BLS Station

Question 1

Outline

Answer 1

Introduction
- names, jobs
BLS station; infant and child
Stage 1 real time demonstration
Stage 2 step by step with rationale
Stage 3 candidate led step by step
Stage 4 supervised practise
Questions
Summarise; BLS infant and child (continual assessment)
Next session is…

Question 2

Demonstration

Answer 2

SSS
-safety, stimulate, shout
Open airway; infant vs child
Assessment: signs of life
- max 10s but then ongoing
- not required to fee central pulse
Rescue breaths; 5, 1 sec
- if no rise and fall, reposition, ?FB
- failure after 5 attempts move on to CPR
Chest compressions; 15:2 (if no signs of life)
- one finger above xiphisternum
- 1/3 AP diameter; 4/5cm deep
Continual assessment SoL

Question 3

Assessing for cardiac arrest

Answer 3

Open airway
- neutral position < 1
- sniffing morning air > 1
- Hands on bony parts not soft - can occlude
- jaw thrust in trauma

Look for breathing
Check pulse
- femoral/ brachial <1
- femoral/carotid > 1
CPR if rate
- under 100 neonate
- under 80 < 1
- under 60 > 1

Question 4

CPR - BVM

Answer 4

5 rescue breaths
- Over 1 sec
- if no movement reposition
- still no movement consider FB - check in mouth
Mouth to mouth
- under 1 over mouth and nose
BVM
- nose to chin
- not over eyes - can cause Brady

Question 5

CPR - chest compressions

Answer 5

Compress 1/3 AP diameter
- 4/5cm
Rate 100-120
Full recoil
<1 = 2 finger or 2thumb
>1 = 1 or 2 heel of hand
Over 80% CPR should be compressions

Question 6

CPR - mouth to mouth

Answer 6

Under 1
- breath over nose and mouth
- look for chest fall
Over 1
- hold nose, breath over mouth
- look for chest fall