Online Medicare

Going to office…a middle aged person is suddenly falling on the ground. You rushed there. Already a small crowd gathered there. Everybody is looking their face. Nobody could understand what to do. By the time the condition of the person is getting worse, you can understand, but cannot do any thing… someone called emergency. They rushed there. But already 15 minutes passed. The person shifted to emergency department of the hospital and the attending doctor there declared the bad lucked person dead.
A critically ill person is one who is always at impending risk of death; the severity of illness must be recognized early and appropriate measures taken promptly to evaluate and manage the sickness. And these are the basics which all of us should know in our daily life. Because the incidence which I mentioned here can occur in anyone’s life. You may be the victim or may be in the scene of rescue.
The approach required in managing the critically ill patient differs from that required in less severely ill patients with immediate recovery and stabilization of the patient’s condition. Priorities are:
• Prompt understanding.
• giving Basic Life Support (BLS)
• urgent treatment of life-threatening emergencies such as decrease of blood pressure, shortness of breath, decrease of blood glucose level, decrease of body fluid etc.
• Careful monitoring of the patient’s condition and response to treatment.
The last two are the part of hospital duty. But first two we the non-health-worker people can easily provide. Now we are going to discuss BLS by flow chart. Have a look:

Check responsiveness (shake and shout)
?
Open airway (head tilt / chin lift)
?
Check breathing (Look, listen, feel) ? (if ok, keep in recovery position)
? ?
Breathe (2 effective breaths) Call Emergency
?
Assess signs of blood circulation ?OK? Continue rescue breathing? Check
For 10 seconds (Pulse) pulse continue
? ?
No Circulation Call Emergency
?
Compress chest 100/min;
Ratio of 15 compressions to 2 breaths
?
Call Emergency
As soon as possible
N.B. Here the rescue breathing means the ‘mouth-to-mouth’ breathing.
BLS expresses the attempt to maintain a low level of circulation until more definitive treatment with advanced life support can be given. So from the flowchart we can see that Management of the collapsed person requires prompt assessment and restoration of the airway, maintenance of breathing using rescue breathing and maintenance of the circulation using vigorous chest compressions. With the aim of maintaining the circulation until more definitive treatment with advanced life support can be available.
All of us should know at least these basics in our daily life to save important lives.