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Cleansweep RN

Basic Life Support (BLS) is a specific level of medical care provided by trained responders, in the absence of advanced medical care. Basic Life Support consists of a number of life-saving techniques focused on the "ABC’s “of emergency care namely Airway, Breathing and Circulation. It is designed to provide a wide variety of healthcare professionals the ability to identify several life-threatening emergencies, provide CPR, and relieve choking in a safe, timely and effective manner.

We have always known that CPR is not a single skill but a series of assessments and interventions. More recently we have become aware that cardiac arrest is not a single problem and that the steps of CPR may need to vary depending on the type or etiology of the cardiac arrest. At the 2005 Consensus Conference researchers debated all aspects of detection and treatment of cardiac arrest. The authors of the 2005 American Heart Association Guidelines for CPR and ECC simplified the BLS sequences, particularly for lay rescuers, to minimize differences in the steps and techniques of CPR used for infant, child, and adult victims. For the first time, a universal compression-ventilation ratio (30:2) is recommended for all single rescuers of infant, child, and adult victims (excluding newborns). The goal of these changes is to make CPR easier for all rescuers to learn, remember, and perform.

There are two main underlying themes in the BLS section of Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations (CoSTR). First, is the need to increase the number of chest compressions given to a victim of cardiac arrest, and second, the importance of simplifying guidelines to aid acquisition and retention of BLS skills, particularly for laypersons.

It is well documented that interruptions in chest compression are common and are associated with a reduced chance of survival for the victim. The ideal solution is to deliver continuous compressions whilst giving ventilations independently. This is possible when the victim has an advanced airway in place, and to be discussed in the adult advanced life support (ALS) section. Chest-compression- only CPR is another way to increase the number of compressions given and will, by definition, eliminate pauses. It is effective for a limited period only (about 5 min) and is not recommended as standard management of out-of-hospital cardiac arrest.

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