Check for Danger.
I.e. Candidate has verbalised that it is a Safe area before patient is approached
Alcohol hand rub + gloves
Optional as it is an emergency.
Candidate will NEVER delay response to do a full hand washing with soap and water
Approach the patient and say "Hello Sir/Madam" in a Loud voice in both ears
Try a Painful Stimulus by squeezing the Trapezius muscle.
Patient is Unresponsive
Calls for Help
Shouts for Help and pulls the emergency Bell
Checks the Airway
-Pulls the chin down and checks the airway for obstruction
-If no obstruction, continue with head Tilt Chin Lift Maeuver
Checks Breathing and Circulation
-Uses Look, listen and feel approach for 10 seconds
(Placing ear just above patients' mouth and nose, looking at the chest for normal risk and fall or any signs of life and not occasional gasps. Counting out 10 seconds)
Clear instructions given when Assessor arrives
"This patient is unresponsive and not breathing. Please call the cardiac arrest team on 2222 and bring the bag valve mask (BVM) immediately."
Starts chest compressions at a rate of 30:2
(Arms are straight, elbows locked, heel of hand on the centre of the chest)
Sustains rate of 100-120 compressions per minute, allowing the chest to recoil between compressions.
Gives clear instructions to the assessor to give 2 breaths via BVM and looks at the chest to check ventilation
The candidate is able to verbalised all the steps and answer to the questions.
I.e. What are the Reversible causes of a Cardiac Arrest?
Able to explain each one of them:
-Hydrogen ion (Acidosis)
-VF Ventricular Fibrillation
-PVT Pulseless Ventricular Tachycardia
-PEA Pulseless Electrical Activity