3. BLS Review Video
  5. Basic Life Support (BLS) | Step by step | Details


hello welcome to nursing with professor,b my name is bridget in todays video,ill be providing you with the most,frequently tested items on the bls test,as well as giving you a consolidated,review on what you really need to know,for bls my previous video has helped,thousands of students pass it has more,than a hundred thousand views make sure,that you stay until the end because i,have a special bonus for you all right,without further ado lets go this is a,cpr bls cheat sheet make sure you stay,the end because there will be a bonus,this is the disclaimer page thank you so,much for watching i really appreciate it,i also wanted to say that the aha,updates every five years so this is the,most up-to-date version the last update,occurred in 2020 and the next update,will occur in 2025 you may pause to read,this disclaimer so going several years,back there was a change to,the american heart association bls,recommendations cpr recommendations when,you encounter,an unresponsive patient and it switched,from abcs to cab or compression airway,breathing as we go through i will give,you hints on what is often tested,recognition of an unresponsive patient,begins with circulation airway breathing,first you want to check for,responsiveness thats where you walk up,to the individual and youre like hey,hey hey can you hear me then if no,response then you proceed with the,assessment you want to activate 911 and,get an aed if help is around make sure,that you point to one specific person,and say you go call,and then a different person you go call,you go get the aed we dont want the,bystander effect where everybody else,thinks that someone else is going to,call 9-1-1 and no one ends up calling,you want to check for a pulse and this,should take at least five seconds but no,more than 10 seconds that is frequently,tested on you check for a pulse at least,five seconds but no more than 10 seconds,you should you can also check for,breathing during this time you want to,check your patient to see if they are,breathing not breathing or not breathing,normally,agonal gasping is not considered,breathing that was another test question,agonal gasping is not considered,breathing another test question was that,its often the first sign of cardiac,arrest this is cpr for adults you want,to start cpr beginning with chest,compressions across the board the,compression rate does not change its,going to be at least the compression,rate is at least 100 to 120 compressions,a minute,with the hand placement at the mid,nipple line lower half of the breastbone,and you can always think of the song,staying alive,staying alive staying alive thats the,pace you do compressions do compressions,at that rate and what you do need to,know for adults and this is the depth is,what differs across the board so for,adults you need to know that the,compression depth is at least 2 inches,but no more than 2.4 inches and again,100 to 120 just memorize that for,everybody adults children infant,compression depth does change so for,adults its two inches to no more than,2.4 and again that is tested on someone,is considered a child from one year to,signs of puberty and also with children,you begin with chest compressions and,also at a rate of 100 to 120,compressions a minute once again with,the placement at the mid nipple line,lower half of the breastbone the depth,is what changes at least one third the,depth of the chest about two inches so,no decompression depth for children now,an infant is from birth to one year once,again the compression rate is 100 to 120,the compression depth changes again its,at least one-third the depth of the,chest about 1.5 inches something that i,forgot to mention is if theres a 2,rescuer cpr on an infant you use the,thumb encircling technique as you see in,this image here whereas if theres just,if youre the only rescuer available for,an infant you do,you do the two finger technique as you,see in the picture above this is also,frequently tested on you want to allow,for full chest recoil between,compressions and this is in order to,allow the heart to adequately fill,between compressions if you dont if you,do the compressions too fast you wont,have enough you wont give the heart,time to fill you also want to minimize,interruptions and chest compressions,especially if youre doing a mock,scenario,right after you defibrillate you,immediately begin with chest,compressions you dont youre not,checking for a pulse it is recommended,that interruptions be limited to less,than 10 seconds and you want to rotate,the person providing compressions every,two minutes in regards to the airway if,no trauma is suspected you want to,utilize the head tilt chin lift if,suspected trauma so if you think theres,a spinal cord injury you utilize the jaw,thrust maneuver so once again if you,believe that there is injury to the,spinal cord utilize the jaw thrust,maneuver compression to ventilation,ratio adults its 30 to 2 whether it,doesnt matter if its a single or,multiple rescuer,now children and infants single rescuer,this is tested on single rescuer 30,compressions to 2 ventilations when,theres multiple rescuers more than one,then youre doing 15 compressions to two,ventilations ventilations with advanced,airway when an advanced airway is placed,you want to ventilate the patient one,time every six seconds for a total of 10,per minute and make sure that youre,always looking for visible rise of the,chest to confirm adequate ventilations,you dont want to see the abdomen rising,another term they might use is gastric,inflation you dont want to see that,once an aed is available use it,immediately immediately upon,defibrillation start cpr beginning with,chest compressions this is to reiterate,that compression start immediately after,you confirm that someone has no pulse,and that this or not this should take a,minimum of five seconds but no more than,10 seconds now when you get the aed the,first thing to do is turn the aed on and,then youre going to follow the prompts,the aed,has pictures in it and all sorts of,tools to make you be able to use it,correctly,so when the aed becomes available you,want to immediately use it and this is,the only time that stopping cpr is,appropriate after this point you will,only use the aed on two minute pause,pulse checks if the aed analyzes and,believes that a shock is,required make sure that you clear all,bystanders and healthcare workers please,do not deliver a shock while someone is,touching the patient immediately upon,defibrillation you want to resume cpr,beginning which has compressions the aed,can be used on a victim that was,submerged in water first of course you,want to remove the victim from the water,and you want to wipe the victims chest,the aed can experience difficulty if the,victims chest is hairy when possible,the victims chest should be shaved with,a medical razor most aed kids do bring a,shaver in the aed if there is not one,you may use pediatric pads to,give them a quick wax job and rip off,the hair so that,the,adult pads can make good contact with,the skin adult pads should be used on,adult patients and pediatric pads if,theyre less than eight years of age,should be used on children and infants,if pediatric pads are unavailable it is,acceptable to use adult pads however,ensure make sure that when you place the,pads that they dont touch,you can always put one on the front of,the chest and the other on the backs so,that they dont touch child age range,for the use of the aed is one,was one year to eight years of age and,child age range for cpr is one year to,signs of puberty the aed can be used for,patient laying and snow make sure you,clear the victims chest first foreign,body airway obstruction choking victim,in a responsive choking adult you want,to perform abdominal thrusts until the,item is dislodged if the patient becomes,unresponsive assist the victim to the,floor,carefully supporting their head activate,the emergency response system and start,cpr beginning with chest compressio


hello welcome to nursing with professor,b my name is bridget i have a masters,degree in nursing education im also a,family nurse practitioner,if you want to pass your cpr bls class,you came to the right place,my acls video has been viewed more than,9 000 times and i have helped hundreds,of people pass their acls,just stay tuned and with the study guide,that i will give you you will pass the,cpr bls,class like a boss before we get started,make sure you hit the like button make,sure that you subscribe and make sure,you turn on that notification bell,lets go,okay so the main difference between this,video and the other video is that in,this video i will be covering infant,child and adult cpr bls,whereas in the acls video i primarily,focused on adults and,and i barely even touched on infants or,children,okay so the american heart association,cpr be bls recommendations,compression airway breathing its no,longer abc,its cab recognition of an unresponsive,patient begins with cab,check for responsiveness if no response,proceed with,assessment for patients of all ages,okay so for purposes of this video i,dont have a mannequin and i dont have,a doll,so im going to be using my little,penguin so check for responsiveness,well,call her charlotte charlotte is,non-responsive were going to tap around,the shoulder,hey hey do you hear me if no,responsiveness then we begin,with cap you activate 9-1-1,you get an aed so again youre,but with the patient hey you go call,9-1-1 or somebody call you call 9-1-1,you spoil,you point to a specific person because,the bystander effect,people think oh im not going to call,because im sure someone else called,thats the bystander effect and then,nobody does anything,so you activate 9-1-1 you get an aed if,help is around request their assistance,to activate 9-1-1 emergency system and,get the aed,so if youre by yourself then you have,to do everything,you have to call 9-1-1 you have to get,the aed but if other people are around,then you stay with the patient,and you tell someone to call 9-1-1 and,you tell someone to go get the aed,you check for a pulse in adults youre,checking the carotid well go over that,in a little bit,this should take at least five seconds,but no more than 10 seconds they do,test that it should take no more than 10,seconds,you should check for breathing during,this time check patient to see if they,are breathing,not breathing or not breathing normally,agonal gasping is not,breathing agonal gasping is not,breathing that was on the exam and that,is not considered breathing,in regards to cpr for the adult sequence,youre going to start cpr beginning with,chest compressions,compression rate of at least 100 to 120,compressions a minute,with hand placement at the mid nipple,line lower half of the breastbone,the compression depth is at least 2,inches,but no more than 2.4 inches so again for,adults at least two,inches now a child is classified,in regards to aha and cpr guidelines as,one year,to signs of puberty so from one year to,signs of puberty you start cpr beginning,with chest compressions,the compression rate is also 100 to 120,compressions a minute,with hand placement at the mid nipple,line lower half of the breastbone,now the compression depth is at least,one-third,the depth of the chest and about two,inches,about so its not up to 2.4 like in,adults,about two inches now cpr,infant birth to one year infant is,classified as birth to one year,at least 100 and to 120 compressions a,minute with hand placement at the mid,nipple line lower half of the breast,bone,at least one third the depth of the,chest as the compression,now the depth changes for the infant,its about 1.5,inches for adults children its 2,to 1.5 you want to allow for,full chest recoil between chest,compressions thats on the exam,this will allow the heart to adequately,refill between,each compression you want to minimize,interruptions and chest compressions it,is recommended that interruptions be,limited to,less than 10 seconds you want to rotate,the person providing compressions,every two minutes so basically every,cycle,you are switching people if no trauma is,suspected then youre going to utilize,the head tilt,chin lift if suspected trauma you,utilize the jaw,thrust maneuver again you dont want to,create any additional damage in the,spinal,cord so then you if for example,lifeguards,they would usually with lifeguards we,only utilized the job thrust maneuver i,used to be a lifeguard,way back in the day we only did drop the,rest we werent going to risk it,compression to ventilation ratio adults,30 to 2 during single or multiple,rescuers so it doesnt change,for adults whether you have two people,one person it doesnt change,children and infants single rescuer,youre still doing 30 compressions to,two ventilations,adults 30 compressions to two,ventilations with,one person or multiple people children,and infants if one person is there,theyre going to do 30 compressions to,two ventilations now,if you have multiple rescuers children,and infants with multiple rescuers,youre doing,15 compressions to two ventilations,so thats different and they like to,test on things that are different,hint ventilations with advanced airway,again i wont get too,into it because that would be more acls,but,when an advanced airway is placed,ventilate the patient,one time every six seconds for a total,of 10 per minute,always look for visible rise of the,chest to confirm,adequate ventilations realize that the,chest,should be lifting and not the stomach,the gastric inflation that means that,its in the wrong,place defibrillation once an aed,defibrillator is available use it,immediately,immediately upon defibrillation start,cpr beginning with chest compressions,dont wait start that was an exam,question too,you right away start cpr you dont wait,after the defibrillator,to recheck or anything you just go right,back into it basic life support for,healthcare providers,high quality cpr will increase the,chance of victim survival so you want to,start,compressions immediately after,confirmation that a patient has no,pulse this should take a minimum of 5,seconds but no more than 10 seconds to,confirm again that was on the exam,compress at a rate of 100 to 120,beats per minute for all patients push,to a depth of,2 inches on adults and children,and 1.5 inches on infants,allow for full chest recoil this will,ensure the heart can adequately refill,in between compressions provide brats,until you see visible rise of the chest,in all patients,avoid excessive ventilations as this can,lead to decreased blood flow,the first step is to turn the aed on,then you follow the aed prompts when the,aed becomes available,immediately use it this is the only time,that stopping cpr in the middle of a,cycle is appropriate,after this point you will only use the,aed on the two minute pause,pulse check if the aed analyzes and,determines the victim requires,defibrillation,do so only after clearing all bystanders,and health care providers from the,victim so,im clear youre clear were all clear,right,immediately upon defibrillation resume,cpr beginning with chest compressions,the aed can be used on a victim,submerged in water,first remove the victim from the water,there should be a space there,remove the victim from the water and,wipe the victims chest,the aed can experience difficulty if the,victims chest is hairy,when possible the victims chest should,be shaved with a medical razor or pads,firmly placed to ensure chest contact so,theres two things that you can do,the aed kit should have a razor,if for whatever reason theres no razor,then you could use,another pad and you can rip off the hair,like a wax treatment,if theres more than one pad you can use,an adult pad to rip off the hair use,common sense obviously if you only have,two pads in the aed kit,then youre not going to use your last,aed pads to wax the patient because then,youre not going to have a pad to,defibrillate them so use common sense,but most aeds now do have a razo

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BLS Review Video

hello my name is angelique and I am an,instructor at ed core today Im going to,walk you through the information you,will need to be prepared for your,upcoming BLS class the procedures per,your company or your facility may change,some of the steps but the basic,techniques still apply in this video we,are going to review high quality CPR,technique AED use and special,circumstances,it is important to be able to first,recognize the signs of someone who needs,CPR,person who needs CPR has no response has,no pulse and is not breathing,the person meets these criteria they,need CPR,high-quality CPR is composed of two,basic actions compressions ventilation,and airway to do proper compressions on,an adult a rescuer must place his hands,on the lower half of the breastbone,compress at a rate of 100 to 120 beats,per minute,compressing groups of 30 compressions,and compress two to 2.4 inches with full,recoil this is Brenda and Jonathan and,they will be showing you the steps,[Music],now Jonathan is going to show us the,high quality compressions although you,cannot hear him he is counting out loud,this is very important to work as a team,also his arms are locked and he is,allowing full recoil he is going to two,two and a quarter in his depth of,compressions,[Music],to do proper ventilation and airway,management you must have a tight seal,with the mask tilt the head back and,blow into the one-way valve enough to,see the chest rise but not over,ventilate,make sure you always use a barrier,device to ensure that you and the victim,remain safe,ventilation and airway Brenda is showing,us now how to do this properly as you,see shes got a tight seal in there she,blows just to see chest rise and she,blows for about a second,[Music],now we are going to put it all together,make sure to take fewer than 10 seconds,to do breaths,putting it all together Jonathan is,going to do compressions as you see hes,doing complete chest recoil and even,though we cant hear him he is counting,out loud,this helps with working as a group also,remember your CCF also known as chest,compression fraction be sure you are on,the chest for at least 60% of the time,there will be more information on CCF at,the end of the video,when two or more rescuers are present,for a rescue attempt one rescuer can,perform compressions while the other,delivers breaths via a bag-mask device,as you see Brenda is using the EC clamp,to get the bag sealed AED use first and,foremost always turn on the AED and,follow the prompts another consideration,will be the three amps pedals medical,devices and meds put your pads 1 to 2,inches away from any of these things one,more consideration would be the,placement of the pads on someone who is,pregnant or may be pregnant one pad on,the center of the chest and one pad on,the center of the back sandwich eating,the heart this will ensure you will not,endanger the childs,see beyond channel has a few changes but,lets first define what defines a child,a child is 1 years of age to 8 years of,old and doesnt show signs of purity,signs of purity would be breast,development or hair mending the arms and,legs for facial another change would be,with one rescuer,who do 30 compressions to two and two,rescuers you switch 15 compressions to,two also on a child you are welcome to,use one hand if they are smaller like,jonathan is demonstrating if you are,unable to make your depth of 2 inches,with one hand switch to two hands this,is perfectly acceptable for infant CPR,some of the same child modifications,apply for infant CPR rescuer must start,compressions even if the infant has a,pulse but the pulse is under 60 beats,per minute compress one third of the,depth of the chest do 15 to 2 on your,compressions two breaths when two or,more rescuers are involved and use the,two thumb and circling hand technique,[Music],notice Jonathan here doing the,two-finger compression technique for a,one rescuer that count would be 30,compressions to 2 breaths be sure you do,complete chest recoil infant,compressions for 2 rescuers you will put,two thumbs just below the nipple line,and compress one and a half inches 15,compressions to 2 breaths,[Music],sometimes certain circumstances can,affect how a rescuer delivers CPR such,as an advanced airway if a person is in,cardiac arrest and has an advanced,airway in place one rescuer will do,constant high-quality compressions while,another rescuer gives one breath every,six seconds if a rescuer comes across a,victim who has a pulse,but is not breathing they must only give,one breath every five to six seconds for,adults and three to four seconds for an,infant another life-threatening,circumstance is choking if a victim is,choking a rescuer must get the victims,permission to help if the victim agrees,the rescuer must wrap arms around the,victim and place one fist above the,navel covered by what the other hand,perform abdominal thrusts in and up into,the victim think of an ice cream scoop,emotion immediately start CPR if the,victim goes unconscious and check the,mouth for an obstruction before each set,of breaths if the individual is too,large for you to reach around pregnant,no matter how large obese etc place,hands on the chest instead all other,points remain the same for relief of a,victim of a foreign body obstruction,thank you for watching as you see on the,screen here is a summary of the BLS,content you can print it off on the link,in the description below as promised,here is more information on CCF again,you can print this off below give us a,follow on facebook at ed core LLC or,give us a follow on twitter at EDD core,and if you liked this video or found it,helpful give us a like and subscribe to,us for future resources as always thank,you for using ed core

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whats going on my healthcare brothers,and sisters i hope that you are having a,wonderful day today we are going to do,the much awaited and much,asked for important tips on how to pass,your bls,like a boss 2020 edition,so lets get started were going to,start with our adults so what are we,going to do,if we find a patient and they are,unresponsive and they dont have a pulse,were going to immediately get,cpr what is that that is our cab our,compressions,airway and breathing so understanding,basic life support in adults were going,to check for responsiveness of the,patient by tapping,firmly and above the collarbone hey are,you okay,no response if there is no response we,want to assess,our environment before beginning,cardiopulmonary resuscitation,if we are out in the middle of the,street we dont want to start doing cpr,in the middle of the street thats,dangerous thats dangerous for you and,thats dangerous for the victim,so we want to make sure that we move,them to a safe place and begin,cardiopulmonary resuscitation we want to,activate the emergency response system,after we verify our environment,by shouting hey i need help i need help,and hopefully another person will come,when that person comes,you want them to call 9-1-1 and you also,want them to find,an aed defibrillator were going to,check for breathing in a pulse no more,than 10 seconds,thats going to be on your test make,sure you know that check for a pulse,check for breathing no more than 10,seconds,if we do not have breathing and we do,not have a pulse we want to begin,cpr immediately starting with our chest,compressions if a pulse is present and,we have,adminal breathing we want to begin,rescue breathing immediately,so on our cab lets start with our chest,compressions so we want to place the,palm of our hand over the patients,sternum,just above that xiphoid process now,recently and previously an indicator was,to look for,the mid nipple line when were placing,our palms,however due to an increase in obesity,and morbid obesity the nipple line may,not be,in the right place so its not really,usually a best indicator,so we really want to feel it to find,that xiphoid process,and put our palms just before it because,if youre pushing on the xiphoid process,theres a good chance that it might,break off and cause some other problems,that we dont need were already having,a bad situation dont make it worse,chest compressions must be between 100,and 120,per minute thats fast thats strong,right,compression depth should be at least two,inches in adult,and we want to allow for full chest,recoil between compressions and we want,to minimize those interruptions,no more than 10 seconds it really should,be less than 10 seconds,and we want to switch our compression,team members every two minutes thats,usually five cycles,compressions to ventilation ratio is,between 30,to 30 compressions to two rescue breaths,moving on to our airway and our,breathing so we want to utilize the head,um chin lift or if were concerned that,theres been some kind of trauma to,their cervical spine we want to use that,draw,thrust that way we maintain that,cervical spine and dont make that,trauma worse,rescue breasts are one breath every five,to six seconds,and you want to see that visible chest,rise and fall with each rescue breath,we want to avoid excess ventilation,why what are the complications related,to that so there can be a potential,reduction of cerebral blood flow related,to a decrease in paco2 levels,so if were just excessively ventilating,were blowing off a whole bunch of co2,we can cause,that reduction in cerebral blood flow we,also have a risk of increased,intrathoracic,press pressure which can lead to adverse,hemodynamic,effects such as hypotension we dont,want to make it worse,lets try to avoid using those excess,ventilations when were ventilating,these patients,all right so youve been doing chest,compressions which feels like forever,and somebody,finally comes with the aed so what do we,want to do,number one thing we always want to do,before we even touch any pads or,anything else thats located inside of,that,little box that they come with is we,want to turn,on the aed when you turn it on the aed,is going to tell you what to do,youre going to follow those prompts so,were going to open and remove the,patients shirt we want to make sure,that we clear any kind of wet barriers,such as sweating,if they were a near drowning victim we,want to make sure that we have a nice,clean skin that were putting those pads,on also,if they have medication patches on we,want to remove those,now i highly recommend that if you were,doing bls,especially out in the field and they,have medication patches on you really,want to make sure that youre not,touching,that with your bare hands you want to,have some kind of glove or some kind of,barrier,because whatever you touch is going to,be absorbed into your skin,potentially causing issues with you so,make sure that youre having some kind,of barrier,before removing those patches we want to,attach the aed pads to the right,anterior chest,and the left mid axillary line as,instructed on the actual pads themselves,and then were going to plug,in the pads into the connector the aed,we want to stop chest compressions and,confirm that everyone is,clear by stating stand clear once we,know that everybodys clear and nobody,is touching the patient were going to,push the analyze button and allow the,aed,to analyze that persons heart rhythm,if a shock is recommended we want to,make sure that,nobody is touching the patient and,repeat again stand,clear we dont want anybody getting,shocked that doesnt need to be right,once everybodys clear were going to,push that shock,button what do we do immediately after,we push that shot button,we begin cpr again and were going to,follow,um with two minutes of cpr thats,usually five cycles,and were going to follow the aeds,prompts again once it comes back after,those two minutes,thats pretty much the meat and potatoes,of what you need to know for adult bls,so lets,look at pediatric bls so to begin with,pediatric,bls we really need to understand what,the definition of a neonate,infant child and adolescent are,so a neonate is between 0 to 28 days,an infant is between 28 days to one year,a child is greater than one year but has,not reached puberty yet,and an adolescent has reached puberty,and,that can be seen with either their,armpit hair or some kind of breast,development in our female adolescents,so just like in our adults the pediatric,bls,is the same thing our cab sequence for,cardiopulmonary resuscitation,compressions airway and breathing we,want to verify that the scene is safe we,want to check for responsiveness and we,want to call for help,just like we discussed earlier if the,scene is not safe you dont want to,become a victim yourself if youre in,the middle of the street,get that child out of the middle of the,street some place that is safe,we want to check for responsiveness of,the child by tapping the,shoulders of a child or adolescent or,tapping the heel of an,infant and shouting are you okay if they,dont answer you and you dont receive a,response you want to call for help you,want to activate that emergency response,system if nobody responds,if youre in a situation where you are,by yourself and nobody is around you do,not,want to leave the pediatric you want to,perform at least one round of cpr,prior to going and finding help,next we want to assess for breathing no,more than seven seconds as we stated,before,were going to check for rise and fall,of the chest and is there a pulse,presence pulse checks on an infant were,going to palpate the brachial pulse,which is usually on the inside of the,arm here,and with a child were going to palpate,either the carotid pulse,or the femoral pulse in their groin,so we have an unresponsive no pulse,not breathing victim what are we going,to do were going to begin cpr,immediately so in an infant were going,to use the two finger,chest compressi

Basic Life Support (BLS) | Step by step | Details

Ive support so todays topic will be,about basic life support where I will be,giving you a step-by-step guide line of,what to do when you encounter someone,who needs acute medical assistance so we,start by saying what exactly is basic,life support more commonly its known as,CPR and his actions performed on someone,whose heart has stopped aim to buy,enough time for them until emergency,services arrive can be performed by,medical personnel and anyone who has,qualified in first aid so how important,is BLS well several studies have been,conducted and shows that BLS is,extremely important in increasing,survival rates of people who have,undergone cardiac arrest the UK,ambulance services receive several,thousand calls from suspected cardiac,arrest however they are only able to,perform resuscitation in about half of,them as patients have expired due to not,receiving bystander CPR its that,important so what do you do when you see,someone who could be having a heart,attack well first of all you have to,ensure its safe to approach the victim,and ensure bystander safety no wires any,hazards liquids etc now you start by,assessing how the patient is you shake,them you ask them if theyre okay if,they do not respond you do a sternum rub,that is you get your knuckle and you rub,the middle of their chest to evoke a,response if there is no further response,then we know that something saviours may,be going on and we start to look at the,airway however if they do respond and,the patient is breathing but they look a,bit drowsy stay at this side and observe,any changes that may happen until the,paramedics arrive so we know that the,patient is not responding to our cues so,what we do we place them on their back,and we open that airway using the head,tilt or duo first maneuver as shown in,these diagrams,after opening the array we assess if the,patient is breathing we have to do this,extremely quickly this is a critical,situation so you look for any chest wall,movement you listen for any breath,sounds and feel for any breath coming,from the nostrils or mouth a point here,is that when a person goes into cardiac,arrest the heart has completely stopped,and its important not to mistake the,normal breathing someone gets with the a,golden respiration scene in cardiac,arrest this is a survival mechanism,kicked in by the brain,its a brainstem reflex and occurs when,theres a decreased perfusion to the,brain call for help this is extremely,important just shout for help if this if,you are standing and Im doing it if,youre on your own and start CPR as soon,as possible how to conduct sleep here,well we begin by assessing the position,so we paste our hands over the center of,the chest about two fingers above from,the xiphoid process or the tip of the,sternum that is where you place your,palm you also interlock your other hand,and make sure that pressure is not,applied to the ribs you dont want to,crack any ribs unnecessarily its,important to make sure the hands are not,further down as it may cause the patient,to vomit and aspirate,and it the procedure is not effective if,the hands are too further up the chest,wall so we have to start the,compressions now because the patient is,not breathing and not responding now,its important to make sure when you are,doing compressions make sure your,shoulders are directly above the side,where you are pressing pressing you are,pushing with your body not your arms if,you push with your arms you will get,tired very quickly and that will not,help anyone so you press down with the,depth of five to six centimeter no one,really assesses how hard no many,measures the depth of which were,pressing but the idea that this has to,be quite a lot of pressure applied to,the chest wall,so this is done at a rate of about a,hundred 120 per minute rescue breaths,now you should only give rescue rescue,breaths if you know how to if you do not,just continue giving CPR so after 30,compressions you give two rescue breaths,you tilt them ahead of the person back,opening the airway pinch the nose form a,seal with your mouth take a breath in,and blow into the mouth watching for,chest movement and each breath takes one,second do not interrupt compressions for,more than 10 seconds between when,performing rescue breaths if you are not,trained again in giving rescue breaths,continue with the CPR if a defibrillator,defibrillator does arrive and you know,how to use one do use it if there are,more of you over there one person,attaches the electrodes to the patients,as while the other one is still,performing their compressions do not,stop do not stop until the patient,regains consciousness which by CPR alone,is quite rare recovery position if a,patient however does regain,consciousness then is good you have to,place the patient in a recovery position,now this recovery position what you do,is with the patient lying down you raise,one of the arms up as if they are waving,to say hi secondly you place the other,hand on the opposite side of their face,and with that you bend the knee and you,tilt them towards yourself this is the,recovery position and do make sure that,the head is tilted back so its easy for,them to breathe this is the recovery,position they are the references all the,information that I have gathered and,that is a quick guide on how to perform,CPR thanks again for watching and if you,do have any questions or comments or any,suggestions or any topics please do,leave them in the comment section below,thanks again


whats going on all my healthcare,brothers and sisters i hope that you are,having a wonderful day,the 2020 updated guidelines are out for,the american heart associations,basic life support and today were going,to be discussing what 2021 will hold for,us when it comes,to bls lets get started so one of the,big changes that youre going to see to,the 2020 guidelines is the,change in the chain of survival so what,the american heart association did was,they added a,sixth link called recovery to the end of,the chain survival,so really once we get that return of,that spontaneous circulation its really,about the care and support,during the patients recovery so they,recommended that after cardiac arrest,these survivors should have multimodal,rehabilitation assessments,and treatment for physical neurological,cardiopulmonary and cognitive impairment,so when it comes to our basic life,support its really all about that,c a b our compressions,airway and breathing so when we find a,potential victim we want to check,for responsiveness of that patient by,tapping firmly on them and above their,collarbone,if there is no response and im talking,about you really need to tap,it are you okay if you find no response,you want to assess the environment for,safety,before beginning cardiopulmonary,resuscitation,why is because if youre out in the,middle of the street and there are cars,moving back and forth,you can potentially become a victim,yourself and if now we have two victims,its going to be a lot harder,for people to do cardiopulmonary,resuscitation on two people as well as,activate the system so make sure,that you were in a safe area before,starting cpr,next you want to activate the emergency,response system by shouting for help and,have another person obtain an aed,or defibrillator something new that is,recommended with the 2020 guidelines is,that if you have a mobile device,they want you to immediately activate,the emergency response system as opposed,to waiting for,help because the quicker that you can,get help to you the quicker we can save,lives,next you want to check for breathing and,a pulse no more than 10 seconds we dont,want to delay,that life-sustaining cardiopulmonary,resuscitation,next you want to begin cpr if there is,no pulse detected by starting,chest compressions and these are high,quality chest compressions,however if a pulse is present and they,have agonal breathing then we want to,begin rescue breathing,immediately like i said before the 2020,guidelines have updated regarding the,activation of the emergency medical,services,so if you have a mobile device its,available its handy,you want to call early you dont want to,wait for help if you,already have the resources you need in,order to activate the system,so any area outside the hospital such as,a parking lot make sure you activate,that system,as soon as possible so lets talk about,chest compressions,you want to place the palm of your hand,over the patients sternum,just above that xiphoid process,a previous indicator in the past updates,was that the,hand should be placed at the mid nipple,line however due to the increase in,obesity the nipple line may not be,the best indicator when it comes to cpr,so make sure that youre placing the,palm of your hand just above that,zyphoid process,on the sternum when it comes to chest,compressions we want to do between 100,and 120 per minute,and in adults we want to compress at,least,two inches you also want to allow for,full,chest recoil between compressions and,minimize,interruptions to less than 10 seconds a,lot of these that you see in red,will be on your exam you want to switch,compression,team members every two minutes to avoid,exhaustion,of cpr lastly compression to ventilation,ratio when it comes to adults you want,to do,30 chest compressions to two rescue,breaths,something new that the american heart,association is implementing as 2020,is the cpr coach and what this coach,does is its really dedicated to the,quality of cpr,theyre critiquing the depth the rate,and the recoil,in this role can be combined with,another rule such as somebody whos,going to be handling the defibrillator,its really just a second person looking,at,cpr to make sure that were doing it,effectively and efficiently,so lets take a look at the airway and,breathing when it comes to our cab,in our adult patients we want to utilize,that head,chin lift or draw thrust if there is a,chance of cervical spine injury related,to trauma,were going to provide rescue breaths,one breath,every six seconds for respiratory rest,with or without an advanced airway,this is a new guideline for 20 20. it,used to be that you had,differentiating ways of providing rescue,breaths depending on what you had,so if you had a bad mask valve device,then you would provide one breath every,five to six seconds for respiratory,arrest,or one breath every six seconds for,ventilation with an advanced,airway however they have now changed,that for 20 20 to make it a little bit,less confusing,and now it is one breath every six,seconds for respiratory arrest,with or without an advanced airway in,place,you want to make sure that youre seeing,visible chest rise and fall with each,rescue breath,and you also want to avoid excess,ventilation,because there is a potential reduction,of cerebral blood flow,related to a decrease in co2 levels,if we are excessively ventilating these,victims,lets have a discussion about the aed,and defibrillator what is the first,thing you want to do whenever the aed,arrives to the scene,you want to turn it on and you want to,follow the prompts,provided by the aed next you want to,open and remove the persons shirt,now if this is a potential person whos,very sweaty because of an mri,or that youre a near drowning patient,you want to make sure that you,clear that wet barrier prior to putting,the pads on,its also important that if you find any,medication patches on the chest or the,back,that you also remove those as well next,were going to attach the aed pads to,the,right anterior chest and left mid,axillary line,per the pad instructions and were going,to plug the pads,into the connector located on the aed,were going to stop,chest compressions and confirm that,everyone is clear,by saying stand clear you want to make,sure everybody hears you,youre going to push the analyze button,on the machine and allow the aed to,analyze that persons heart rhythm,if a shock is recommended you want to,again,check to make sure that everybody is,clear and no one is touching the person,and by saying stand clear once,everybodys clear,and youve confirmed it go ahead and hit,the shock button,and after the shock takes place you want,to make sure that you begin,cpr immediately if no shock is advised,again youre going to start cpr,immediately youre going to perform,another two rounds of cpr,and then again follow what the aed,prompts tell you,something thats really important to,know when it comes to bls is,when we do termination of resuscitation,now if were not in the field providing,bls to a potential person,then we dont stop bls until somebody,gets there we want to continue to try to,save lives,however if in transit or when we get to,the hospital,its really a discussion that we have as,a multi-disciplinary team,of when we decide to terminate,resuscitation,theres certain criteria that has to be,met one of the criteria,arrests not witnessed by emergency,medical services personnel,two no return of spontaneous circulation,before,transport and three no,aed shock was delivered before transport,if all of this criteria is present that,is when we start to consider termination,and resuscitation,if any other criteria is missing we want,to make sure that were continuing,resuscitation and were transporting the,patient to the hospital,now lets take a look at the basic life,support when it comes to pediatric,persons we really need to understand the,definition of neonate,infant child and adolescent because,depending on what,age group they fall in its really


hello welcome to nursing with professor,b my name is bridget i have a masters,degree in nursing education im also a,family nurse practitioner in todays,video ill be doing a short review in,order for you to pass,the 2021 bls test my 2020 video,was seen more than 40 000 times and it,helped thousands of people pass,the bls test so without further ado,lets get started,but before we get started make sure you,hit the like button,make sure you subscribe and make sure,you turn on that notification bell,lets go cpr bls infant,child and adult cheat sheet this video,is for educational purposes only if you,have a question about a medical,condition please consult a qualified,healthcare professional the content in,this video strives for,100 accuracy but errors may occur thank,you for watching first of all,i know this material can be a little bit,dry but we will get through this,together,all right so the first thing that you,need to remember is you want to think of,cab,compression airway and breathing that is,the order,that the aha now recommends so the,number one thing you want to do,charlotte is back from last year is,charlotte is laying on the floor,you want to say you want to check for,unresponsiveness so,hello hello they always if when youre,doing this scenario like the simulation,theyll have a mannequin on the floor,you tap the mannequin on the floor,and you say hello hello can you hear me,are you okay,and then if no response you proceed with,assessment for patients of all ages,so if no response immediately,have someone specifically if youre in a,crowd with someone,if the scenario is that youre in a,crowd youre going to ask one person,youre going to point to them and say,you call,person you go 911 the aed you want to,tell,someone specifically to call 9-1-1,because if theres a lot of people,theres a thing called the bystander,effect,and everyone else will assume that,you call that they call them when they,call anyone and then nobody calls 901.,so number one right away activate 9-1-1,get someone to um get an aed for you if,help is around,request their assistance to activate,9-1-1 emergency system and get the aed,so um if no one if if youre by yourself,call 911 get an aed you can you want to,check for a pulse and youll check on,the carotid for an adult,this should take at least five seconds,but no more than 10 seconds,thats on the test you should check for,breathing during this time,you want to check if the patient you,want to check patient to see if they are,breathing,not breathing or not breathing normally,agonal gasping,is not considered breathing thats also,on the test,agonal gasping is not considered,breathing,so then you would initiate cpr,and you would start cpr are beginning,remember with,cab you would begin with chest,compressions,the compression rate is at least 100 to,120 compressions per minute,with hand placement at the mid nipple,line,lower half of the breastbone and they do,ask on the test,the depth and they do ask the,compression rate so,the song you can think of is,staying alive staying alive,its 100 to 120 compressions a minute,okay and you want to go at least two,inches but no more than 2.4 inches,at least two inches thats usually on,the test also,all right now how do you classify a,child,a child is from one year to signs of,puberty,again with them you start cpr beginning,with chest compressions,for children for the compression rate,for children is also at least 100 to 120,compressions a minute,also with hand placement at the mid,nipple line lower half of the breastbone,and compression depth is at least,one-third the depth of the chest,about two inches you dont want to go,the 2.4,in adults but you want to go about,two inches with children infant is,considered,from birth to one year infant is from,birth,to one year and you start cpr beginning,with chest compressions also so,everybody is cab so make that easy,right now also the compression for,infants is at least 100 to 120 so thats,everybody,a minute with hand placement also at the,mid nipple line lower half of the,breastbone,now the depth for infants is different,its about,1.5 inches so 1.5,inches for infants this is on the test,you want to allow for full chest recoil,between compression so,it does if youre just if the heart was,just compressing like this like an,atrial fibrillation right,it doesnt feel enough the heart needs,to,part needs to relax thats why it has,diastole to fill,and then systole compresses so if youre,just,pum pum pum pump the poor little heart,doesnt have time to fill so,remember on the test thats why the,chest compressions,staying alive you need to allow full,chest recoil,like i said before thats on the test,you need to allow full chest recoil,between compressions and this allows the,heart to adequately,adequately fill between each compression,you want to mice you want to minimize,interruptions,in chest compression so so minimize,interruptions and chest compressions as,recommended that interruptions be,limited to less than 10 seconds,the only time really youre going to be,interrupting is when youre rotating,between compressions,now you rotate the person providing,compressions every two,minutes you rotate the person providing,compressions,every two minutes if no trauma is,suspected you can utilize,the head tilt chin lift so you can,actually move,but you dont want to move someones,spine if theres been trauma,so if theres suspected trauma you,utilize the jaw thrust maneuver,where you thrust their jaw forward and,that also helps,open up the airway now compression to,ventilation ratio this is on the test,for a single or multiple rescuer in,adults its going to be 30 to 2,okay so 30 compressions to two breaths,it doesnt matter if its a single,rescuer or multiple rescuer,now in children and infants,one rescuer is also 30 to 2,however if theres multiple rescuers and,children,and infants then its 15 to 2 and thats,usually in the test if theres two,people,doing resuscitation on a child or an,infant its going to be,15 compressions to two ventilations,to two breaths okay ventilations with,advanced airway this is more acls so,ill cover it quickly,when you have an advanced airway you,ventilate the patient,one time every six seconds for a total,of,10 per minute and this is on the test,you always look for visible rise of the,chest,to confirm adequate ventilation you want,the chest to rise,not the abdomen arise if the abdomen is,rising then the airway is not properly,placed,and youre seeing gastric inflation so,always look for the chest,to rise with defibrillation,once someone gives you the aed or you,get the aed,you use it immediately you dont wait,immediately,and immediately upon defibrillation you,start cpr beginning with chest,compressions,thats a change from you know maybe 10,years ago after,10 years ago they would say oh after you,defib,you want to check for a pulse no theyre,saying right away so,shock delivered so as soon as you hear,shock delivered boom boom boom you start,right away with cpr,you dont stop you dont check for a,pulse all right basic life support for,health care providers,high quality cpr will increase the,chance of victim survival im not sure,why the,slide looks this weird probably because,im doing this in,pdf version versus actual presentation,but anyways so,you start compressions immediately,after confirmation that a patient has no,pulse okay,important no pulse thats when you do,compressions if theres no,pulse you do need to check for a pulse,again repetition is the mother of,learning this will be on the test,this should take a minimum of some this,should take a minimum,of five seconds but no more than 10,seconds to confirm,okay you want to compress at a rate of,100 to 120 per minute for all patients,you push to a depth of 2 inches on,adults and children,1.5 inches on infants remember infants,is different,you allow for full chest recoil this,will ensure the heart can adequately,this will ensure the heart can,adequately refill in between,compressions,you provide

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