Immediate Life Support (ILS)- Healthcare
Course Content
- Course Introduction
- Initial Care and PPE
- Pre-shift checks
- Privacy and Dignity
- Chain of communication
- When communication breaks down
- Chain of infection and universal precautions
- How to use gloves
- Scene safety
- Primary Survey
- Chain of Survival
- Respiration and Breathing
- Taking the temperature - medical settings
- Pulse Points
- Blood pressure
- Recovery Position
- Infant Recovery Position
- The deteriorating patient and NEWS2
- ABCDE Approach
- Heart Rhythms
- Airway Management
- ECG's
- Pulse Oximetry
- Drugs and Medications
- CPR - Cardiopulmonary Resuscitation
- First Aid vs BLS Healthcare Professionals
- RCUK & ERC Resus Guidelines
- When to call for assistance
- Advanced CPR Overview
- CPR Introduction
- Bag Valve Masks
- Pocket Mask - Advanced
- CPR Breaths
- Compression only CPR
- CPR and the female casualty
- CPR Seizures and agonal gasps
- Using an AED
- AED Pad Placement
- CPR Cycle - 1 person
- Effective CPR
- Improving compressions
- Bystander CPR and females
- The Precordial thump
- Improving breaths
- The hospital resuscitation team
- Post CPR
- Paediatric CPR overview
- Adolescent CPR
- Child CPR for Healthcare Professionals
- Infant CPR practical (first aid guidelines)
- Infant CPR for Health Professionals
- Thumb use infant CPR
- Newborn CPR for BLS Healthcare Professionals
- Defibrillation
- Oxygen
- When Oxygen is Used
- Hazards of using oxygen
- Contra Indications Of Oxygen
- Hypoxia
- Storage Of Oxygen
- Transport of Cylinders
- Standard oxygen cylinder
- PIN INDEX cylinder
- Oxygen Regulators
- BOC Oxygen Kit
- How long does an Oxygen cylinder last?
- Oxygen Giving Set
- Venturi Mask
- Non Rebreather mask
- Nasal Cannula
- CPR Scenarios
- DNR's and When to Stop Resuscitation
- Choking
- ILS Summary
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The hospital resuscitation team
Often when a patient goes into a cardiac arrest in a hospital setting, the information leading up to that arrest is available in the form of the chart at the end of the bed. This often can almost predict that an arrest is going to happen if it is interpreted correctly. But when a patient does go into a collapsed state, it is important that whoever recognizes that, alerts the rest of the cardiac arrest team. Most organisations have a crash call number or a pager system which will alert a team to respond to the ward or department where the emergency has arisen. It is important that basic life support measures commence immediately, rather than waiting for the rest of the team to get there. And it may well be, but in the first instance, this is just carrying out chest compressions and simple ventilation. When the crash team arrive at the scene, it is important that a team leader is identified. This will often be a senior medic who can determine the actions of each member of that team. Often somebody will be put in charge of the airway, perhaps an anaesthetist or an ODP. Somebody will be in charge of the chest compressions, and it is important that this is a team inside a team so that the efficiency of the chest compressions can continue to the maximum. And every two minutes, the team leader should be instructing those people to change place. Often somebody will be put in charge of the defibrillator and the ECG, this person will be responsible for delivering the shock. It is important that the sequence of events is recorded minute by minute. And it is important also that we have a timekeeper to call out the two-minute intervals. When you have a multi-disciplinary team around the patient, it is important that the leader is identified, but also that people take ownership of their role and also listen to the prompts from the team leader. A good team leader needs good followers, and the patient needs an effective team around him or her to improve their chances of survival.
Effective Response to Cardiac Arrest in a Hospital Setting
Utilizing Patient Information and Alert Systems
Preventing and Recognizing Cardiac Arrest
- Information from Patient Charts: A Potential Predictor
- Alerting the Cardiac Arrest Team: Vital Response
- Immediate Basic Life Support: Prioritizing Early Actions
Efficient Team Response
Coordinated Efforts When the Crash Team Arrives
- Identifying the Team Leader: A Crucial Role
- Assigned Responsibilities: Roles Within the Team
- Rotation of Roles: Ensuring Effective Chest Compressions
- Recording Events: Precise Minute-by-Minute Documentation
- Timekeeping: Ensuring Timely Intervals
Collaboration and Effective Leadership
Creating an Efficient and Coordinated Response Team
In a hospital environment, a well-coordinated response to cardiac arrest is critical. This involves utilizing available patient information, alert systems, and efficient teamwork to maximize the chances of patient survival. Recognizing the signs leading up to cardiac arrest and initiating immediate basic life support measures are essential steps in this process.
