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RESUSCITATION COUNCIL GUIDELINES UPDATE 2021

There are no major protocol changes and the minor changes, to both adult and paediatric first aid, are detailed below




Adult First Aid

  • Recovery position – To be used only when needed and not routinely. As a rule of thumb, if an unresponsive casualty has no evidence of trauma, they should be placed in the recovery position. If a casualty has physical trauma they should be left in the position found, ideally flat with their airway open. Only if you believe their airway to be at risk should the casualty be placed in the recovery position, injured side down

  • Concussion – When treating a concussion with a cold compress, this should not be applied for longer than 20 minutes

  • Control of bleeding – If a dressing becomes soiled, rather than apply another dressing on top, the soiled dressing should be removed, the bleeding controlled again and a new dressing reapplied




Paediatric First Aid

  • Definition of a child - The Resuscitation Council UK (RCUK) and European Resuscitation Council (ERC) defines a child as being from 1 year old through to 18 years old. Previously this was defined as up to the ‘onset of puberty’. First aiders should make a common sense judgement based on the size of the casualty, and if in any doubt they should adopt paediatric protocols

  • Recovery position – To be used only when needed and not routinely. As a rule of thumb, if an unresponsive casualty has no evidence of trauma, they should be placed in the recovery position. If a casualty has physical trauma they should be left in the position found, ideally flat with their airway open. Only if you believe their airway to be at risk should the casualty be placed in the recovery position, injured side down

  • Concussion – When treating a concussion with a cold compress, this should not be applied for longer than 20 minutes

  • Control of bleeding – If a dressing becomes soiled, rather than apply another dressing on top, the soiled dressing should be removed, the bleeding controlled again and a new dressing reapplied

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