Latest update: 31st March 2020

Given the risks of both opioid overdose and coronavirus, the PHA has provided the following advice/guidance for anyone who may potentially administer naloxone and give Basic Life Support:

 

Current CPR advice from the NHS is followed by service-providers when administering naloxone. 

 

CPR and Covid 19 from Resuscitation Council UK

 

The advice in both documents (in the absence of PPE) is essentially to perform compression only CPR, without rescue breaths or mouth-to-mouth ventilation and not to listen or feel for breathing by placing your ear and cheek close to the patient’s mouth.

 

National advice /guidance on infection prevention and control 

 

Up to date advice please see the PHA website which includes advice for employers, employees and businesses

 

 As I am sure you will appreciate this is a very fluid situation with advice liable to change on a daily basis, but the website is updated daily to reflect any change in advice.’

 

The advice is to perform breathing checks visually only (i.e. not with your ear and cheek to the casualty’s face). Place a cloth over the mouth and nose of the casualty then observe any movement of it and the chest for 10 seconds from a few feet away. If CPR is required that unless you are wearing PPE and using a pocket resuscitation device, you should give chest compressions only. Naloxone should be administered if there are signs of opioid overdose. There are no changes to the advice on administering naloxone

 

It is also worth remembering that the majority of people who are still alive but suffering an overdose, are still breathing normally and therefore do not require CPR. These casualties should be put into the recovery position rather than given CPR, with naloxone administered at 2 minute intervals.

 

The wearing of latex free disposable gloves and other PPE where available is strongly encouraged.

If you have any queries please do not hesitate to get it touch at [email protected]