(bcls) programme - Singapore General Hospital
(bcls) programme - Singapore General Hospital (bcls) programme - Singapore General Hospital
STEP 3 ACTIVATE EMERGENCY MEDICAL SERVICE (EMS) When the infant does not respond : • If you are alone, immediately commence CPR 30 : 2 for approximately 2 minutes before calling 995 for an ambulance. • If a second rescuer is present, ask him / her to activate the EMS system by dialling the ambulance number 995. When calling EMS 995, state: • Location of infant. • The telephone number you are calling from. • What happened • Number of victims. • Hang up only after instructed to do so by the dispatcher. STEP 4 POSITION THE INFANT • For CPR to be effective, the infant must lie on a firm flat surface, the leg straightened and the arms placed alongside the body. BCLS Programme 28
STEP 5 OPEN THE AIRWAY Perform a head tilt-chin lift manoeuvre to open the airway. In an unconscious infant, 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 back of the throat and open the airway. Perform a head tilt-chin lift manoeuvre : • Place one hand on the infant’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 or over extend the infant’s neck because this may block the airway. • Perform a gentle chin lift if head or neck injury is suspected. BCLS Programme 29
- 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 and 14: STEP 3 SHOUT FOR HELP & ACTIVATE EM
- Page 15 and 16: • Place one hand on the victim’
- 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: Module 7 INFANT CARDIO-PULMONARY RE
- 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 5<br />
OPEN THE AIRWAY<br />
Perform a head tilt-chin lift manoeuvre to open the airway. In an unconscious infant,<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 back of the throat and open the airway.<br />
Perform a head tilt-chin lift manoeuvre :<br />
• Place one hand on the infant’s forehead and<br />
apply firm backward pressure<br />
with your palm to tilt the<br />
head back.<br />
• Place the fingers of<br />
your other hand under<br />
the bony part of the<br />
lower jaw to lift the jaw<br />
forward.<br />
Caution<br />
• Do not press deeply into the soft<br />
tissues under the chin or over<br />
extend the infant’s neck because<br />
this may block the airway.<br />
• Perform a gentle chin lift if head<br />
or neck injury is suspected.<br />
BCLS Programme<br />
29
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