Basic Life Support For Healthcare Providers (BLS) : Presented By: Youssef Youssef RT Respiratory Therapy Departement

BASIC LIFE SUPPORT FOR
HEALTHCARE PROVIDERS
(BLS)
PRESENTED BY:
YOUSSEF YOUSSEF RT
RESPIRATORY THERAPY
DEPARTEMENT
OBJECTIVES
Learn skills of CPR for victims of all ages
• Learn how to use an AED
Learn how to relief choking (foreign-body

airway obstruction)
INTRODUCTION
Sudden cardiac arrest(SCA) is a leading cause of
death in the United States and Canada
In the US approximately 330000 die annually

from Coronary Heart Disease(CHD), before
reaching a hospital or in ED. About 250000 of
those deaths occur in the out-of-hospital setting.
The annual incidence of SCA in US has separately

been estimated to be ≈ 0.55/1000 population
What is BLS Survey??
 BLS survey is a systemic approach to basic life

support that any trained healthcare provider
can perform.
 This approach stress early CPR, and early

defibrillation
 It does not include advanced interventions,

such as advanced airway techniques, or drug
administration
 By using BLS survey, healthcare providers my

achieve their goal of supporting or restoring
effective oxygenation, ventilation and
circulation, until ROSC or initiation of ACLS
intervention
 This will improve the patient’s chance of

survival and a good neurologic outcome
CRITICAL
CONCEPT
1
Before 2
conducting the Remember:
BLS survey, look Assess……. Then
to make sure that perform
appropriate action
the scene is safe
CHAIN OF SURVIVAL
AT
C-
E
A-
CO
B 3
• DE
AS
TE
&
SE
AM
De
(RT
SS
fib
Dep 2
t.)
rill
R
• b-
ati
ES
Get
on
P
an 1
O
AE
D/
NS
Def
IV
BLS SEQUENCE
ibri
E
C-A-B SEQUENCE
C CIRCULATION
A AIRWAY
B BREATHING
CIRCULATION
 Check for Pulse

1- Carotid artery (Adult and Pediatrics)
2- Brachial artery ( Neonates)
From 5 – 10 seconds
If pulse is absent perform chest

compressions
Chest Compression Characteristics
1. Position your hands for chest compression
2. Push hard, push fast
3. Perform chest compression at rate of at least 100 bpm; 5

cycles 30:2, for 2 min
4. Perform chest compressions to correct depth at least 1.5- 2

inch's (at least 6 cm )
5. Perform chest compression, and allow chest for complete

recoil
6. DO NOT interrupt chest compressions often or for long time.
Importance of chest
compressions, which
keep blood flowing to
the heart, brain, and
other vital organs
How To Perform Chest Compressions
Step Action
1 Position yourself at the victim’s side.
2 Make sure the victim is lying on his back on a firm, flat surface. If the
victim is lying facedown, carefully roll him onto his back.
3 Move or remove all clothing covering the victim’s chest. You need to
be able to see the skin.
4 Put the heel of one hand on the center of the victim’s bare chest
between the nipples.
5 Put the heel of your other hand on the top of the first hand.
6 Straighten your arms and position your shoulders directly over your
hands.
7 Push hard and fast, press down 4-5 cm with each compression.
8 At the end of each compression, make sure you allow the chest to
recoil or re-expand completely. Full chest recoil allows more blood to
refill the heart between chest compressions.
9 Deliver compressions in a smooth fashion at a rate of 100
compression/ min.
Airways
 OPEN AIRWAYS
JAW THRUST MANEUVER HEAD- TILT CHIN LIFT

suspected supine or cervical trauma MANEUVER
Airways
COMBINED MANEUVER
Airways
Look in the mouth to see if there is an

obstructing foreign body, remove it if
present
 insert oropharyngeal or nasopharyngeal
air way
Breathing
1. give one breathe after each cycle. Each

breath time takes 1 sec.
2. Look for chest rise and fall.
3. Listen for air movement.
4. Feel for breathing(breath against your skin)
5 – 10 sec
NOTE: AGONAL RESPIRATIONS (GASPING), is
pre-arrest sign, so don’t be confused ???
Breathing
Breathing
If the victim is not breathing
Begin Artificial ventilation protocol

Mouth-to-mouth.
Mouth -to-mask.
Bag-mask device.
Observe for bilateral chest rise.
Breathing
Breathing
Bag-Mask Ventilation
Rescuer attempting 1-hand ‘ E-C technique’

2 rescuers use of bag-valve mask
Breathing
Bag-Mask Ventilation
Use the E-C clamp technique:

 Use the thumb and index finger of one hand to
make “C”,pressing the edges of the mask to the
face.
 Use the remaining fingers to tilt the angles of the
jaw(3 fingers form an “E”)and open the airway.
 Squeeze the bag to give breaths.
Defibrillation
• If no pulse and cardiac
monitor/defibrillator is available
Defibrillat
or
Rhythm
VFib/VTach other than
Vfib/VTach
Perform Start chest Start chest

defibrillation compression compression
5 Cycles =2min (Then Recheck the pulse )

Defibrillation
Foreign Body Airway Obstruction(FBAO)
Severe or complete airway obstruction

is an emergency that will result in death
within minutes if not treated.
An unresponsive victim can develop

airway obstruction from intrinsic
(tongue) and extrinsic (foreign body).
How To Recognize Choking
Poor or no air exchange.
Weak, ineffective cough or no cough
at all.
High -pitched noise while inhaling or no noise at all.
Increased respiratory difficulty.
Possible cyanosis
Unable to speak.
Clutching the neck with the thumb and fingers,
making the universal choking sign.
Unable to move air.
Conscious Choking
Heimlich Maneuver
Use abdominal thrusts (the
Heimlich Maneuver) to relieve
choking in adults.
Give each individual thrust

with the intent of relieving the
obstruction. It may be
necessary to repeat the thrust
several times to clear the
How To Perform Heimlich Maneuver
Step Action
1 Stand behind the victim.
2 Make a fist with one hand.

3 Place the thumb side of your fist against the victim’s
abdomen, in the middle, slightly above the navel and below
the breastbone.
4 Grasp your fist with your other hand and press your fist into
the victim’s upward thrust.
5 Repeat thrusts until the object is expelled from the airway or
the victim’s become unresponsive.
6 Give each new thrust with a separate, distinct movement to
relieve the obstruction.
Very Important
If you find a responsive choking
victim lying down, Perform
abdominal thrusts with the victim
lying down.
With one of your hands on top of
the other, place the heel of your
bottom hand on the upper abdomen
below the rib cage and above the
navel.
Use your body weight to press into
the victim's upper abdomen with a
quick upward thrust.
Repeat until object is expelled.
Very Important
Pregnant and Obese

Victims:
Perform chest thrusts

instead of abdominal thrusts.
Unconscious Choking
If the adult victim is
unresponsive:
Activate code blue
Open the airway
Begin CPR
Monitor airway if the foreign
body is expelled out
Child CPR
Child CPR
(1-8years or till adolescent)
Steps Of Child CPR:
Check for responsiveness.
If no response and two rescuer available , one
start CPR and the other activate Code blue, and
get a defibrillator
If no response and one rescuer available,
perform CPR for 5 cycles(2min),then activate
Code blue, and get a defibrilator
How to perform Child CPR
Open the victim’s airway:

Head tilt chin lift.
Check Circulation:
Check Carotid Pulse{5-10sec}.
If no pulse or PR <60bpm with sign of poor
perfusion, start chest compressions.
Very Important
Child chest compressions:
One rescuer:30compressions and 2 breaths.
Two rescuer:15compressions and 2 breaths.
Rate of compressions: 100/min.
Depth of compressions: press down1/3 to 1/2 the depth of
the chest.
Minimize interruptions in chest compressions(10sec).
Allow full chest recoil between compressions
Attach defibrillator when available
Infant CPR
Infant CPR
(Under 1 year of age)
Steps Of Infant CPR:
Check for responsiveness by taping the
infant’s foot.
If no response and two rescuer available , one
start CPR and the other activate Code blue.
If no response and one rescuer available,
perform CPR for 5 cycles(2min),then activate
Code blue.
How to perform Infant CPR
Open the victim’s airway:
Head tilt chin lift.
Check for breathing
Look, Listen and Feel{5-10sec}.
If no breathing, give 2breaths(make the chest rise).
Check Circulation:
Check Brachial Pulse{5-10sec}.
If no pulse or PR< 60bpm with sign of poor
perfusion, start chest compressions.
Very Important
Infant chest compressions:
One rescuer:30compressions and 2 breaths.
Two rescuer:15compressions and 2 breaths.
Rate of compressions: 100/min.
Depth of compressions: press down1/3 to 1/2 the
depth of the chest.
Minimize interruptions in chest compressions(10sec).
Allow full chest recoil between compressions.
Perform chest compression with 2 thumb-encircling
hands technique(Draw an imaginary line between
nipples. Place 2 fingers on the breastbone just below
Infant Choking
Turn the baby facedown so it lies along your
arm.
Support the baby’s jaw with your hand.
Lower your arm onto your thigh so that the
baby’s head is lower than the chest.
Use the heel of your other hand to strike the
back 5 times firmly.
Sandwich the baby between your forearms,
support the head and then turn the baby onto its
back.
Put your index and middle fingers directly below
the baby’s nipples, push down halfway(5times).
If no response start CPR.
THANK YOU

Basic Life Support For Healthcare Providers (BLS) : Presented By: Youssef Youssef RT Respiratory Therapy Departement

Uploaded by

Copyright:

Available Formats

Basic Life Support For Healthcare Providers (BLS) : Presented By: Youssef Youssef RT Respiratory Therapy Departement

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Basic Life Support For Healthcare Providers (BLS) : Presented By: Youssef Youssef RT Respiratory Therapy Departement

Uploaded by

Copyright:

Available Formats

BASIC LIFE SUPPORT FOR

Learn skills of CPR for victims of all ages

• Learn how to use an AED

Learn how to relief choking (foreign-body

In the US approximately 330000 die annually

The annual incidence of SCA in US has separately

 BLS survey is a systemic approach to basic life

 This approach stress early CPR, and early

 It does not include advanced interventions,

 By using BLS survey, healthcare providers my

 This will improve the patient’s chance of

 Check for Pulse

If pulse is absent perform chest

2. Push hard, push fast

3. Perform chest compression at rate of at least 100 bpm; 5

4. Perform chest compressions to correct depth at least 1.5- 2

5. Perform chest compression, and allow chest for complete

JAW THRUST MANEUVER HEAD- TILT CHIN LIFT

Look in the mouth to see if there is an

1. give one breathe after each cycle. Each

If the victim is not breathing

Begin Artificial ventilation protocol

Rescuer attempting 1-hand ‘ E-C technique’

Use the E-C clamp technique:

Perform Start chest Start chest

5 Cycles =2min (Then Recheck the pulse )

Severe or complete airway obstruction

An unresponsive victim can develop

Give each individual thrust

1 Stand behind the victim.

2 Make a fist with one hand.

Pregnant and Obese

Perform chest thrusts

Open the victim’s airway:

You might also like