Pediatric CPR

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Pediatric CPR

  1. 1. Pediatric CPR
  2. 2. 1 rescuer infant BLS sequence Check the infant for response and breathing. Shout for help if no response, no breathing or only gasping. If someone responds ask to activate emergency response and get AED Check the infant's brachial pulse. (take 5 but not more than 10s) If there is no pulse or if despite adequate oxygenation and ventilation HR <60/min with poor signs of perfusion Perform cycles of compression and breaths (30:2), starting with compressions. After 5 cycles, if not done, activate the emergency response system and get the AED.
  3. 3. 2 rescuer infant CPR Place both thumbs side by side in the center of infant’s chest on the lower half of the breast bone. Thumbs may overlap in very small infants. Encircle the infants chest and support the infants chest with fingers of both hands. With your hands encircling the chest, use both hands to depress the breastbone at least one third of the depth of chest i.e. approx. 11/2 inches(4cm). Deliver compressions in a smooth fashion at a rate of about 100/min. Allow complete chest recoil after each compression by completely releasing the pressure on the breast bone. After every 15 compressions, pause briefly for the 2nd rescuer to open the airway with a head tilt chin lift and give 2 breaths. The chest should rise with each breath. Continue compression and breaths in a ratio of 15:2 switching roles every 2 min. to avoid rescuer fatigue.
  4. 4. CPR—CHILD AND INFANT • GIVE 30 CHEST COMPRESSIONS Push hard, push fast in the middle of the chest  Child: Push about 2 inches deep.  Infant: Push about 1½ inches deep.  Push fast, at least 100 compressions per minute. Child or infant must be on firm, flat surface.
  5. 5. GIVE 2 RESCUE BREATHS  Tilt the head back and lift the chin up.  Child: Pinch the nose shut, then make a complete seal over child’s mouth.  Infant: Make complete seal over infant’s mouth and nose.  Blow in for about 1 second to make the chest clearly rise.  Give rescue breaths, one after the other.
  6. 6. DO NOT STOP Continue cycles of CPR. Do not stop CPR except in one of these situations:  You find an obvious sign of life , such as breathing.  An AED is ready to use.  Another trained responder or EMS personnel take over.  You are too exhausted to continue.  The scene becomes unsafe. If at any time you notice an obvious sign of life, stop CPR and monitor breathing and for any changes in condition.
  7. 7. (AED) Automated External Defibrillator  IF BREATHS DO NOT MAKE CHEST RISE—Give CARE for unconscious choking  Attach pads to the victim then attach AED  Make sure no one touching the victim  Push the “shock” button  PERFORM CPR After delivering the shock, or if no shock is advised:  Perform about 2 minutes (or 5 cycles) of CPR.  Continue to follow the prompts of the AED.
  8. 8. 15 Drugs used in CPR • Atropine – can be injected bolus, max 3 mg to block vagal tone, which plays significant role in some cases of cardiac arrest • Adrenaline – large doses have been withdrawn from the algorithm. The recommended dose is 1 mg in each 3-5 min. • Vasopresine – in some cases 40 U can replace adrenaline • Amiodarone - should be included in algorithm • Lidocaine – should be used only in ventricular fibrillation
  9. 9. Relief of Choking in the Infant. • Signs of Severe Airway Obstruction • poor / no air exchange. • weak ineffective cough / no cough at all. • turning blue around mouth. • 5 back thrusts, 5 chest thrusts, continue until object is expelled or infant becomes unresponsive. • If object is expelled take infant to a Healthcare provider for further evaluation. • If object is not expelled and infant becomes unresponsive, Open the airway, remove the object if you see it, and begin CPR. After 5 cycles (2 mins) ACTIVATE the EMS. Check the Airway every time before giving breaths during CPR.
  10. 10. Thank You

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