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First aid and professional care is basically the same, as both sides, you will need to keep yourself safe, wear gloves, and the skills like recovery position in choking are exactly the same. The main difference between first aid and professional care is the way that CPR is delivered. The European Resuscitation Council and the UK Resuscitation Council have different guidelines with healthcare professionals, with a duty to respond, compared with layperson first aid. In the first aid setting, the guidelines make it as easy as possible to remember. With people in professional healthcare, who have a duty to respond in an emergency, the guidelines are slightly different, as they have more responsibility, training, equipment, and also more people available to them should something go wrong. First aiders generally have a lot less training than healthcare professionals, so it cannot really be expected of them to perform CPR the same way as a professional. They also do not have the same duty to respond as a professional. By making it nice and easy, we keep the rules the same, with 30 compressions and two breaths with all ages of child, adult and infant. Also, the first aider does not usually have access to bag ventilation masks or other equipment you would find in a hospital.

In first aid environments, they are away from hospitals and professional help, so it's important that CPR is delivered in an effective way for the person to have the maximum chance of survival. When CPR is delivered by a healthcare professional away from a hospital setting, they have an element of flexibility in the care they provide. They can decide on what best ratios will work depending on the situation that they are dealing with. When the professional is working with a first aider, it's not that the first aider is wrong and you are right, you are both right, work with them and make sure that they know that you are a healthcare professional and give them as much guidance as possible to ensure the best outcome. If you are working with somebody who has no training at all, then you need to work calmly and give them clear instructions. If you do need them to do something, make sure you give these instructions so that they can understand them. There remains a strong focus on simplification, where possible, with pediatric first aid, based on the knowledge that many children receive no resuscitation at all because rescuers fear doing harm. As often they have not been taught pediatric resuscitation.

Bystander resuscitation significantly improves the outcome of children. And there's clear evidence, if someone actually does compressions and breaths, then the outcome is going to be a lot different. It follows that outcomes could be improved if bystanders, who would otherwise do nothing, we're encouraged to begin resuscitation, even if they do not follow an algorithm targeted particularly at children. However, there are distinct differences between cardiac arrest within adults, which is mainly to do with cardiac problems and those with children, they are mainly linked to being respiratory problems. The special pediatric algorithm for healthcare professionals takes this into account. They use their training in order to ensure the best possible outcome. Even in healthcare professionals, pulse checks for 10 seconds cannot give a reliable source of measurement for the presence or absence of effective circulation. This means that feeling for a pulse cannot be the sole determination for the need for chest compressions. Healthcare professionals need to determine the presence and absence of signs of life, such as response to stimuli, normal breathing, rather than abnormal gasps, spontaneous movement. There may also be pulse checks, but this is not the only way that we are checking to see if the person is breathing.

We need to ensure that CPR is delivered by looking at the facts that we see. So this decision to start CPR should take no more than 10 seconds, and it's all based on the initial assessment you are going to be doing. First aiders, on the other hand, will carry out a breathing check for 10 seconds to determine if CPR is required. When you are in a hospital setting, then you would need to follow the healthcare professional guidelines and local policies and procedures laid down by the place that you are actually working at.