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Adult Basic Life Support S enior Medics

Adult Basic Life Support S enior Medics

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Adult Basic Life Support S enior Medics

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  1. Adult Basic Life SupportSenior Medics

  2. In Hospital Life Support

  3. Objectives • Summary of current RC(UK) guidelines • Equipment • Focus on In Hospital BLS • Out of Hospital • Paediatrics • Choking

  4. 2222 Adult Calls

  5. Survivor / non survivor by rhythm 2013

  6. 7% - Not required • 53% - BVM • 15% - IGEL/LMA (2x IGEL fails) • 20% - ETT • <1% - Trachy • 5% - Unknown

  7. Defibrillators XL MRX FR2+

  8. Switchboard and main entrance Trelawney

  9. Pads

  10. Present & Future

  11. Drug Box • 6x Adrenaline 1mg PreFILL (10ml of 1:10,000) • 2x AmiodaronePreFILL (300mg/10ml) • 1x Atropine PreFILL (3mg/10ml) • 2x Atropine PreFILL (600mcg in 5ml) • 2x Calcium Chloride PreFILL(10%) • 2x Magnesium Amps (50%) • Naloxone 2mg/2ml – PreFILL • 1x Sodium Bicarbonate Polyfuser (8.4% 250ml) • Saline

  12. Equipment - misc Pacing Machines Rapid Sequence Induction - Drugs Transfer equipment EZ IO ETCO2

  13. Adult ALS Algorithm

  14. Guidelines 2010 • Focus – Quality Compressions / Minimal Pausing • Adult, Paed & Newborn ratio remains same • Comp Rate – 100-120 per min • Depth – Adult 5-6 cm : Paed At least 1/3rd

  15. Guidelines 2010 • Atropine no longer recommended in Asystole/PEA • Adrenaline after the 3rd Shock • No Drugs via ET Tube • Charging Defib whilst compressing

  16. Paediatric Arrests

  17. Anyquestions

  18. Objectives • Focus on In Hospital BLS • Out of Hospital • Paediatric • Summary of new guidance • Choking

  19. Adult In Hospital Life Support – Peer Assessment Name – Person 1 (Caps): _____________________________________________ Name – Person 2 (Caps): _____________________________________________