Friday, 3 May 2013

Basic Life Support

The need of basic life support is necessary when the patient is unconscious and have no breathing and pulse.

Access the patient.
Personal protection.
Remove the patient from contaminated area.
Confirm the diagnosis i.e; unconscious, death like appearance, no pulsation.

  • Check the response (Shake the patient).
  • Check pulse from carotid artery.
  • Check airways and breathing.
If there is no pulse call the EMS for help (In Pakistan EMS call 1122)
Make the position of patient for the management of ABC (Airway, breathing, circulation) in basic life support (BLS).

Clear the airway from blood, denture, mucous, and any other danger material should be removed.
Open the mouth and extent it to back in position of head tilt chin lift or in a traumatized unconscious patient as jaw thrust.
clean the mouth with little finger.

Access the patient's breathing with LLF (Look, listen and feel).
If there is no breathing i.e; no rise and fall in chest and no breath sound.
Give the 12 artificial breaths to the patient with mouth-mouth method.
Then again check the breathing with LLF pulse carotid artery.

If there is no pulse start the CPR (Cardiopulmonary resuscitation).
Make the patient position in supine.
Expose the chest, now make position of your hands.
(Horizontal to the nipple line that cross the vertical line of sternum)
Start CPR, with 30 compression and 2 breaths.

* If one Rescuer, there is 30 compression and 2 breaths.
* If two Rescuer, there is 15 compression and 2 breaths.

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