Page 83 - Radiology Book

Verify scene safety
1. Victim unresponsive 2. Call/Shout for help 3. Call/Activate EMS
4. Get AED (if available) 5. Attach AED (if ready)
PRIMARY SURVEY
Patients who are unresponsive and not breathing have a high likelihood of being in cardiac arrest. Quickly scan the patient’s location and surroundings to make sure no imminent physical threats (electrical, physical, toxic hazards) are present.
• Bystanders (Lay rescuer, not trained) should immediately call their local EMS number to initiate a response any time they nd an unresponsive adult victim. Dispatcher-guided CPR recommended. Lay rescuers should not check for a pulse (likely unreliable) and follow dispatcher instructions with a minimum of providing chest compressions.
• Trained lay rescuers should provide rescue breaths in addition to chest compressions for cardiac arrests (30 compressions to 2 breaths).
• Healthcare providers should call for nearby help and assess for breathing and pulse simultaneously before fully activating EMS.
basic life suPPort (bls) algoritHm
For BLS Healthcare Providers - 2015 Update
CHECK BREATHING CHECK FOR A PULSE simultaneous check, limit to <10 seconds
81
Normal breathing + pulse
Monitor until EMS arrives
NO BREATHING
(or only gasping)
NO PULSE
Abnormal breathing + pulse
Provide rescue breathing
· 1 breath/5–6 seconds (10–12 breaths/minutes)
· Activate EMS (if not already done) · Check pulse every 2 minutes
· If possible opioid OD, give
naloxone if available
If no pulse start CPR
CPR
START COMPRESSIONS
· Push hard and fast to a depth of ≥ 2 inches
· Deliver 100–120 compressions/minute
· Compression-ventilation ratio 30:2
without advanced airway
· Allow complete chest recoil and avoid
excessive ventilation
AED arrives
CHECK RHYTHM RHYTHM SHOCKABLE?
YES
Give 1 shock, RESUME CPR
immediately for 2 minutes until prompted by AED to allow rhythm check. Continue until ALS providers take over or victim starts to move.
NO
RESUME CPR
immediately for 2 minutes until prompted by AED to allow rhythm check. Continue until ALS providers take over or victim starts to move.
ACLS