CPR, BLS and Cardiac Emergencies for Dental Nurses

Recognising cardiac emergencies, starting BLS, using AEDs, assigning roles, supporting child and baby CPR, and debriefing safely in dental practice

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Adult CPR, Rescue Breaths, and AED Use

How to do CPR on an Adult (Ages 12 and Older)

Video: 1m 57s · Creator: Cincinnati Children's. YouTube Standard Licence.

This adult CPR demonstration shows hand position, straight-arm compressions, a steady rhythm, and alternating compressions with rescue breaths. The emergency number in the video is not UK-specific; dental staff should call 999 or 112 and follow current UK BLS training.

Use the video to reinforce the physical pattern of CPR; it does not replace local practical training. In dental practice, trained staff should use barrier devices, pocket masks, bag-valve-mask systems, oxygen, and local SOPs where they are competent to do so, while keeping interruptions to compressions as short as possible.

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How to Use a Defibrillator (AED) - First Aid Training - St John Ambulance

Video: 4m 13s · Creator: St John Ambulance. YouTube Standard Licence.

This St John Ambulance video demonstrates AED use: call for emergency help, continue CPR until the AED arrives, switch the device on, expose the chest, attach the pads as shown, follow the voice prompts, stand clear for analysis and any shock, and restart CPR immediately afterwards.

The dental practice priority is speed. Bring the AED immediately, attach the pads while compressions continue where possible, and follow the device prompts. Nobody should touch the patient during analysis or shock delivery.

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High-quality adult CPR requires firm, fast compressions with minimal interruptions. Current RCUK guidance uses 30 compressions to 2 rescue breaths for rescuers trained and able to give breaths. If rescue breaths cannot be given, continuous compressions are preferable to stopping.

Adult BLS reminders

  • Compress the lower half of the sternum at 100 to 120 compressions per minute.
  • Aim for a depth of 5 to 6 cm and allow full recoil.
  • Use 30:2 if trained and able to ventilate safely.
  • Use the AED as soon as it is available.
  • Restart compressions immediately after shock or no-shock advice.

In dental practice, staff should be familiar with the pocket mask, bag-valve-mask, oxygen cylinder, suction, and airway adjuncts. These support safer ventilation but must not delay compressions or AED use.

Scenario

A patient is in cardiac arrest. One dental nurse starts compressions. The AED is at reception, but nobody has fetched it because everyone is watching the compressions and waiting for the dentist to arrive.

What should happen next?

 

CPR quality falls quickly with pauses and fatigue. Allocate roles, use the AED early, and change compressors before performance drops.

Ask Dr. Aiden


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