a wierd q about acls and bls

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mayflower

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I have a doubt to ask.

This is about BLS and ACLS.
Say,I see a man walking on the footpath and he collapses ,i go to him,He is nonresponsive and I follow the BLS and aACLS protocol

Now I go somewhere else and a man is lying on the ground ,i go to him he is non responsive,THIS IS MY DOUBT...Do i first check to see he is alive or dead ..(since I have not witnessed his collapse).,that is look for dilated pupils etc or could it be possible thAt the dilated pupil could be coz of some eyedrops etc.IN OTHER WORDS ,IN REALITY ,AT THIS POINT,is it that I should just not assume anything and just follow the BLS and ACLS ,(And mind you at this point ,he really may be dead.)and take him to hospital or can I assume him to be dead and not do anything but call 911.


{ I feel like, person who knows to make an apple pie,but at the end of all this am asking "how do i make aples" sorry but I cant help ,but get some really wierd doubts sometimes..}


Anyway thanx in advance for your answers and patience.
 
I would probably resuscitate, especially if he is warm... probably not if he seems obviously dead - if he was rigid and cold. If his pupils were dilated due to eye drops they might still be responsive to light (if you had a pen torch at hand, or on opening and closing the eyelid), albeit a diminished response, so if fixed i would probably take him to be brain dead.
 
First, unless you carry epi syringes in your Bat-belt, you won't be doing any ACLS.

Your actions in BLS/ACLS are the same whether the collapse is witnessed or not.
1. Scene safety
2. Attempt to arouse (no, not like THAT)
3. ABCs (although in the real world I would just open the airway and start chest compressions, no mouth-to-mouth unless it's someone I know... cardiocerebral resuscitation actually works exceptionally well).

The three S's of not attempting resuscitation are Stiff, Stinky, and Severed (as in, if you have to walk to switch from rescue breathing to chest compressions...). Settled dependent livedo mortis is a pretty good indication as well.
 
Mumpu said:
Your actions in BLS/ACLS are the same whether the collapse is witnessed or not.
1. Scene safety
2. Attempt to arouse (no, not like THAT)
3. ABCs (although in the real world I would just open the airway and start chest compressions, no mouth-to-mouth unless it's someone I know... cardiocerebral resuscitation actually works exceptionally well).

If he's already stiff do you need to do #2 above?
Sorry.... 😛
 
The new ACLS/BLS guidelines are to start chest compressions before airway... time to reprogram my brain.
 
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