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
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
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
epileptic seizures. First aiders will be taught how to recognise
- 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
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 have already
been taught some of the above techniques such as
the treatment for burns. This is, however, the first
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.