(a) This practical resuscitation section will comprise two parts:
(i) Part A – Live patient assessment including lateral (recovery) position; and
(ii) Part B – Cardiopulmonary Resuscitation (CPR) and Defibrillation on a manikin.
(b) The open team members that have drawn No’s. 5 and 6 shall complete the 2 person live patient assessment. The Open and U/17 event team members that have drawn No’s. 1, 2, 3 and 4, shall contest this section of the competition. These members shall operate as a resuscitation team rotating after the delivery of each five cycles of CPR (i.e. one cycle is the delivery of 30 ECC and 2 breaths, commencing with ECC).
(c) The practical resuscitation section shall consist of four components:
(i) Two person assessment of a live patient
(ii) CPR on a manikin (1 person)
(iii) CPR on a manikin (2 person)
(iv) Defibrillation Procedure (using Automatic External Defibrillator (AED) unit) on a manikin (3 person)
(v) CPR with AED and oxygen on a manikin (4 person)
(d) The practical resuscitation section will also involve:
(i) Assessment of teamwork
(ii) Assessment of timing
(iii) Defibrillation (AED) Procedure Technique
- Simulate turning on AED unit
- Apply Pads one at a time
- Check Pads are connected to AED unit
(iv) Checking of Air Bag and oxygen equipment
(v) Introduction of the Air Bag
(e) The organising group shall arrange the live patient for part of the practical resuscitation section, or specify if clubs are to provide the patients.
(f) The manikin can either be provided by the competitor or pre-arranged with sufficient notice for the organising group to provide.
(g) No watches are to be worn by any competitors during the resuscitation section.
(h) All changes of resuscitation techniques and rotations shall be undertaken without break, simulating the need to maintain continuous resuscitation on a patient who is not breathing normally.
(i) The time taken by the resuscitation team to complete each of the 5 cycles in each of the resuscitation techniques shall be timed.
(j) Team members No.1 and No.2 shall undertake the live patient assessment including lateral position placement and demonstration of ECC hand positions by No.2.
(k) At the conclusion of the live patient assessment teams shall maintain their positions and await the direction of an appointed official who will give the instructions to the team to move to the manikin for CPR and defibrillation (AED) assessment on a manikin.
(l) Upon the direction of the appointed official team member No.1 shall undertake 1 person CPR on a manikin for the initial 5 cycles (over a timed period, commencing with ECC).
(m) While 1 person CPR by No.1 on the manikin is being undertaken team member No.2 takes up a kneeling at ease position ready to commence ECC in 2 person CPR. No.3 prepares the AED unit and No.4 prepares the oxygen equipment.
(n) Two person CPR will commence immediately following completion of the 5th cycle of 1 person CPR. Team members shall move without ceasing CPR from the 1 person to the 2 person CPR technique. No commands for team members to rotate will be given by the Judging official.
(o) The resuscitation team will carry out 2 person CPR with No.1 undertaking Rescue Breathing and No.2 undertaking cardiac compressions for the next 5 cycles of CPR (over a timed period). The AED unit shall be introduced by No.3 without a break to the 2 person CPR. The pads are to be applied before the completion of the 5th cycle.
Note: It is permissible for No.1 or any other team member to count/declare the number of completed cycles of CPR.
(p) While 2 person CPR is being performed No 4 shall become responsible for the preparation and checking of the oxygen equipment including the introduction of the mask to the patient (when ready during any of the 5 cycles).
(q) Two person CPR using AED and Air Bag Resuscitation will commence immediately following completion of the 5th cycle of 2 person CPR and without ceasing CPR. No commands for team members to rotate will be given by the Judging officials.
(r) As CPR using AED and Air Bag Resuscitation is introduced team members shall rotate their roles. No.1 shall ensure backward head tilt and mask seal, No.4 shall undertake ECC and No.2 shall introduce/operate the Air Bag and monitor the oxygen equipment. No. 3 shall operate the AED.
(s) At the conclusion of the 5th CPR cycle using AED and Air Bag Resuscitation the appointed official shall declare/command given; “The patient is now breathing normally. Operators halt.”
Note: It is permissible for No.1 or No.2 or any other team member to count/declare the number of completed cycles of CPR.
(t) The CPR and defibrillation procedure on a Manikin section is then concluded, resuscitation shall cease and no further action is required from teams. The total period of resuscitation is therefore 15 cycles of CPR plus Defibrillation procedure over an approximate continuous period of 6 minutes and 30 seconds as follows:
(i) 1 person CPR (5 cycles, approximately 2 minutes); to
(ii) 2 person CPR (5 cycles, approximately 2 minutes); to
(iii) CPR with AED and Oxygen (5 cycles, approximately 2 minutes and 30 seconds).
(u) The procedure and timing for CPR is as follows:
(i) One complete cycle for both 1 person and 2 person CPR (for all patients) is an ECC count of 30 immediately followed by 2 breaths Each complete cycle is to take approximately 24 seconds with an optimum minimum of 5 cycles taking 2 minutes.
(ii) The ECC count shall be given aloud commencing with “1” then “5, 10, 15, 20, 25, 26, 27, 28, 29, 30”, or “1 to 30”, or any other variation starting with “1 and ending with 30”, over an approximate 20 second period.
(iii) In the 1 person operation immediately following delivery of the 30th compression, the operator shall move to the head of the patient and deliver 2 inflations in approximately 4 seconds. The operator will then commence the next cycle.
(iv) In the 2 person CPR operation immediately following the count of 30, the ECC operator shall stop counting while the Rescue Breathing Operator delivers 2 inflations in approximately 4 seconds. The ECC Operator will then commence the next cycle.
(v) One complete cycle is an ECC count of 30 immediately followed by 2 breaths. Each complete cycle is to take approximately 24 seconds with an optimum minimum of 5 cycles taking 2 minutes.
(v) The point system for judging this section is designed with an emphasis on judgement of fact. A maximum of 20 points will be allocated to this section with team deductions as follows:
- Major faults (each) 4.0 points deduction.
- Minor faults (each) 0.5 points deduction.
- Timing deductions (manikin) 4,3,2,1 or nil points deduction
(w) If total deductions exceed the 20 points for the section the competitors will score zero.
(x) Refer to Appendix C for additional details on deductions schedule for major, minor and timing faults, in addition to commands given to competitors by officials.