A rescuer arrive at the side of an adult victim and suspects an opioid-associated life-threatening
emergency
The victim if unresponsive and not breathing normally but has a pulse
What is the next action the rescuer should take? - ✔✔✔Give 1 rescue breath every 6 seconds
Adult BLS algorithms for health care providers - ✔✔✔Verify Scene Safety
Check for Responsiveness
- Tap the victim's shoulders and shout, "Are you OK?"
- If the victim is not responsive, shout for nearby help.
- Activate the emergency response system via mobile device
- Get the AED or send someone to do so
Look for no breathing or only gasping and check the pulse( simultaneously). Is a pulse definitely felt
within 10 seconds?
Normal breathing, pulse felt
- monitor until emergency responders arrive
No normal breathing, pulse felt
- 1 breath every 6 seconds, or 10 breaths/min
- Check the pulse every 2 min
- If no pulse, start CPR
,- If possible opioids overdose, administer naloxone if available per protocol
No normal breathing and only gasping, pulse not felt
- Start CPR
- Perform cycles of 30 compressions and 2 breaths
- Use AED as soon as it is possible
Once the AED arrives, check the Rhythm:
Shockable rhythm:
- give 1 shock and resume CPR immediately for 2 minutes (until prompted by AED to allow rhythm
check)
Nonshockable Rhythm
- Resume CPR immediately for 2 minutes ( until prompted by AED to allow rhythm check)
Continue CPR until ALS provider take over or the victims starts to move
Adult chain of survival - ✔✔✔- Early recognition and prevention
- Activation of Emergency response
- High-quality CPR
- Defibrillation
, - Post-Cardiac Arrest Care
- Recovery
AED pad placement: Adults and children 8 years and older - ✔✔✔Anterolateral Placement:
- place one pad directly bellow the right collarbone
- Place the other pad to the side of the left nipple, with the top edge of the pad a few inches below the
armpit
Anteroposterior placement:
- Place one AED pad on the left side of the chest, halfway between the tip of the breastbone and left
nipple with upper edge of the pad below the nipple line
- Place the other pad on the left side of victim's back, beneath the should blade, next to the spine
AED pad placement: Infants and Children less than 8 year of age - ✔✔✔Pad Choice:
- If your AED includes smaller-sized pads that are designed for children under 8 year of age, use them
-If not, use the adult pads while making sure that they don't touch or overlap
- Do not use the child pads for an adult. The shock dose is too small for an adult
Pad Placement:
- Some AED pads recommend placing one pad on the chest and one pad on the back for infants and
children
- Follow the pictures on the pad packages for proper placment