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Having read the new protocols, there are one or two grey areas that are causing debate amongst trainers, the main one being drowning and respiratory arrest, is the ten breaths totally gone? anyone able to make this clearer?
Posted by shrek66
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Just been talking to Tony Handley author of the BLS UK guidelines. He asked what types of questions have been raised. I mentioned the drowning situation. Basically, you should adhere to the standard BLS. It is only people with a specific responsibility who would deviate from the standard BLS – i.e. a lifeguard. One of the reasons for changes to the resuscitation guidelines are to simplify are current methods. The result is a certain beauty in its simplicity in that one size fits all.
Posted by Admin
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Hello Shrek66,
It seems that the 10 breaths are out and the new BLS protocol is in ie: 30:2. Any other views on this. Regards JFACT.
Posted by JFACT
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Dave, further to your remarks of the 14th. I understand the rationale behind Tony’s comments but it’s the ‘specific responsibility’ that I require guidance on.
I would like to ask Tony, does a teacher have specific responsibility towards a child in the playground in the same way a lifeguard has a responsibility to a swimmer in the pool? If this is the case then should we, as instructors, be teaching the 5 breaths scenario where CPR is concerned as this provides the best clinical outcome to this category of casualty?
At the moment when instructing teachers I concentrate on the new BLS guidelines and obliquely mention the 5-breath scenario, as I believe the spirit of the new protocols is to simplify the learning process therefore I don't want to overload them on a 1 day course.
I would appreciate it the next time you speak to Tony running this by him for clarification.
Regards and Merry Xmas to all
Paul
Posted by medrocktraining
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Hope to catch Tony on Monday, if I do I will ask the question.
Regards
Dave
Posted by Admin
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I knew I should not get into medical topics – it’s what Tony Handley told me. I might have got it wrong!
Posted by Admin
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No Admin, technically you are correct. In the old guidelines if the casualty was in Respiratory arrest you give one minute of rescue breathing then check the circulation again. For the ease of teaching 90% of us teach 'give 10 breaths then check the circulation'. I think the point is rather mute because the manuals very soon took up 10 breaths, rather than the 1 minute.
Posted by sjgarth
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JFACT. The 10 breaths never realy existed. It was time that was specified - giving the equivalent of 10 breaths if done correctly at the correct speed.
Posted by Admin
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Had a quick word with Tony as per your request. His recommendations are, as you have done. First get across the BLS procedures and once you are confident that your trainees have understood this. Add the specific training as an ‘add-on’. Taking care not to confuse the issue.
As teachers hold a Duty of Care then it would not be unreasonable to add the specific training as you have stated.
General first aid courses – keep to standard BLS.
Posted by Admin
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Admin, Sorry mate, I will have to disagree with you on this one, Rescue Breaths was a teaching neccesity prior to these new protocols. Does this mean that VAS and Independants have been teaching resus wrong! I do not think so. Regards JFACT
Posted by JFACT
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David. Just back from a course, thanks for clearing that up for me
Regards and a Merry Christmas
Paul
Posted by medrocktraining
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I'm a bit concerned regarding the comments on 10 breaths. As far as I have interpreted the new BLS procedure there is no mention of confirming circulation. If a casualty is not breathing properly the priority is 30 chest compressions with 2 breaths. No reference is made to confirming whether circulation exists or to continue 10 breaths and check for circulation. Or have I missed something.
Posted by JALFC
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No, you haven't missed anything.
If they are not breathing, assume no circulation. That's for BLS anyway.
PLS is different
Posted by JonAcc
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what is PLS? i herd of BLS, ILS and ALS but not PLS
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