…..need to check for a response. Call out to them as you are approaching “Hello, are you ok”, not responding, get down beside them and grasp and squeeze their shoulder asking again, “Hello, are you ok”……still no response.
S = Send for help: Call 111 as soon as possible. If you ask someone to call for you then get them to come back and let you know that this has been done. We also need to ask someone to bring you a defibrillator.
A = Open Airway: Every unconscious patient is at risk of airway obstruction due to the back of the tongue falling back. You need to open the airway by performing a head tilt chin lift, place 2 fingers under their chin, place the heal of your other hand on their forehead and gently but firmly tilt their head back.
B = Breathing: Once you’ve opened the airway you should check for breathing for a maximum of 10 seconds. Place the side of your face over the victim’s mouth and look at the chest. You are looking for chest movement, listening for breath sounds and feeling for exhaled breath on the side of your cheek. In this scenario this person is not breathing.
C = CPR/Circulation: If someone isn’t breathing you should immediately start Cardiopulmonary Resuscitation (CPR) and make sure someone has gone for a defibrillator. CPR comprises of chest compressions and rescue breaths. Chest compressions should be started as soon as possible, 30 effective chest compressions and 2 rescue breaths. Chest compressions should be at a rate of 100 – 120 per minute.
**In the unusual event where someone is found to be experiencing severe bleeding e.g. Shark bite/amputation, bleeding controls should be adopted prior to the commencement of CPR.
D = Attach Defibrillator: Once an Automated External Defibrillator (AED) arrives it should be used as soon as possible. Turn it on and follow the voice prompts. Do exactly what it instructs you to do.
Tomorrow we will begin our look at CPR starting with Adult CPR….
For great health information check out Health Navigator New Zealand where you will find expert opinion online.
Currently, there are temporary changes to the steps to be followed in resuscitation. These can be found in the video below or by clicking here to see the New Zealand Resuscitation Council temporary guideline recommendation.
Click the link to go to the New Zealand Resuscitation Council Covid-19 recommended modifications for delivering resuscitation whilst the pandemic remains a threat. Click play to see a short video outlining CPR modifications that should be followed during the pandemic.
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Data and information are fact-checked against various recognised sources, including the New Zealand Resuscitation Council, Health Navigator New Zealand, St John, and other recognised entities specialising in the specific subject content. It should be noted that variances in protocols exist and where necessary are identified.