Archive for the ‘Useful Information’ Category

Chain of Survival

Monday, March 15th, 2010

Thirty years ago, it was discovered that if a series of events took place, in a set sequence, a patient suffering from a heart attack stood a greater chance of survival. These events are now known as the ‘Chain of Survival’.

The First Link


When Sudden Cardiac Arrest strikes, an immediate 999 call is crucial; a delay of just a few minutes could prove fatal. By quickly recognizing a medical emergency, a bystander can help save a life.Could you recognize the symptoms of Sudden Cardiac Arrest ?

Unresponsiveness
Loss of consciousness
Lack of pulse
Cessation of breathing
Sudden Cardiac Arrest is not the same as a heart attack.

However, a victim of either condition requires an immediate 999 call.
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The Second Link


CPR or Cardiopulmonary resuscitation is the second link in the Chain of Survival; it is the link that can buy life-saving time between the first link (Early Access to Emergency Care) and the third link (Early Defibrillation).

During Sudden Cardiac Arrest, the heart twitches irregularly most often due to ventricular fibrillation (VF) and cannot pump oxygenated blood efficiently to the brain, lungs, and other organs. The victim quickly stops breathing and loses consciousness.However, prompt CPR can help sustain life during VF. The mouth-to-mouth breathing and chest compressions help oxygenated blood flow to the person’s brain and heart, until defibrillation can attempt to restore normal heart pumping.——————————————————————————–

The Third Link

Although it is an important link in the Chain of Survival, CPR alone cannot fully resuscitate a person in SCA. Early defibrillation is the third and perhaps most significant link. Most SCA victims are in ventricular fibrillation (VF), an electrical malfunction of the heart that causes the heart to twitch irregularly. Defibrillation, the delivery of an electrical shock to the heart muscle, can restore normal heart function if it occurs within minutes of SCA onset.

When CPR and defibrillation are provided within eight minutes of an episode, a person’s chance of survival increases to 20%.


When these steps are provided within four minutes and a paramedic arrives within eight minutes, the likelihood of survival increases to over 40%.
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The Fourth Link

The fourth link in the Chain of Survival is advanced care. Paramedics and other highly trained medical personnel provide this care, which can include basic life support, defibrillation, administration of cardiac drugs, and the insertion of endotracheal breathing tubes. This type of advanced care can help the heart in VF respond to defibrillation and maintain a normal rhythm after successful defibrillation.


The trained medical personnel monitor the patient closely on the way to the hospital, where more definitive diagnostic evaluation can occur.

Training

Monday, March 15th, 2010

Training to be a Community First Responder can be very rewarding to say the least. If you are worried about how much training you will have to do and you are feeling that some experience is a necessary then you would be wrong.

Firstly you don’t have to have had any previous First Aid Training or experience at all, although if you are a member of St John Ambulance or Red Cross or you have even got a First Aid at Work Certificate this always give you a heads up.

Your initial training of 2 evenings and 1 full day plus regular monthly updates are supplied by South Central Ambulance Service free of charge. As a responder you have to attend at least one update training session every three months. This is important and helps you stay in touch with other members from other groups and keeps you updated with new techniques. It also gives you a chance to practice your skills on manikins on a regular basis.  Where possible you should try to attend each month especially if you haven’t been very “active”.

Equipment

Monday, March 15th, 2010
The Community Responders Equipment is made up of four parts.
A Response Bag (Rucksack) full of Medical supplies, an AED (Automated External Defibrillator), a Mobile Phone, and High Visibility Jacket.
Our Defibrillator is probably the most important and most expensive part of our kit.
Costing around £1600.00 its not a cheap bit of kit.
The Power Heart G3 made by Cardiac Science is an automated defibrillator that talks to the operator via both voice and a visual button when in use.
The automated defibrillator makes the decisions for you and will not let the operator shock a patient unnecessarily. There is NO option to override the Defib.
A great piece of kit that can save lives and one that we need more of.
The Ambulance Service carries an adaptor on all ambulances that connects to the defib pads.This allows them to use it’s own defibrillators without the need to change pads saving valuable time.
Our Response Kit is packed full of Medical Supplies and Equipment that we use when treating patients.
As our primary role is to treat patients with life threatening conditions such as Cardiac Arrest, Heart attack, Breathing difficulties, Epilepsy and much more, our Response Kit reflects this and so we only carry the Equipment we need to do deal with these kind of medical conditions.
Oxygen is carried within the kit bag in the form of a Oxygen Cylinder. As most of us know Oxygen is the major gas within the atmosphere we inhale when breathing in, about 21% when inhaling so when someone is struggling to breath, giving the patient up to 100% Oxygen via a face mask can be life saving. Oxygen can aid recovery from the very minute a responder or ambulance crew arrive on scene, so it is vital we carry this equipment.
As well as Oxygen and Face masks, we carry various sizes of oro-pharyngeal (OP) airways. These airways are used to help maintain a clear airway on the unconscious casualty.
Suction is also carried as part of our kit. Suction is used to help keep bodily fluids clear of the airway.
Part of our life saving response kit is a Bag and Mask. A Bag and Mask is designed for the purpose of assisting a patient with breathing, whether it be Cardiac Arrest or a patient that isn’t breathing enough for themselves. By hooking the bag and mask up to a Oxygen supply we can give our patients 100% Oxygen whilst breathing for them.
Other various items are carried within the kit bag. First aid items are carried such as Bandages, Scissors, a blanket, latex gloves, hand wash, safety goggles are all in the bag.
Of course we have our mobile phone, high visibility jacket and ID badges to wear as well. This helps identify community responders from the public when on scene.

Get Involved

Monday, March 15th, 2010

We are always on the look out for new members, currently there are only five of us covering the area. If you feel you want to give something back to to the community or just want to be involved in a rewarding voluntary scheme then read on. The following information provides details of what is needed to become a Community First Responder.

Community Responder schemes across Berkshire are split up into seperate local groups. Depending on where you live depends on which group you would become part of.

Each Community Responder Group is made up of volunteers who live in the local area to each group. These volunteers are dispatched by the South Central Ambulance Control to Life threatening emergencys via Mobile Phone.

Once dispatched, the volunteer is on scene in a very short space of time and proceeds to give vital First Aid and Basic Life Support until the regular emergency ambulance arrives. If the ambulance is already on scene on arrival the volunteer will back the crew up helping to stabilized the patient until the crew do not need you on scene anymore.

Pre-Application Requirements
A prospective Community Responder can come from all walks of life. No prior First Aid knowledge is required as all training will be given to a level to carry out his or her duties. Candidates who hold a recognized First Aid Certificate will be trained in the areas needed to complete their knowledge. There will still be a requirement to demonstrate competence by practical and written assessment. Full background checks including a CRB check will be made on prospective candidates.

Training
The training will allow Candidates to learn about, practice with, and demonstrate competence in administering appropriate First Aid and Defibrillation to a casualty. They will be required to demonstrate competence in all core subject areas via multi-choice question papers and test scenarios with oral questioning. There will also be a driving assessment.

In addition, Candidates will be required to spend a shift with an Ambulance crew.

Responding
Once qualified, Candidates will join a team appropriate to the area that they will be covering. Each team has its own equipment and it is the Responder’s duty to familiarize him/herself with it. Initially the Responder may ‘buddy up’ with a more experienced Responder whilst he or she builds up experience and confidence. Full support is provided, either through the rest of the team, the team co-ordinator or the appropriate on-call RBAT Staff member. Following an emergency, it is likely that a debrief will occur to allow the Responder to talk through any issues arising.

Other Important Comments
Responders are expected to respond within a 5 minute driving radius. Driving will be at normal speeds, obeying all traffic laws. Responders get no exemptions. Remember it is better to arrive late, than not at all.
Responders must not lift casualties and no manual handling training is given.
All Responders will be required to participate in an on-going training program, which will include re-assessment of Basic Life Support and AED skills.

As a Team its very important to build on our member base and have social contact with other members of our group. We hold regular meetings for our members to socialize and to discuss such topics as fund raising, rota’s, and how to raise our public profile. Members are not obliged to attend as they are volunteers but are asked to attend as these meetings are an important part of our success.

If you wish to get involved or just want to find out more information about becoming a Community Responder then please fill out our Contact Form.

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