remember
my name is lahiru i'm one of the anesthetists at western hospital thanks so much for coming this
is my first time in a mosque so yeah i'm really really glad to be here and i think a lot of us are
really really excited about just you know getting to know you guys and teaching you some of the
really easy stuff that can save lives so anyway i call this a helping hand basic life support
for everyone one of the things that i didn't know was how easy this is to help someone that you you
know you love and someone that you know if they have a really bad thing happen so your friend's
heart has stopped obviously really bad do you want to save his or her life put your hands up
absolutely you do that's right common easy easy easy answer now do you know how to save them
do you know how to save their life oh you do that's great at least one person knows already
now do you guys think you can learn it today someone's heart stopped great and that's that's
exactly what we're going to try and teach you so we all know that you can learn this because
we've done it time and time again we've done it so often when we're operating occasionally
something bad happens but we are able to do some really simple techniques to we can act as a heart
we can use our hands as a heart and make this actually work how do we do this it's only three
steps and we'll go through this over and over again during the practical demonstration as well
so first we have to we have to decide has their heart stopped that's the first thing if their
heart is stopped then we use our hands and then we make our hands act as their heart and we push on
their chest and that way we can make their heart start again or keep you know keep the heart going
the next thing is we attach this heart starter this little electrical device we just apply the
pads and then if the machine tells us exactly what we need to do and it sends some electricity to
help restart that heart so it's really quite easy the question is i want you to think that all of
you are doctors right now okay we're all doctors here because a doctor is just a teacher you can
learn this stuff and you can make it you know make it really good for anyone who's near you who's um
you know who's had a heart attack or who's had some problem so all you need is your hands uh if
you've got hands you can do this everyone's got a mobile phone does everyone have a mobile phone do
you have a mobile phone uh well maybe you can ask your dad from our phone because it's important uh
and after that maybe you can or we can also get this heart starter machine so this is available
in lots of places for example i don't have one but it's down near my gym and i can always go there
and get it and you know so it's really important that you know where this heart starter machine is
it's also called an aed or an automated external defibrillator that's just fancy words for zaps the
heart makes it better okay so again to reiterate to repeat again all you need is your hands
all you need is your phone to call for help and then one of these special machines and all
these different types of machines but they're very simple to use you just have to put the pads in the
right spot and then just follow the instructions so really easy to use so why are you so important
why can't the ambulance do it what's that sorry yeah they're not there that's exactly right so we
do have ten people here one two three four five six seven eight nine ten can you all stand up
that's good so if say 10 of you had an arrest something really bad happened and we had to wait
for the ambulance that means only one of you would actually survive that's only one person waiting
for the ambulance so let's say imagine nine of you can sit down so everyone else except you
or only you survive okay if we wait for the ambulance but if we do really good basic life
support then six more people can stand up so that's one two three four five six great
and and this guy as well excellent so i mean that's that's amazingly different
right we wait for the ambulance the ambulance ambulances are fantastic
but they're not right here to help you but if you've got hands on a mobile phone
and maybe even the heart starter machine you can actually make a massive difference and six
more people will survive that's amazing now this is the chart that we use now when i was
when i was a student when i was a young doctor we would go through this over and over and over
again and this this is you know there's a lot of stuff here but it's actually really quite simple
so i'll go through this and we try to remember this with these letters doctors drs doctors a b
c d and that's all the only letters you need to know actually i'll get everyone to say
what are the letters very good this is the simple way has the heart stopped first of all you know
you might be in a place like you're on the street and someone has collapsed maybe you
need to get take them away from danger you need to move them to the side of the road you need to
make sure that there's no other traffic around them so make sure that you're safe as well okay
you then check for a response yeah that's right and what we do is we go hey buddy are you awake
and maybe we can just give them a squeeze here okay so you just make sure that they're not just
asleep or maybe you know you try to check whether they can actually say hello to you now if then if
there's no response the very next thing you need to do is just call triple zero if you don't have
a phone get someone to call and everyone's got a mobile phone these days so you call for help
so you call zero zero zero the next thing is a a for airway but that just means if there's anything
obvious in the mouth just take it out maybe they choked on something you could see something there
you can take it out and that will make sure that the air can still pass into their lungs
the final one b what does b stand for breathing right what does that mean exactly all we want
you to do is does the patient look like they're breathing if you don't think they're breathing
what's the very next thing you do if they're not breathing if they're not responding to you
you just get on the chest and start your chest compressions okay now there's a few things here
and we're going to practice this you know quite a lot on the mannequin so it's going to be a bit of
fun you get to jump on the mannequins get their heart starting again two pushes every second
how fast is that two pushes every second is it this fast
yeah good so that's what we want to do it's pretty tiring you guys are going you know going to the
gym going doing some running you'll be fit but sometimes a lot of us we can't even do it for
a minute without tiring so you get people to change over and so that's what we wanted to do
as well get your mate to help you if you're doing that uh you want the center of the chest just find
where the center looks like and then just go go for it and you're helping the heart imagine the
heart pumps like this if the heart stopped your fist is on the chest causing the heart to pump
itself and that's all you're doing it's so simple they discovered this you know many decades ago
and they realized they could keep someone alive for a very long time as long as they kept doing
this it sounds a bit crazy right you're literally using your hands as their heart but that's exactly
what you're trying to do it's easy but it can be tiring so again help each other to stay strong
and that's all you need to do use your hands as their heart finally attach this fancy machine
so this machine you can just attach and all you have to do is follow the instructions so it's got
a really loud voice that it can tell you to stand clear charging analyzing shock advised and then
it shocks the only way you can you know you can go wrong with this if you don't listen to it all you
have to do is put the pads on and then just follow the instructions now they'll go into more detail
about this but the pads they just have a electric current the electric current brings the heart back
to life and all it has to do is go across the heart so everyone point to their heart right now
good so the way if your heart's there you want the pads to go across the heart so the
electricity will go from here to there it's not it's not it's not too complicated don't
get too fussed about exactly where it is just make sure that that electricity is going to go
through the heart in that direction i can keep going because sometimes the ambulance is 20 30
minutes away it's okay don't stop you keep going because your hands are going to be your
acting as the heart for your friend so it's easy it works
just three things to remember has their heart stopped if the heart has stopped doctors a b c
a a b do the chest compressions and then attach this machine and follow the advice that it gives
how do we know whether the person has fainted or maybe it's because of a heart attack
that's a really good question so sometimes you you're worried maybe this person just fainted
and you're not necessarily sure but if someone's fainted very often they'll wake up straight away
we see fainting yeah and they will probably be still breathing but even if you're unsure it's
still better that you go ahead because you can do very little damage it's very safe to do the chest
compressions it's not that it's not harmful when they did a big study only if maybe a few
people had some rib fractures but they were fine it's better and what usually happens if you're
wrong you might do one chest compression and then they go hey and then they'll you know if
they're fainted they'll wake up rapidly if they had too much to drink they'll wake up again okay
it's better that you you know if someone was arrested and you said oh look they might just be
a bit sleepy but they actually weren't then it's far worse that you don't do it
that's a really good question because we're always worried i don't want to i don't want to hurt them
but if they're arrested they will they will it's very hard to you know for someone who's asleep not
to respond if you shout at them and just give them a squeeze here they'll definitely wake up
or if they're fainted they will they won't faint for long so in the practical session what we'll do
we'll get into groups where you can go to each of the mannequins and start practicing this so i'll
get all the trainers so instructors will run you through a demonstration first so we'll go through
that first so they'll show you how to identify if someone's hard to stop either unresponsive
sending for help check if they're you know check that thing in the in the mouth and
make sure that they're not breathing and then start good chest compressions and they'll show
you you know exactly how to do it swapping people across make sure it's at the center of the chest
and then attach the heart start of the aed and then listen for instructions
and again ask your doctors anything you want you know in this big group it's not easy to ask
questions when you're there with them ask them whatever make sure you ask them hard questions
because that makes us laugh if they can't answer it okay you might ask them do you need a feel for
a pulse you might ask what happens if i'm wrong and they're not arrested you know that's a good
question can the patient be injured with the chest compressions what about covid we have to
worry about that and how about mouth-to-mouth resuscitation do you need to do that so i'll
keep these questions up there you can ask them of your trainers and yeah let's get started
you