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BDS3 BAMS Diseases of Human Systems > BLS COVID Update 2020 > Flashcards

BLS COVID Update 2020 Flashcards

1
Q

ILCOR 2015

A

International Liaison Committee on Resuscitation
Consensus on Science and Treatment Recommendations (CoSTR) for BLS/AED

National Resuscitation Councils:
- Resuscitation Council UK
- European Resuscitation Council
information from

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2
Q

D
R
S

A
B
C

old

A

Danger
Response
Shout

Airway
Breathing
Circulation

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3
Q

D
R
S

B
C

now used

A

Danger
Response
Shout

Breathing
Circulation

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4
Q

PPE worn for assessment and chest compressions

A

Basic PPE

  • face mask (fluid resistant surgical mask) - single use
  • gloves - single use
  • disposable apron
  • visor/eye protection
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5
Q

PPE worn for airway interventions and ventilations

A

AGP procedures

  • visor/full face shield/eye protection
  • FFP 3 face mask
  • gloves - single use
  • long sleeved fluid repellent gown
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6
Q

Danger

A

assess environment for dangers - e.g. cars, wires

Cover victim’s nose and mouth with a surgical mask or cloth

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7
Q

Response

A

Gently shake
Speak loudly
- Hello can you hear me?

Victim – cover their face
Checker – wears basic PPE

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8
Q

Shout

A

HELP
- get assistant (need you and someone else to do CPR and then gatekeeper outside of surgery to minimise spread)

DON’T GO NEAR THE AIRWAY/OPEN IT
- No head tilt/chin lift

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9
Q

Breathing and Circulation

A

STAY CLEAR OF THE AIRWAY

  • Keep face far away even if face covered
  • Look and feel for rise and fall in chest

Palpate a carotid pulse

Hand on the chest

Simultaneously check for 10 seconds

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10
Q

agonal breathing

A

Infrequent noisy gasps

Not normal

Ignore, continue CPR sequence

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11
Q

what to say when dial 999

A

Cardiac arrest

Not breathing

Location

Contact number

COVID status

  • If know – say.
  • If not say “COVID status unknown”
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12
Q

chest compressions

A

can wear basic PPE

  • Interlock the fingers
  • Straight elbows
  • Compress the sternum 5cms to 6cms
  • 100 -120 compressions pm
  • 2 per second

Continue until help arrives
- carry on with just compressions if no more PPE or AED

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13
Q

prepare patient for AED

A

Cut clothes away

Shave hair

Dry torso – sweat, water, blood

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14
Q

Defibrillation

A

Attach pads to the patients chest
- ASAP even if only wearing droplet-protection PPE

Left side – 10 cm below armpit
Right side – jaunty angle at clavicle

Listen to the voice prompts

Early defibrillation is a key intervention associated with improved neurological outcomes
- Success rate drops with every minute

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15
Q

AED

A

Stand clear

Do not touch the patient

Do not touch equipment
- Chair
- Bracket table 
- Standing on base plate
Move the O2 a meter away

150 joules = 4800 volts

No airway intervention or ventilation until, you don full AGP PPE
Only 2 people allowed with person in the area – Gatekeeper outside with red bag, they will pass items needed into surgery when requested to minimise contact with victim

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16
Q

when can do airway intervention

A

you don full AGP PPE

Only 2 people allowed with person in the area – Gatekeeper outside with red bag, they will pass items needed into surgery when requested to minimise contact with victim

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17
Q

oxygen tank and BVM

A

15 litres of 100% O2 per minute

15-25 mins 
Titration valve – litres/min (15l)
Age on side
Black open and close valve on side]
Back has attachment for BVM – end away from rugby ball
18
Q

Humidity Moisture Exchange (HME)

A

Added to BVM due to COVID
- Between BVM and pt mask

Limit exchange

HME attached to BVM

19
Q

ventilations

A

Use a 2 person technique

Want best possible seal

  • Thumbs 11
  • Fingers under mandible

Squeeze bag gently, let refill and squeeze again and see chest rise and fall to ensure working
- Check Seal and head tilt chin left, if still no success get airway adjunct from gatekeeper

AGP PPE must be worn

FFP3 mask for all staff before airway interventions commence

Give 2 rescue breathes via BVM (100% O2)
- Not via mouth to mouth or mouth to mask

20
Q

airway adjuncts

A

Oropharyngeal airway (OPA)

Insert upside down
180 degree twist

Measure – end of airway at angle of mandible and line with mid-point of incisors
- Finger of labial of teeth and colour block lines up

Green – adult female
Orange – adult male

21
Q

defibrillator locations in GDH (5)

A 
Level 1
Level 3
Level 4
Level 6
Level 7
22
Q

post resuscitation care ROSC

A

return of spontaneous circulation without any neurological deficit is what the goal is

REASSESS B + C

  • Reassure casualty (even if unconscious)
  • Chat away, keep calm

Maintain airway
- Deliver O2 via BVM
To supplement their limited breathing until cannot cope with BVM
- Then attach oxygen mask – two pieces of rubber when bag pops up

DO NOT remove AED pads

Cover up to maintain dignity and keep warm

The casualty could rearrest - cause of cardiac arrest not resolved
- be prepared to deliver CPR again

Keep all emergency equipment to hand
Don’t give anything back so have everything to hand util paramedics arrive

23
Q

how to maintain airway after ROSC

A
  • Deliver O2 via BVM
    To supplement their limited breathing until cannot cope with BVM
  • Then attach oxygen mask – two pieces of rubber when bag pops up
24
Q

how often should rescuer be swapped

A

every 2 mins (“analysing rhythm” said on AED)

25
Q

CPR

A

Cardiopulmonary resuscitation

26
Q

BLS

A

basic life support

27
Q

AED

A

Automated external defibrillator

28
Q

BVM

A

bag valve mask

29
Q

O2

A

oxygen

30
Q

SAS

A

scottish ambulance service

31
Q

AGP

A

aersol generating procedure

32
Q

PPE

A

personal protective equipment

33
Q

OHCA

A

Out of hospital cardiac arrest

34
Q

VT

A

Ventricular tachycardia

35
Q

VF

A

Ventricular fibrilation

36
Q

ROSC

A

Return of spontaneous circulation

37
Q

HME filter

A

Humidity moisture exchange filter

38
Q

OPA

A

Oropharyngeal airway

39
Q

4 possible heart rhythms

A

Ventricular fibrillation (VF)
Ventricular tachycardia (VT).
Asystole
Pulseless electrical activity (PEA)

40
Q

2 shockable heart rhythms

A 
Ventricular fibrillation (VF)
Ventricular tachycardia (VT).

BDS3 BAMS Diseases of Human Systems (13 decks)

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