DateEastofEnglandAmbulanceServiceNHSTrustBLS&AED12/02/20156CARDIACCONDITIONSAnginaSuspectedHeartAttackDateEastofEnglandAmbulanceServiceNHSTrustBLS&AED12/02/20157CardiacConditions•CoronaryheartdiseaseistheUK'sbiggestkiller,with1inevery4menand1inevery6womendyingfromthedisease.•IntheUK,approximately300,000peoplehaveaheartattackeachyear.•Anginaaffectsabout1in50people,andintheUKthereareanestimated1.2millionpeoplewiththecondition.Itaffectsmenmorethanwomen,andyourchancesofbeingaffectedincreasewithage.DateEastofEnglandAmbulanceServiceNHSTrustBLS&AED12/02/20158OxygenatedbloodtoupperbodyBloodtolungsOxygenatedbloodfromlungsOxygenatedbloodtolowerbodyBloodreturningfromlowerbodyBloodtolungsBloodreturningfromupperbodyOxygenatedbloodfromlungsDateEastofEnglandAmbulanceServiceNHSTrustBLS&AED12/02/20159HowmanytimesdoesthehumanHeartbeatinaday?100,800beatsperday(70beatsx60minutesx24hours=100,800beats)DateEastofEnglandAmbulanceServiceNHSTrustBLS&AED12/02/201510SuspectedHeartAttackDateEastofEnglandAmbulanceServiceNHSTrustBLS&AED12/02/201511HeartAttackDateEastofEnglandAmbulanceServiceNHSTrustBLS&AED12/02/201512SuspectedHeartAttack-Pale,cold&clammyskin-Rapidweakpulse-Rapidshallowbreathing-Nausea-Vomiting-Paininchestpossiblyradiatingintoarm,backand/orjaw-Sweating-ImpendingsenseofdoomSomeorallofthesesymptomsmaybepresent,notwoHeartattacksarethesame......DateEastofEnglandAmbulanceServiceNHSTrustBLS&AED12/02/201513CardiacConditions•Anginaisapainordiscomfortfeltinthechestcausedbycoronaryheartdisease.•Typicallypresentsasheavinessortightnessinthechest•Oftenbroughtonbyphysicalactivity.•Symptomsusuallysubsideafterafewmins.•AnginaSuffersusuallycarryGTNmedicationintheformofasprayortabletDateEastofEnglandAmbulanceServiceNHSTrustBLS&AED12/02/201514SuspectedHeartattackDial999or112forAmbulance-Restinacomfortableposition-Reassure-HelpcasualtytotaketheirownGTN-Bepreparedtoresuscitate-HaveAEDavailableIfinanyDoubtdial999or112DateEastofEnglandAmbulanceServiceNHSTrustBLS&AED12/02/201515BASICLIFESUPPORTPrimarySurveyPerformingCPRRecoveryPositionDateEastofEnglandAmbulanceServiceNHSTrustBLS&AED12/02/201516PrimarySurveyInitialassessmentusingtheprimarysurvey-Danger(Globaloverview)-Response-Shoutforhelp-Airway-Breathing-Call999/112-commenceCPRDateEastofEnglandAmbulanceServiceNHSTrustBLS&AED12/02/201517AirwayManagement•Anunconsciousc...
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