Essential BLS Study Guide | CPR Care

Basic life support (BLS) is a crucial set of life-saving techniques used in emergencies. This helps maintain the airway, circulation, and breathing of individuals in distress. BLS provides immediate care during cardiac arrest, airway obstructions, and respiratory arrest. This improves the chances of survival until advanced medical help arrives.

The key components of BLS include rescue breaths, chest compressions, and the use of an automated external defibrillator. These techniques regulate the oxygen throughout the body, the brain, and the heart. Healthcare professionals and trained laypersons can perform BLS.

Understanding BLS protocols can make the difference between life and death. Explore this BLS study guide to understand the techniques and procedures.

Understanding the BLS Chain of Survival

The chain of survival is a series of steps that helps improve the chances of survival for individuals experiencing cardiac arrest. It was developed in response to research that showed that the chances of survival for someone experiencing sudden cardiac arrest increase when the steps are followed effectively.

Today, the chain of survival is widely recognized as a crucial framework that improves the chances of survival for individuals experiencing sudden cardiac arrest. It is beneficial for first responders and medical professionals to provide timely, effective care that can save lives.

Here are the steps in the chain of survival:

  1. Recognize and activate the emergency response system:

    This is the first step in the chain of survival. The primary objective is to recognize individuals experiencing sudden cardiac arrest. Once you recognize this, then you must activate the emergency response system. Call 911 to activate. Do this as soon as possible, as time is essential.

  2. Early CPR:

    The next step is to provide early CPR, or cardiopulmonary resuscitation. The steps involve chest compressions and rescue breaths. This helps the blood circulate well and reach the essential organs. Anyone who is trained in CPR must administer these steps.

  3. Rapid defibrillation:

    The third step includes using an automated external defibrillator. This helps deliver shock to the heart. Additionally, it can also restore a normal heart rhythm. This helps improve the chances of survival for individuals experiencing sudden cardiac arrest. AEDs are portable devices that you can carry anywhere. These are user-friendly, which anyone can use. You can get these in public places such as offices, schools, and airports.

  4. Advanced life support:

    This is the fourth step that involves providing advanced life support. It includes medications that regulate the functioning of the heart.

  5. Post-arrest care:

    This is the final step where the trained individuals offer post-arrest care. The steps involve hospitalization and providing specialized treatment, including coronary artery bypass surgery.

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What are the BLS techniques and procedures?

BLS techniques and procedures provide immediate and effective care during life-threatening situations. This helps maintain vital body functions until professional help arrives. Let us learn the key techniques of BLS certification study guide:

  1. Chest compressions:

    Place the heel of one hand on the chest. Position it in the center, and place the other hand on top. Keep your elbows straight and your shoulders over your hands. Press down hard and fast, compressing the chest 2 inches deep at a rate of 100–120 compressions per minute.

    Rescue breaths: After 30 chest compressions, give 2 rescue breaths. Tilt the head back of the victim to open the airway. Cover the mouth and create an airtight seal. Breathe in the victim’s mouth for 1 second and watch the chest rise.

  2. Use of an automated external defibrillator (AED)

    Procedure: Turn on the AED and follow the audio and visual prompts. Expose the chest of the victim and apply the AED pads. Make sure that no one touches the victim while the AED analyzes the heart rhythm.

    Purpose: Restore a normal heart rhythm and deliver an electric shock to the heart during sudden cardiac arrest.

  3. Airway management:

    Procedure: Check for obstructions in the airway and remove objects. Use the chin-lift method and open the airway for unresponsive victims. You can use the jaw-thrust maneuver for any suspected injuries to the spine.

    Rescue breaths: After 30 chest compressions, give 2 rescue breaths. Tilt the head back of the victim to open the airway. Cover the mouth and create an airtight seal. Breathe in the victim’s mouth for 1 second and watch the chest rise.

    Purpose: The purpose is to provide immediate life-saving interventions.

  4. Continuous monitoring:

    Procedure: Continue giving chest compressions and rescue breaths until professional help arrives. Reassess the condition of the victim and adjust the procedures whenever necessary.

    Purpose: The primary purpose is to maintain effective support and ensure the best possible outcome.

How to Use an Automated External Defibrillator (AED)?

AEDs’ can help save lives during sudden cardiac arrest. Learn the steps to using an automated external defibrillator in this BLS study guide:
  1. Retrieve the AED. Open the case and turn on the AED
  2. Expose the person’s chest. If the chest is wet, dry it.
  3. Remove the medication patches.
  4. Open the AED pads. Peel off the backing
  5. Check the internal defibrillator or pacemaker
  6. Apply the pads. Place one pad on the upper right chest above the breast. Apply the second pad on the lower chest, below the armpit.
  7. Attach the wires to the AED box.
  8. Move away from the person. Stop giving CPR.
  9. Clear the person. Do not let anyone touch the person.
  10. Wait patiently for the AED to analyze the rhythm.
If the AED says ‘Check Electrodes’, then follow these steps:
  • Ensure that the electrodes make good contact.
  • If the chest is hairy, then pull the pad off and also replace it.
  • If the AED message says ‘shock’, then ensure that the person is ‘clear’ and that no one is touching them.
  • Press and hold the ‘shock’ button. Keep pressing the button until the AED delivers the shock.
  • Repeat steps 1 to 10.
  • Resume CPR for two minutes.

Steps for BLS Certification and Renewal

Knowledge of basic life support skills equips you to help an individual experiencing difficulty breathing. Here are the steps to BLS certification:

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High-Quality Chest Compressions: Techniques and Tips

High-quality chest compressions maximize blood circulation. It improves survival chances. Know the techniques & tips in this BLS refresher study guide:

  • Positioning: Place the victim on a flat surface.
  • Hand placement: Place the heel of one hand on your chest. Keep the heel between the nipples.
  • Depth of compression: Compress the chest by at least 2 inches. Allow for full heat recoil.
  • Compression rate: Perform compressions at a rate of 100–120 per minute.
  • Body mechanics: Place your shoulder above your hands. Keep the arms straight and use the body weight. Press it down.
  • Reduce interruptions: Reduce interruptions and maintain blood flow.
  • Monitor compression quality: Ensure that you provide effective compressions. Adjust whenever necessary.
  • Ventilation ratio: For adults, the compression-to-ventilation ratio is 30:2.
  • Team coordination: Communicate effectively for smooth transitions.
Effective Rescue Breathing in BLS

Effective rescue breathing provides oxygenation to individuals experiencing respiratory failure. Steps to provide effective rescue breathing in BLS:

  • Ensure scene safety and check responsiveness & breathing.
  • Place the victim on a flat surface.
  • Clear the airway.
  • Use a chin lift to clear the airway.
  • Deliver each breath over 1 second. Ensure that the chest rises.
  • Maintain a rate of 1 breath every 5–6 seconds.
  • Monitor the victim’s response and adjust.
  • Train regularly to ensure proficiency. This keeps you ready to administer rescue breathing.

BLS for Adults, Children, and Infants

BLS steps for adults, children, and infants distinct from one another.

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Adults

  • For adults, ensure scene safety. Check responsiveness and call for help.
  • Perform 30 chest compressions and start CPR. Follow the process by giving two rescue breaths. Use a barrier device.
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For children

  • Assess responsiveness and call for help.
  • Perform 30 chest compressions on at least 1/3 of the chest. Follow this process with two rescue breaths.
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For infants

  • Check the responsiveness. Call for help. Perform 30 chest compressions.
  • Use two fingers at least 1/3 the depth of the chest. Follow this with two rescue breaths. Cover the nose and the mouth.

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Advanced BLS skills for healthcare providers

The skills for healthcare providers include:

2024 Updates and Guidelines in BLS

Here are key changes and updates in 2024 as per the BLS certification study guide:

High quality CPR

This prioritizes chest compressions of adequate depth & rate with minimal interruptions in compressions. This allows for full chest recoil between compressions.

Focus on team dynamics

Effective communication is crucial during emergencies. Receive updated guidance on responsibilities and communication strategies.

Updates in airway management

The updated guidelines introduced recommendations regarding airway management, basic airway maneuvers, and the use of adjuncts such as bag-mask ventilation and supraglottic airway devices.

BLS Certification and Renewal Requirements

Basic life support certification is crucial for healthcare professionals and those involved in emergency response roles. It ensures individuals are trained to offer immediate care during cardiac and respiratory emergencies. In this BLS refresher study guide, here are the requirements for renewing BLS certification:

Initial BLS certification requirements

Eligibility:

  • Healthcare providers: Doctors, paramedics, nurses, and other healthcare workers.
  • Non-healthcare providers: Coaches, teachers, and lifeguards.

Training course:

  • Accredited program: You must enroll in a nationally accepted program. The course content covers CPR for adults, children, and infants. It must also hold in-person training sessions for hands-on skills.
  • Assessment: Multiple-choice questions to test the theory.
  • Practical test: Demonstration of AED use, CPR techniques, and choking relief.
  • Certification card: A certification card is valid for two years.