Basic Life Support (BLS) for Junior Doctors

 Basic Life Support (BLS) for Junior Doctors

collected and written by: Mohamed Hassan

As a junior doctor, you may be called upon to provide Basic Life Support (BLS) to a patient who is in cardiac arrest. BLS is a lifesaving technique that can double or triple the chances of survival for someone who has experienced a cardiac arrest.

The 2021 BLS guidelines recommend that bystanders start chest compressions as soon as possible after a cardiac arrest is suspected. Chest compressions should be performed at a rate of 100-120 compressions per minute, and the depth of compressions should be at least 5 cm but not more than 6 cm. Rescue breaths should be given after every 30 chest compressions, but only if the rescuer is trained and comfortable doing so. If an Automated External Defibrillator (AED) is available, it should be used as soon as possible.

Here is a step-by-step guide to BLS:

  1. Check the patient's responsiveness by calling their name and shaking them gently.
  2. If the patient is not responsive, shout for help and call 999 or the local emergency number.
  3. Place the patient on their back on a firm surface.
  4. Kneel next to the patient's chest and place the heel of your hand in the centre of their chest, just below the nipples.
  5. Place your other hand on top of the first hand and interlock your fingers.
  6. Lock your elbows and straighten your arms, keeping your shoulders directly above your hands.
  7. Press down on the patient's chest with a smooth, steady rhythm, compressing their chest by 5-6 cm each time.
  8. Continue chest compressions at a rate of 100-120 compressions per minute until help arrives.
  9. If you are trained in rescue breaths, give two rescue breaths after every 30 chest compressions.
  10. If an AED is available, use it as soon as possible.

It is important to remember that BLS is a lifesaving technique, but it is not a substitute for medical attention. If you are providing BLS to a patient, stay with them until help arrives.

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