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.

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)