Foundation Trust Governors Induction Programme

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					                                Foundation Trust
                  Governors Induction Programme




                                                Mike Harris
SURVIVING CARDIAC ARREST-
The Shocking News for 2010/11   Senior Resuscitation Officer
                                        15th December 2010
     CARDIAC ARREST -




THE KEY TO SURVIVAL IS SHOCKING!
                 TRAINING THE
                 PROFESSIONALS




TRAINING FIRST
AIDERS
NEW RESUSCITATION GUIDELINES released in October 2010




• Recognize how serious it is as quickly as possible
• Send for some help – phone 999 (or 112) & ask for a defibrillator
  to be brought if there is one on the premises


However, if breathing or the heart has already stopped, there is no time
  to wait for that help to arrive
• Do something (CPR) until help arrives
because doing something “buys time” until help arrives
WHAT IS THEIR CHANCE OF SURVIVAL?


 • No witness present, no access to a phone, no help available until ambulance
   arrives
      – No survival
 • Witness present with access to a phone, but not able to do CPR
      – Unlikely to survive unless ambulance or assistance arrives
        quickly eg within 3-4 mins
 • Witness present with access to a phone and can do CPR until ambulance or
   assistance arrives
      – 5-10% survival rate unless ambulance or assistance arrives with a
        defibrillator (AED) within a few minutes
 • Witness present with access to a phone, can do good CPR & an AED is
   available to be deployed in 3-4 mins before ambulance arrives
      – 75% survival rate possible
EARLY ACCESS TO GET HELP


 • USE A MOBILE PHONE OR A NEARBY LANDLINE
   TELEPHONE
    – DIAL 999 or 112 & ask for Ambulance



    – Also ask if an AED is available on premises



 • IF POSSIBLE, SEND SOMEONE ELSE TO GO GET HELP
  & COME BACK TO TELL YOU WHAT THEY SAID
NEED FOR EARLY CPR (DRABC)


 INITIALLY YOU SHOULD CHECK FOR :
 • D- DANGER
 • R- RESPONSE
 • A- AIRWAY
 • B- BREATHING
  (+ CIRCULATION)
 Then, if not breathing normally,
 • C- start CPR
IF NOT BREATHING NORMALLY


 • START CPR
 • GIVE x30 CHEST
  COMPRESSIONS
  WITHOUT DELAY
  Press 5-6 cms depth @ 100-120/min


 IF ALONE, SEND FOR HELP FIRST
CONTINUE


 • THEN RE-OPEN THE AIRWAY
 • & GIVE x2 RESCUE BREATHS
  (1 second for each breath)
CONTINUE CPR SEQUENCE


 • GIVE x30 CHEST COMPRESSIONS
 • X2 RESCUE BREATHS
 • & CONTINUE WITH 30:2


 • Do not interrupt CPR until help arrives, unless
    – show signs of regaining consciousness
    + starting to breathe normally
COMPRESSION ONLY CPR



 If you are unwilling to do rescue breaths (or
   not trained)
 • Do continual compressions @ 100-120/min
   until help arrives
 • No Rescue Breaths being given, so no
   interruptions to compressions
CPR FOR ALL AGE GROUPS


 • 30 : 2 for all ages


 • Babies – 2 fingers
 • Children – 1 or 2 hands
 But start by giving
  x5 rescue breaths first
 before starting 30:2
EARLY ACCESS TO AN AED
ARRIVAL OF PROFESSIONAL HELP
IF BREATHING NORMALLY


• PLACE THEM IN THE RECOVERY
  POSITION
CHOKING
ANY QUESTIONS?
SUMMARY


 • CPR “buys time” until AED arrives
 • Simple skills which are easy to remember
 • Will do “no harm”
 • Can be performed by anyone on anyone who
   needs CPR
 • Moral obligation to help others
 • Knowing what to do may save somebody`s
   life one day!
EDUCATING THE PUBLIC


 • First Aid Courses
 • “Life-saving” Courses
 • “First Responder” schemes
 • BHF “Heartstart” schemes
 • BHF “Heartstart Schools” schemes
Remember you never know
when CPR might be needed!




    Thank you and Happy Christmas!

				
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