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:
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
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
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
Training to include assisting a casualty to use their inhaler and the
use of a spacer device.
Give 15-20g of glucose
The use of sports re-hydration drinks and other fluids are recommended
for exertion related dehydration.
Emphasis that burns should be cooled with water for a minimum of 10
minutes and as soon as possible.
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.