Wednesday 22 November 2017

What is a basic life support or BLS?

An emergency can strike anywhere and anytime, sometimes they can be life-threatening and sometimes they can be less serious. And sometimes it’s just about getting an inter-hospital transfer. But regardless of the degree of severity, a  basic life support ambulance or personnel is always needed to provide you with timely and quick medical support. But what exactly is a BLS? How is it different from ALS? In this blog we will discuss about it in a brief.

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BLS is not same as ALS!

To begin with, a Basic life support is one which is intended to provide first medical response to anyone in need. They are different from Advanced life support because unlike them, who are allowed and equipped to administer drugs, a BLS personnel is neither equipped nor allowed to administer drugs and are not trained with invasive skills. Also, while an ALS can be provided only by a paramedic or a doctor, a BLS is performed mainly by the first responders or FR. Even the bystanders at possible emergency places like school teachers at school, a passerby at the site of accident etc. can provide basic life support if they know a bit about first aid.

The basic idea of BLS – follow CAB!

While the medical procedures, sequences and algorithms are prescribed and prepared by medical professionals, the basic tenet is rather simple – CAB i.e. maintaining circulation of blood by bleeding control and CPR; keeping airway open either manually or by using nasal or oral adjuncts; and facilitating breathing by means of artificial respiration. Different countries have their own procedures. For instance, in USA, a bystander can perform BLS if he (or she) knows steps of resuscitation known as DRS-CABCDE (abbreviation of Danger, Response and Shout for help – Catastrophic hemorrhage, Airway, Breathing, Circulation, identify disabilities and environment.)

A BLS ambulance needs some basic equipment…and drugs.

As far as a Basic life support ambulance is concerned, the design and requirements vary from place to place. Nonetheless, there are some equipment and drugs that are common to all of them. These include Automatic external defibrillator (AED), stretchers, suction devices, big mask ventilation units, splints, bedpan etc.

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