1. pjm feb 05 Resuscitation Update Guidelines 2005 Produced by Paddy Morgan Approved by the Life Saving Commission

2. pjm feb 05 Objectives By the end of the session the student will: 1.Be aware of the changes in resuscitation. guidelines. 2.Be competent in BLS in adult / child & infant. 3.Be able to place a victim in recovery position. 4.Be competent in the action for vomit. 5.Be competent in the treatment of choking in adult / child & infant.

3. pjm feb 05 Main Changes Diagnose cardiac arrest if unresponsive and not breathing normally. Place hands in the centre of the chest. Rescue breath over 1 sec rather than 2 sec. Ratio of compressions to ventilations 30:2 for all adult victims of sudden cardiac arrest. –Use this same ratio for children when attended by a lay rescuer. Adult, omit the initial 2 rescue breaths - 30 compressions immediately after cardiac arrest is diagnosed.

4. pjm feb 05

5. D anger No more than 10seconds! R esponse – “Are you all right?” S hout A irway – Head Tilt / Chin Lift B reathing 999 C ompressions – “Centre of chest” 30:2 4-5cm @ 100/min !Different people are different sizes!

6. pjm feb 05 Compressions Centre of chest –Middle of lower half of sternum Compression only CPR “Over the Head” 2 person – swap at 2min intervals

7. pjm feb 05 Time For Practice

8. pjm feb 05 Recovery Position 1.Stable 2.No weight on Chest 3.Position head so fluid can drain away “Re-assess”

9. pjm feb 05 Time For Practice

10. pjm feb 05 Action for Vomit 2. Lift the shoulder and roll casualty away from you. 1. Grip the chin securely and position the forearm along the centre of the chest, ensure your hand doesn’t obstruct the airway. 3. Use your knees to provide support on the casualties back & use your free hand to support the head. 4. Caution: Casualty may retch - so maintain firm grip on head.

11. pjm feb 05 Time For Practice

12. pjm feb 05 “Are you choking?”

13. pjm feb 05 Adult Choking Protocols

14. pjm feb 05 Paediatric Changes 30:2 Ratio Age definitions Infant = child under 1year Child = Between 1year and puberty

15. pjm feb 05 Child / Infant Resuscitation

16. pjm feb 05 Comparison AdultDrownChildBaby Airway STMA* Neutral Breath CPR first5 initial Help Immediate1min CPR Rate 100/min Ratio 30:2 Depth 4-5cm 1/3 How 2 Hands 1 or 2 Hand2 Fingers * STMA = Sniffing the morning air.

17. pjm feb 05 Paediatric Choking FBAO=Foreign Body Airway Obstruction (Choking)

18. pjm feb 05 Paediatric Choking Protocols

19. pjm feb 05 Questions?

20. pjm feb 05 Summary DrsAB9C Cardiac arrest if no response and not breathing normally Rescue breath 1 second 30:2, in “centre of chest” Children simplified