Nellie the elephant is dead!

We had our annual practice basic life support update on our training afternoon on Wednesday. All practice staff attended - doctors, nurses and admin staff and we were all updated and drilled in what to do if a person suddenly collapses in the practice (and indeed outside the surgery as well). We practiced on adults, children's and babies.

The trainers had brought a super training vest for dealing with patients who are choking (click here for details). The procedure is to bend the patient over and give them five back slaps to help relieve the choking, if that does not work you give five abdominal thrusts. The vest has a little gadget on the front that if you do the abdominal thrusts correctly you relieve the obstruction and a polystyrene bung goes floating across the room!

Doing it together as a practice teams embeds what you have to do very deeply so that all members of staff know what they have to do, have practiced it and are confident that they can do it. Of course the resuscitation guidelines have recently changed and (click here for the Resuscitation Council Guidelines 2010) and the rate of chest compressions has now increased to 100-120 compressions a minute to a depth of 5-6 Cm's.

In the past we have done chest compressions to the Nellie the Elephant nursery rhyme - but that is no longer quick enough. The new motto is harder, deeper, faster!

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