(bcls) programme - Singapore General Hospital
(bcls) programme - Singapore General Hospital (bcls) programme - Singapore General Hospital
STEP 4 POSITION THE vICTIM For CPR to be effective, the victim must lie on a firm, flat surface. If the victim is lying face down, or on his / her side, you will need to roll the victim over onto his /her back. Do take care that the head, neck and body are supported and turned simultaneously during re-positioning. STEP 5 OPEN THE AIRWAY Perform a Head tilt-chin lift Manoeuvre to open the airway. In the unresponsive victim, muscle tone is impaired resulting in the tongue falling back and obstructing the airway. As the tongue is attached to the lower jaw, moving the lower jaw forward will lift the tongue away from the back of the throat and open the airway. Airway blocked Tongue falls back With head tilt-chin lift, the airway is clear BCLS Programme 12
• Place one hand on the victim’s forehead and apply firm backward pressure with your palm to tilt the head back. • Place the fingers of your other hand under the bony part of the lower jaw to lift the jaw forward. Caution • Do not press deeply into the soft tissues under the chin because this might obstruct the airway. • Perform a gentle chin lift if head or neck injury is suspected. STEP 6 CHECK FOR NORMAL BREATHING Place your ear and cheek over the victim’s mouth and nose and assess for breathing (up to 10 seconds) : – Look for the rise and fall of the chest. – Listen for air escaping during exhalation. – Feel for the flow of air from the victim’s mouth and nose moving past your cheeks. * Gasping is NOT considered as normal breathing. BCLS Programme 13
- Page 1 and 2: BASIC CARDIAC LIFE SUPPORT (BCLS) P
- Page 3 and 4: C o n t e n t s Module 1 INTRODUCTI
- Page 5 and 6: Module 2 The Chain of Survival The
- Page 7 and 8: 3.2 Heart ATTACK Heart attack usual
- Page 9 and 10: • Major risk factors that can be
- Page 11 and 12: Module 4 ADULT CARDIO-PULMONARY RES
- Page 13: STEP 3 SHOUT FOR HELP & ACTIVATE EM
- Page 17 and 18: STEP 8 LOCATE HAND POSITION FOR CHE
- Page 19 and 20: GUIDELINES FOR PROPER COMPRESSION D
- Page 21 and 22: Module 5 ADULT RECOVERY POSITION Th
- Page 23 and 24: Module 6 ADULT FOREIGN BODY AIRWAY
- Page 25 and 26: STEP 3 • Place your arms around t
- Page 27 and 28: STEP 3 • Open victim’s airway b
- Page 29 and 30: Module 7 INFANT CARDIO-PULMONARY RE
- Page 31 and 32: STEP 5 OPEN THE AIRWAY Perform a he
- Page 33 and 34: STEP 8 LOCATE LANDMARK FOR CHEST CO
- Page 35 and 36: STEP 9A PERFORM CHEST COMPRESSION
- Page 37 and 38: Module 8 INFANT RECOVERY POSITION 8
- Page 39 and 40: Module 9 INFANT FOREIGN BODY AIRWAY
- Page 41 and 42: STEP 3 BACK BLOWS AND CHEST THRUSTS
- Page 43 and 44: 9.3 RELIEF OF FBAO IN THE UNCONSCIO
- Page 45 and 46: Module 10 APPLICATION OF POCKET MAS
- Page 47 and 48: STEP 4 • Apply the rim of the mas
- Page 49 and 50: Module 11 SUMMARY CHECKLIST ADULT O
- Page 51 and 52: INFANT CPR STEPS D : Danger ACTION
- Page 53 and 54: Notes BCLS Programme 51
- Page 55 and 56: Notes BCLS Programme 53
STEP 4<br />
POSITION THE vICTIM<br />
For CPR to be effective,<br />
the victim must lie on a<br />
firm, flat surface. If the<br />
victim is lying face down,<br />
or on his / her side, you<br />
will need to roll the<br />
victim over onto his /her<br />
back.<br />
Do take care that the<br />
head, neck and body are<br />
supported and turned<br />
simultaneously during<br />
re-positioning.<br />
STEP 5<br />
OPEN THE AIRWAY<br />
Perform a Head tilt-chin lift Manoeuvre to open the airway. In the unresponsive victim,<br />
muscle tone is impaired resulting in the tongue falling back and obstructing the airway.<br />
As the tongue is attached to the lower jaw, moving the lower jaw forward will lift the<br />
tongue away from the back of the throat and open the airway.<br />
Airway<br />
blocked<br />
Tongue<br />
falls back<br />
With head tilt-chin lift,<br />
the airway is clear<br />
BCLS Programme<br />
12
Change language