Hi, I'm Mark from ACLS Certification Institute and welcome back to rapid algorithm review. Today we're covering BLS for the health care provider. First, establish unresponsiveness; poke him with a stick. You got nothing? Assess for breathing. You gonna look at the chest for about five seconds. If they're not breathing or they have a gasping respirations, immediately call the code. If you're out in the field you gonna call 911 immediately get some help coming.
Next check for a pulse remember no more than 10 seconds. No pulse; chest compressions immediately- Rate of a 100, compression depth of about two inches, with the ratio 30 compressions: 2 breaths of air. Now if the patient has a pulse, you feel a definite strong carotid pulse but they're not breathing, start ventilations at a rate of one breathe every five to six seconds. And you want to reassess the patient about every two minutes to make sure they're maintaining that pulse. Remember, nothing interrupts chest compressions unless we're analyzing the shock or we're shocking the patient. Get the AED pads on him, get the defibrillator pads on him, asses your rhythm, if it’s a shockable rhythm, clear the patient, deliver the shock then immediately resume chest compressions after the defibrillation. Continue your chest compressions. Reassess the patient every two minutes to see if they need to be defibrillated. Continue this until ALS care arrived.
Quick rapid-fire review. Your patient's unresponsive, check for breathing. If they're not breathing or gasping respirations; call 911, call a code, and get some help coming. Next check for a pulse. Spend no more than 10 seconds checking for that pulse. If the patient does not have a palpable carotid pulse, begin chest compressions immediately, rate of a 100, depth two inches, ratio of 30:2- 30 compressions: 2 ventilations. If the patient does have a pulse but they're not breathing, give him one ventilation every five to six seconds. Reassess him every two minutes to make sure they're maintaining their pulse. The defibrillators arrived, continue your chest compressions get the patient hooked up, analyze the rhythm if they need to be shocked then you stop compressions clear administer the shock. Immediately after defibrillation, resume chest compressions. Continue your chest compressions reassessing the patient every two minutes until ALS care arrive.
I'm Mark for ACLS Certification Institute, this has been rapid algorithm review from BLS for healthcare provider. Thank you and I'll see you in the next algorithm.