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1、pjm feb 05,Resuscitation UpdateGuidelines 2005,Produced by Paddy MorganApproved by theLife Saving Commission,pjm feb 05,Objectives,By the end of the session the student will:Be aware of the changes in resuscitation.guidelines.Be competent in BLS in adult/child&infant.Be able to place a victim in rec
2、overy position.Be competent in the action for vomit.Be competent in the treatment of choking in adult/child&infant.,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 co
3、mpressions 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.,pjm feb 05,pjm feb 05,Danger,No more than 10seconds!,R
4、esponse“Are you all right?”,Shout,Airway Head Tilt/Chin Lift,Breathing,999,Compressions“Centre of chest”30:2 4-5cm 100/min!Different people are different sizes!,pjm feb 05,Compressions,Centre of chestMiddle of lower half of sternum,Compression only CPR“Over the Head”2 person swap at 2min intervals,p
5、jm feb 05,TimeForPractice,pjm feb 05,Recovery Position,StableNo weight on ChestPosition head so fluid can drain away“Re-assess”,pjm feb 05,TimeForPractice,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 cent
6、re of the chest,ensure your hand doesnt obstruct the airway.,3.Use your knees to provide supporton the casualties back&use your free hand to support the head.,4.Caution:Casualty may retch-so maintain firm grip on head.,pjm feb 05,TimeForPractice,pjm feb 05,“Are you choking?”,pjm feb 05,Adult Choking
7、 Protocols,pjm feb 05,Paediatric Changes,30:2 RatioAge definitionsInfant=child under 1yearChild=Between 1year and puberty,pjm feb 05,Child/Infant Resuscitation,pjm feb 05,Comparison,*STMA=Sniffing the morning air.,pjm feb 05,Paediatric Choking,FBAO=Foreign Body Airway Obstruction(Choking),pjm feb 05,Paediatric Choking Protocols,pjm feb 05,Questions?,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,
