Friday, June 5, 2015

7 STEP OF EMERGENCY ACTION PRINCIPLES

Remember "DRSABCD" for Basic Life Support.
Please attend the Basic Life Support training for further details.

D-Danger
  • Witnessed or unwitnessed an unconscious victim
  • Look for any danger, look out for blood spills, sharps, electric wire, unsteady beds, trolleys.
  • Wear Personal Protective Equipment if available
  • Make sure the victim and any bystanders are safe
R-Responsiveness
  • Shake or tap the victim on the shoulders and ask loudly "Hello. Are you okay"
S-Shout
  • Call for help.
  • Dial emergency number, call for ambulance and bring AED (Automated External Defibrillator)
A-Airway
  • Open the airway using " Head tilt chin lift" technique or "Jaw Thrust" if cervical spine injury is suspected
  • This lifts the tongue off the back of the throat, opening up the airway
B-Breathing
  • Look for normal breathing in not more than 10second.
  • Start Chest Compressions (Cardiopulmonary Resuscitation (CPR)) if the victim not breathing.
Image result for chest compression
C-Circulating
  • Start high quality chest compressions."Push hard, push fast"
  • Middle chest, depth not less than 5cm, rate of not less than 100/min, full recoil.
  • After 30 compressions, proceed with 2 ventilations (Each breath over 1 second, just enough to see chest rise).
  • Ratio compressions to ventilation 30:2 in 1 cycle
  • Check pulse at Carotid Artery after complete 5 cycle, continue CPR if no pulse is present.
D-Defibrillation
  • Attach AED as available without interupting compressing
  • Follow AED promptly, manual defibrillator "Shock" if VF/VT rhythm recognized.
  • Shockable rhythm: Give 1 shock, resume CPR immediately for 2 minutes.
  • Non Shockable rhythm: Resume CPR immediately for 2 minutes.
  • Check rhythm every 2 minutes.


Reference:
American Heart Association (AHA)
National Committee on Resuscitation Training (NCORT)