In the current context of COVID-19, all resuscitators, be they health or non-health personnel, acting as the first intervener (witnesses to an out-of-hospital cardiac arrest), we must take extreme precautions and personal safety in case you need to perform CPR in a pre-hospital setting, whether at a home, in your neighborhood community, town hall, metro, supermarkets.
New CPR and AED algorithm adapted to COVID 19
How to perform CPR during the COVID-19 pandemic?
The European CPR Council has made a modification of its CPR protocol in the context of COVID 19 to act in community settings outside hospitals accepted by the Spanish CPR Council and therefore since Lifeguard Project We bring you the adaptation of it.
Steps to perform Cardio Pulmonary Resuscitation during the COVID-19 pandemic by the first participant:
- In a cardiac arrest situation, recognize cardiac arrest by looking for the absence of signs of life and the absence of normal breathing. Do not listen to or feel the breath by placing the ear and cheek close to the victim's mouth. If you have any questions about confirming cardiac arrest, start chest compressions by default until help arrives.
- Make sure an ambulance is on the way. If COVID 19 is suspected, tell them when call 112.
- If a risk of infection is perceived, rescuers should place a cloth / towel over the victims' mouth and nose and start CPR only with compressionnes torAcic.
If you have access to a DEA in your neighborhood or facility, perform an early defibrillation until the ambulance (or advanced care team) arrives. Remember, bring your hands together in the middle of your chest and compress tightly (5-6 cm deep).
- El use early of a defibrillator significantly increases the person's chances of survival and does not increase the risk of infection.
- If the rescuer has access to protective equipment Individual (PPE) (for example, mask KN95 / FFP2 or FFP3, disposable gloves, eye protection), these must be used.
- Afterés to perform CPR with compressionn only, All rescuers should wash their hands well with soap and water. Gel hydroalcoholic It is a convenient alternative and currently available to everyone. Lastly, contact local health authorities to request surveillance information after contacting a person with suspected or confirmed COVID-19.
Next we leave you the basic life support algorithm adapted to COVID.
Safety and protection measures to perform CPR in the context of COVID 19
During CPR, respiratory secretions (drops and / or small particles suspended in the air) can be generated that can infect rescuers. Rescuers should be aware of the potential risks and take steps to avoid possible infection.
Therefore, it is important that both workers, security members, concierge, etc., can count on adequate protection measures at all times. For this reason, we will now comment on the use of PPE during cardiopulmonary resuscitation and the use of the defibrillator.
After carrying out a bibliographic review, we can see that The International Liasion Committee on Resuscitation (ILCOR) has addressed the issue of security by indicating what type of PPE the health personnel who performs chest compressions, defibrillation, or CPR to prevent transmission of infection from the patient to the rescuer.
The ILCOR only mentions in the context of health institutions and quotes: We suggest that in the current COVID-19 pandemic, healthcare professionals should use personal protective equipment during resuscitation for procedures that generate aerosols (FFP3 or FFP2 mask if FFP3 is not(available / face shield / long sleeve apron and gloves)
One of the proposals launched by the Government of Aragon regarding this security issue during CPR is that each DEA installed, in addition to having the minimum material that must accompany it, according to Annex IC of Decree 30/2019, has a minimum of 3 surgical maskslogical to protect eventual resuscitators and cover the patient's mouth, and two pairs of gloves.
Therefore, it is sensible to propose in the workplace, community of neighbors, schools and areas of public access to defibrillation that there be minimal protection when doing CPR and to have it located next to the DEA the following materials protection:
- Protection of hands:
- Respiratory protection: KN95 / FPP2 (increased protection) and / or type IIR surgical masks.
- Face and eye protection: Face shields or goggles
After performing CPR use hydroalcoholic gel or washed with soap and water.
Defibrillators provided by Project Lifeguards always include gloves in their CPR kit.
Training in CPR and AED in the context of COVID 19
From Proyecto Salvavidas we have already taught the courses teaching the new CPR and DEA algorithm adapted to COVID. In addition, the resuscitation training programs taught by the Lifeguard Project already include training in the use of personal protective equipment (PPE putting on mask, face shield, gloves, etc.) beyond the standard CPR measures described in the courses taught prior to COVID.
I hope this guide is helpful and remember that you can download the new algorithm directly HERE
Protection products such as KN95 / FPP2 or surgical masks, face shield and hydroalcoholic gel with up to an 50% discount you can find them in www.tienda.salvavidas.eu
These protection materials, as indicated by other authorities, can be placed next to the defibrillator inside the display case.