Resuscitation Council (UK): changes to Adult BLS - In October 2015, some changes were announced to the BLS protocol in order to reflect current best medical practices. The main points to note are as follows:
1. 'Shouting for help' is no longer a step to be taught on its own. The guidelines now state that the first aider should 'ask someone to call 999/112' after checking for normal breathing.
2. When calling 999/112, activate speaker function on phone to communicate with dispatcher.
3. Emphasis on seizure like episodes should not be confused with a sign of life. Seizure like episodes can occur following a cardiac arrest, due to reduced blood flow to the brain. If in doubt continue with CPR!
4. For paediatric first aid a compression: ventilation ratio of 15:2 is recommended. This specific paediatric sequence is primarily intended for those who have the potential to resuscitate children as part of their role. Adult CPR should be taught to those who care for children but are unlikely to have to resuscitate them.
For further information please visit www.resus.org.uk
European Resuscitation Council (ERC)
Note: these are changes recommended by the European Resuscitation Council not the UK Resuscitation Council. Because of this we are currently seeking guidance from the HSE as to the applicability of some of these recommendations prior to incorporating them within current training practice.
•Elevation is no longer recommended for the treatment of bleeding.
•Haemostatic dressings and tourniquets are to be used when direct pressure does not control bleeding.
•Chest wounds should be left open to the environment without supplying a dressing - Three sided dressing is no longer recommended. Use direct pressure to control localised bleeding.