Guideline Changes 2015

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Please read these changes to the guidelines


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Since the year 2000 the Resuscitation council (UK) have reviewed the resuscitation guidelines and every 5 years thereafter. The guidelines are updated in line with the latest research into effective resuscitation techniques.

This year, for the first time, The European Resuscitation Council has produced guidelines for first aid. There are no significant changes to the Cardiopulmonary Resuscitation guidelines; those that there are, will be phased in to current training over the next year together with other key changes as to how first aid will be taught. The Resuscitation Council (UK) has asked that the new guidelines are implemented by early 2017. Below is a list of where these changes are to made:

  • DRAB
    Having checked a casualty’s response “R” we will no longer include shouting for help as a step. We will now teach the first aider to “ask someone to call 999” after checking for normal breathing. This simplifies the steps so the rescuer may concentrate on DRAB.
  • Seizure
    In cardiac arrest the subsequent lack of oxygen to the brain may cause seizure-like episodes that should not be confused with epileptic seizures. First aiders will be taught how to recognise agonal gasps.
  • Speaker Phone
    We will teach first aiders to activate the speaker on their phone.
  • Severe Bleeding
    Elevation and indirect pressure points will no longer be taught as a treatment for bleeding except in cases of catastrophic bleeding and amputation.
  • Tourniquets
    The use of tourniquets and haemostatic dressings will be introduced where pressure alone does not control bleeding. This is likely to be limited to high risk work places. Only first aiders who have had specific additional training should use these techniques. Training courses will very shortly be made available. History of the Tourniquet
  • Chest Wounds
    Sucking chest wounds should be left open. The airtight dressing taped on three sides has been shown to sometimes lead to a tension pneumothorax which can be worse than if the wound were left open
  • Asthma
    Training to include assisting a casualty to use their inhaler and the use of a spacer device.
  • Hypoglycaemia
    Give 15-20g of glucose
  • Re-hydration
    The use of sports re-hydration drinks and other fluids are recommended for exertion related dehydration.
  • Burns
    Emphasis that burns should be cooled with water for a minimum of 10 minutes and as soon as possible.
  • Aspirin
    Aspirin has been shown to be of significant benefit in the early treatment of a heart attack. Ask the casualty if they are allergic to aspirin. If they say that they are not or that they do not know, get them to chew a 300mg soluble aspirin

You may feel that you have already been taught some of the above techniques such as the treatment for burns. This is, however, the first time that the Resuscitation Council has made these recommendations. We hope that ALL trainers will soon follow this best practice.
It may take a while for the awarding bodies to agree how these changes will be implemented.

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