Preface
The American Safety & Health Institute
(ASHI) is an association of professional safety and health
educators providing nationally-recognized training programs
across the United States and in several foreign countries.
ASHI'S mission is to continually improve safety and health
education by promoting high standards for members, principles
of sound research for curriculum development, and the professional
development of safety and health instructors worldwide.
ASHI is a member of the National FirstAid
Science Advisory Board co-founded by the American Red Cross
and American Heart Associations, Inc., and a participant in
the International Committee on Resuscitation (ILCOR) 2005
International Conference on Cardiopulmonary Resuscitation
(CPR) and Emergency Cardiovascular Care (ECC) Science with
Treatment Recommendations, hosted by the American Heart Association,
Inc
.
ASHI'S Basic Life Support Program content is based upon the
following science, treatment recommendations and guidelines:
2005 International Consensus Conference
on Cardiopulmonary Resuscitation and Emergency Cardiovascular
Care Science with Treatment Recommendations hosted by the
American Heart Association in Dallas, Texas, January 23-30,
2005.
Circulation 2005; 112: 111-5-111-16 and Resuscitation Volume
67, Supplement 1, Pages S1-S190 December 2005 (0 2005 International
Liaison Committee on Resuscitation, American Heart Associations,
Inc., and European Resuscitation Council.
2005 American Heart Association Guidelines
for Cardiopulmonary Resuscitation and Emergency Cardiovascular
Care. Circulation. 2005; 1l2:IV-1-lV-211 2005 American Heart
Associations, Inc.
Other evidence-based treatment recommendations or sources
are referenced by endnote.
This Basic Life Support Program material
has been reviewed and approved by ASHI'S President's Committee.
The President's Committee is responsible for assuring that
educational programs that carry the ASHI name or logo meet
ASHI'S principle objectives.
President's Committee Members at time of publication: Barbara
Aehlert RN, Steve Donelan, Brad Dykens EMT-P, Sue Leahy EMT,
John Mateus EMT, Marcy Thobaben LPN/NREMT-B, Stephen Thomas
EMT-P, Howard A. Werman, MD.
ASHI offers training and certification
programs in emergency care and occupational safety and health
for corporate America, government agencies and emergency responders.
To learn more about ASHI, visit www.ashinstitute.org.
ASHI has used reasonable effort to
provide up-to-date, accurate information that conforms to
generally accepted treatment recommendations at the time of
publication.
Science and technology are constantly
creating new knowledge and practice. Like any printed material,
this publication may become out--of-date over time. Guidelines
for safety recommendations for treatment cannot be given that
will apply in all cases as the circumstances of each incident
often vary widely. These recommendations supersede recommendations
made in previous ASHI programs.
Alert Emergency Medical Services (EMS)
or activate your emergency action plan immediately if you
are not sure an e|ergency exists or when any patient is unresponsive,
badly hurt, Iooks/acts very ill or quickly gets worse.
Signs and symptoms may be incomplete
and can vary from person to person. Do not use the information
in this program as a substitute for professional evaluation,
diagnosis and treatment from an appropriately qualified a|
licensed physician or other health care provider. Local or
organizational physician-jirected practice protocols may supersede
rea|ent recommendations in this program.
Municipal, state, provincial, national
or federal regulations are governmental orders having the
force of law.
In the United States, Canada and most
other industrialized countries, workplace safety regulations
and occupational licensing requ'jrements prescribe scope of
practice, rules, standards and conditions that every training
agency, program, Instructor and licensed person must comply
with. ASHI Training Canters and their authorized Instructors
must And licensing requirements of persons to be completely
familiar with the regulations whom they offer gaining and
certification. 'jwining Centers and authorized Instructors
must not advertise, represent or otherwise promote that their
programs will meet specify regulations or licensing requirements
unless and until such is confirmed with the licensing authority
and/or ASHI.
Joint Commission on Accreditation of
Healthcare Organizations (JCAHO) JCAIIO Resuscitation Standard
(revised PC9.30, EP 4 effective July 1, 2006) requires that
resuscitation services are available throughout the hospital.
“Elements of Performance'' for PC.9.30 include the requirement
that an evidence-based training program(s) is used to train
appropriate staff to recognize the need for and use of designated
equipment and techniques in resuscitation efforts.''. JCAHO
defines evidence- based as based on empirical evidence or
in the absence of empirical evidence, expert consensus (such
as consensus statements promoted by professional societies.)''
ASHI'S CPRP|ro for the Professional Rescuer meets JCAHO'S
requirements for PC.9.30. For questions related to JCAHO standards,
visit www.jointcommission.org or contact the Standards Interpretation
Group at 630-792- 5900.
Infection Control Terminology
The Occupational Safety and Health Administration (OSHA) Blood
borne Pathogen Standard (1 10.1030) uses the term universal
Precautions'' as an approach to infection control. The U.S.
Department of Health & Human Services (HHS) Centers for
Disease Control (CDC) guidelines combine the terms universal
Precautions'' and body substance isolation'' into a single
set of precautions termed “standard Precautions'' for
the care of patients in hospitals. Isolation practices and
terminology continue to evolve. For compliance with OSHA Standards,
the use of either Universal Precautions or Standard Precautions
is acceptable.
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