BCLS
Basic Cardiac Life Support
Dr Namita Saraswat & Dr Anupama Gill Sharma
Professor
Department of Anaesthesia
ABVIMS & Dr RML Hospital
Core Links in Adult BCLS
• Optimal outcome of CPR outside hospital would depend on certain
focused links that need to be followed during CPR
• There are four essential core links in BCLS
Core Links in Adult BCLS
You observe a person suddenly collapsing in front of you
Or
Somebody is already collapsed when you saw him/her first
Or
You have arrived at a scene where a lay person is providing CPR
Ensure Safe Place
Person to be shifted to a safe place
Ensure safe place
Check Response
Tap on shoulder from front and
ask loudly
“Hello - Are You alright”
Verbal Response and/or Purposeful Movement Eye opening,
Limb movement, Breathing or Cough
Ensure safe place
Check Response
Tap on shoulder from front and ask loudly: “Hello - Are You alright”
Responsive Unresponsive
Observe the victim,
Recovery position
Shift to nearest medical facility
Ensure safe place
Check Response
Tap on shoulder from front and ask loudly: “Hello - Are You alright”
HELP !!!
Responsive
मदद !!! Unresponsive
Shout for help, Call 108 / local emergency number
Get AED/ Defibrillator and emergency equipment
Ensure safe place
Check Response
Tap on shoulder from front and ask loudly: “Hello - Are You alright”
Responsive Unresponsive
Shout for help, Call 108 / local emergency number
Get AED/ Defibrillator and emergency equipment
Use mobile…. What to say during the call?
✔ Identify yourself
✔ Identify your location
✔ Tell about victim’s condition
✔ Number of victims
✔ Age, sex, complaint
✔ General condition
✔ Number of rescuer
Assure --------- Hang only when asked to do so
Ensure safe place
Check Response
Tap on shoulder from front and ask loudly: “Hello - Are You alright”
Responsive Unresponsive
Shout for help, Call 108 / local emergency number
Get AED/ Defibrillator and emergency equipment
Within
10
seconds Check Breathing while palpating Carotid Pulse
Perform within 5-10 seconds
Assessing Pulse & Breathing
Feel for carotid pulse
Locate thyroid prominence & trachea (using 2 finger)
Slide into groove between trachea & neck muscles (on
ipsilateral side)
Palpate for 5- 10 sec
Chant 1001, 1002, 1003,…..1010
Simultaneously Scan Chest/Abdomen for Breathing
Ensure safe place
Check Response
Tap on shoulder from front and ask loudly: “Hello - Are You alright”
Responsive Unresponsive
Shout for help, Call 108 / local emergency number
Get AED/ Defibrillator and emergency equipment
Check Breathing while palpating Carotid Pulse
Perform within 5-10 seconds
Normal breathing with Definite Recovery Position, Reassess every 2 minutes
Carotid Pulse Shift to nearest medical facility
Abnormal or No breathing Recovery Position, Reassess every 2 minutes
with Definite Carotid pulse Shift to nearest medical facility
Abnormal or No breathing Start Cycles of 30 Chest Compressions and 2
without Definite Carotid pulse Breaths
Ensure safe place
Check Response
Tap on shoulder from front and ask loudly: “Hello - Are You alright”
Responsive Unresponsive
Shout for help, Call 108 / local emergency number
Get AED/ Defibrillator and emergency equipment
Check Breathing while palpating Carotid Pulse
Perform within 5-10 seconds
Normal breathing with Definite Recovery Position, Reassess every 2 minutes
Carotid Pulse Shift to nearest medical facility
Abnormal or No breathing Recovery Position, Reassess every 2 minutes
with Definite Carotid pulse Shift to nearest medical facility
Abnormal or No breathing Start Cycles of 30 Chest Compressions and 2
without Definite Carotid pulse Breaths
Ensure safe place
Check Response
Tap on shoulder from front and ask loudly: “Hello - Are You alright”
Responsive Unresponsive
Shout for help, Call 108 / local emergency number
Get AED/ Defibrillator and emergency equipment
Check Breathing while palpating Carotid Pulse
Perform within 5-10 seconds
Normal breathing with Definite Recovery Position, Reassess every 2 minutes
Carotid Pulse Shift to nearest medical facility
Abnormal or No breathing Recovery Position, Reassess every 2 minutes
with Definite Carotid pulse Shift to nearest medical facility
Abnormal or No breathing Start Cycles of 30 Chest Compressions and 2
without Definite Carotid pulse Breaths
Ensure safe place
Check Response
Tap on shoulder from front and ask loudly: “Hello - Are You alright”
Responsive Unresponsive
Shout for help, Call 108 / local emergency number
Get AED/ Defibrillator and emergency equipment
Check Breathing while palpating Carotid Pulse
Perform within 5-10 seconds
Normal breathing with Definite Recovery Position, Reassess every 2 minutes
Carotid Pulse Shift to nearest medical facility
Abnormal or No breathing Recovery Position, Reassess every 2 minutes
with Definite Carotid pulse Shift to nearest medical facility
Abnormal or No breathing Start Cycles of 30 Chest Compressions and 2
without Definite Carotid pulse Breaths
Normal breathing with Definite Recovery Position, Reassess every 2 minutes
Carotid Pulse Shift to nearest medical facility
Abnormal or No breathing Recovery Position, Reassess every 2 minutes
with Definite Carotid pulse Shift to nearest medical facility
Abnormal or No breathing Start Cycles of 30 Chest Compressions and 2
without Definite Carotid pulse Breaths
5 Cycles – 30 Chest Compression and 2 Breaths
Pulse Pulse
Present Check Carotid Pulse (5-10 seconds) Absent
Continue the cycles TILL
Defibrillator/AED Available
Effective Chest Compression:
Rescuer position
Identification of site
Placement of hands
Process of chest compression
Identification of site
Placement
of hands
Process of
chest
compression
Airway and Breathing
Maintenance of Patent
Breath delivery
Airway
Maintenance of Requires either of two techniques:
Patent Airway (Open Head Tilt chin Lift
Airway) Jaw Thrust
In Suspected
Cervical Spine Injury
No Head Tilt chin Lift
Only Jaw Thrust
Manual in line
Stabilization
Maintenance of
Patent Airway
(Open Airway)
JAW THURST
Breathing
Breathing
Breathing
Mouth to mouth (barrier device) or Mouth to mask or Bag & mask
Provide 1 breath every 5 seconds
End Point: Visible chest rise; normal tidal volume breath.
Position:
Victim: Supine
Rescuer: On head end
C: Compress the mask with thumb & index finger forming letter ‘C’
E: Elevate the jaw (bony part) with remaining 3 finger forming letter ‘E’
Apex of mask: At the bridge of nose
Base of Mask: Groove over chin
Resume CPR
If victim starts to Breathe normally
place in Recovery position
Thank you Very Much
For Your Attention
