NZRC CORE Advanced

This course is designed for the advanced rescuer who is expected to supervise and manage a resuscitation event. This course’s learning content is credentialed through the NZRC, a certificate will be issued when all aspects of assessment are passed and completed. This course is targeted for Dentists and Dental Specialists performing sedations.

Learning outcomes

Adult collapse management plan Following this skill station, the learner will be able to demonstrate a DRS ABCD management plan for adult collapse, both as a lone responder and in a team of two. Skills will include: •Following an adult collapse algorithm sequence •Manually opening the airway using head extension and chin lift •Assessing breathing and circulation •Expired air ventilation •Chest compression. Child and infant collapse management plan Following this skill station the learner will be able to demonstrate a DRS ABCD management plan for child collapse and infant collapse, both as a lone responder and in a team of two. Skills will include: •Following a child and infant collapse algorithm sequence •Manually opening the airway using head extension and chin lift •Assessing breathing and circulation •Ventilating children using mouth-to-mouth ventilation in children •Ventilating infants using mouth-to-nose-and-mouth and mouth-to-nose •Chest compression (hand, finger and encircling grip). All learners will learn all components of the child collapse management plan. AED defibrillation Following this skill station the learner will be able to demonstrate the use of an automated external defibrillator (AED) on a collapsed person. Manual defibrillation Following this skill station the learner will be able to demonstrate the use of a manual defibrillator on a collapsed person and be able to distinguish the following cardiac rhythms: 1.Sinus Rhythm 2.Sinus Tachycardia 3.Supraventricular Tachycardia 4.Sinus Bradycardia 5.Ventricular Tachycardia 6.Ventricular Fibrillation 7.Asystole. Initial approach to trauma Following this skill station, the learner will be able to use a DRSABCDE sequence to guide the primary survey and early management of the critically-injured adult. The principles covered will include: •Positioning the person •In-line bi-manual cervical immobilisation •Manually opening the airway while maintaining C-spine control •Using airway adjuncts •Needle thoracocentesis and finger thoracostomy for tension pneumothorax •Covering open pneumothoraces •Controlling external bleeding with compression / tourniquet •Establishing intravenous access. Management of airway obstruction and breathing Following this skill station the learner will be able to demonstrate the effective management of airway obstruction and breathing in the person with apnoea. Skills will include: •Assess airway obstruction, apnoea and ineffective breathing •Position the head and neck optimally for airway control •Apply manual manoeuvres, including jaw thrust to maintain an open airway •Perform oropharyngeal suction of the upper airway using a portable suction unit •Perform mouth-to-mask ventilation •Correctly apply a facemask, and deliver single and dual operator-assisted bag-to-mask controlled ventilation to an adult •Determine the need for, and apply, manually-assisted ventilation using a bag-to-mask device •Deliver oxygen from an oxygen cylinder, and connect this supply to a manual inflation bag •Correctly size and insert oropharyngeal and nasopharyngeal airways •Correctly size and insert a laryngeal mask airway. As part of this skill station, learners will be exposed to the principles of endotracheal intubation.

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