Reference algorithms
Adult Drowning CPR
- 01V — SafetySafe rescue from water
- 02Pull onto firm surfaceLay on back
- 03O — ResponsivenessShake shoulders, call
- 04D — AirwayHead tilt, chin lift
- 05D — Breathing 10sLook, listen, feel
- 06Call 112 (speakerphone)Send for AED
- 075 INITIAL RESCUE BREATHSDrowning-specific!
- 0830 chest compressions5–6 cm depth, 100–120/min
- 092 rescue breaths1 sec each, watch chest
- 10Continue 30:2Until AED or recovery
- 11Apply AEDDry chest first
- 12Follow voice promptsResume CPR after shock
Standard Adult CPR
- 01V — Scene safety
- 02O — ResponsivenessShake, call
- 03D — Airway openHead tilt, chin lift
- 04D — Check breathing 10s
- 05Call 112, request AEDSpeakerphone
- 0630 compressions5–6 cm, 100–120/min
- 072 rescue breaths1 sec each
- 08Continue 30:2
- 09AED ASAPPad placement: R-collarbone + L-axilla
Paediatric CPR
- 01V — Safety
- 02O — Tap (don't shake infant)
- 03D — AirwayNeutral (infant) / slight tilt (child)
- 04D — Breathing 10s
- 055 INITIAL RESCUE BREATHS
- 06Call 112Send for AED
- 0715 compressionsInfant ~4cm, child ~5cm
- 082 breathsCover mouth+nose for infant
- 09Continue 15:2
- 10AED after 1 minImmediately if cardiac/electrocution
Adult Choking
- 01Can they cough/speak?Mild = encourage coughing
- 02Severe? Lean forwardNo effective cough
- 035 back blowsBetween shoulder blades
- 04Check after eachObject out?
- 055 abdominal thrustsHeimlich: between navel & xiphoid
- 06Alternate setsUntil object out or unconscious
- 07If unconsciousLay flat, 112, look in mouth, CPR 30:2
- 08After success: see doctorAlways
Infant Choking
- 01Severe obstruction?No cry, no cough
- 02Face DOWN on forearmHead lower than body
- 035 back blowsBetween shoulder blades
- 04Turn face UPOther forearm, head lower
- 055 chest thrustsSame spot as compressions
- 06NO abdominal thrusts!Never on infants
- 07AlternateUntil out or unconscious
- 08Unconscious: 5 breaths + 15:2Look in mouth
Suspected Stroke (GROM)
- 01G — SpeechRepeat a sentence
- 02R — Arms upHold both up — does one drop?
- 03O — SmileSymmetric? Drooping?
- 04M — Minutes countEven ONE sign → call 112
- 05Note onset timeCritical for treatment
- 06Conscious: head slightly raised
- 07Vomiting: lateral positionMaintain airway
- 08Unconscious + breathing: recovery
- 09No food/drink/medications
Severe Bleeding
- 01Gloves onAlways PPE first
- 02Direct pressureSterile gauze + hand pressure
- 03Elevate limbIf possible
- 04Compression bandageRolled pad on wound + firm wrap
- 05Still bleeding? Add another padOn top, wrap again
- 06Major limb bleed/amputationEsmarch tourniquet 5-8 cm above
- 07Mark TIME of tourniquetCritical info for EMS
- 08Treat for shockLay flat, cover, monitor
- 09Call 112
Anaphylaxis
- 01V — SafetyRemove allergen if possible
- 02Recognise life threatsBreathing, swelling, dizzy, hives
- 03Call 112 IMMEDIATELY
- 04EpiPen if availableOuter thigh, hold 10 sec
- 05Position by symptomBreathing → upright; dizzy → flat
- 06No food or drink
- 07Be ready for CPR
- 08Second EpiPen after 5 minIf no improvement and available
Snakebite (viper)
- 01Keep patient stillSlows venom spread
- 02Wash with water if possible
- 03Remove jewellery, tight itemsSwelling will come
- 04Immobilise the limb
- 05Call 112
- 06Cool the areaIf possible
- 07Photograph snake if safeFor identification
- 08NEVER suck/cut/burnWorsens damage
- 09Transport to hospital