An algorithmic, stepwise approach to resuscitating adult cardiac-arrest victims outside the hospital — built for Indian conditions and infrastructure.
The cardiopulmonary resuscitation guideline of Basic Cardiopulmonary Life Support (BCLS) for management of adult victims with cardiopulmonary arrest outside the hospital provides an algorithmic stepwise approach for optimal outcome of the victims by trained medics and paramedics.
This guideline has been developed considering the need to have a universally accepted practice guideline for India and keeping in mind the infrastructural limitations of some areas of the country. It is based on evidence elicited in the international and national literature. In the absence of data from the Indian population, the excerpts have been taken from international data, discussed with Indian experts and thereafter modified to make them practically applicable across India.
The optimal outcome for a victim with cardiopulmonary arrest depends on the core links of early recognition and activation, early high-quality cardiopulmonary resuscitation, early defibrillation and early transfer to the medical facility. These links are elaborated in a stepwise manner in the BCLS algorithm, which also emphasises a quality check for the various steps of resuscitation.
Rapidly recognise arrest and activate the emergency response system.
Correct depth, rate and recoil, with minimal interruption to compressions.
Safe, timely use of an AED as part of the chain of survival.
Built-in checkpoints to keep every step of resuscitation effective.
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Indian Resuscitation Council Federation