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Basic Life Support AHA Pediatrics 2020 updates
- 1. Basic Life Support - Pediatrics Dr. Hazel Baconga
- 2. Outline • Chain of Survival • Recognize warning signs • Infant and Child CPR • Foreign body airway obstruction
- 3. Pediatric Chain of Survival
- 4. Overview • Although there are slight differences in the Chain of Survival based on age and location, it includes the following events: • Prevention and preparedness • Activated the emergency response system • High-quality CPR, including early defibrillation • Advanced resuscitation interventions • Post-cardiac arrest care • Recover
- 6. Assess for breathing and pulses • No more than 10 seconds • If victim is breathing: monitor until additional help arrives • If the victims is not breathing or only gasping: respiratory arrest • Infant: brachial pulse • 2-3 fingers on inside of upper arm, midway between elbow and shoulder • Child: carotid or femoral pulse • Femoral: 2-3 fingers in inner thigh between hip and pubic bone • Carotid: locate trachea, slide 2-3 fingers between groove of trachea and muscle at side of neck
- 7. CPR Main components: • Chest compressions • Airway • Breathing Compression-to-ventilation ratio • Single rescuer 30:2 • 2 rescuer 15:2 • Compression rate 100-120/min
- 8. CPR Main components: • Chest compressions • Airway • Breathing Compression-to-ventilation ratio • Single rescuer 30:2 • 2 rescuer 15:2 Compression rate 100-120/min Depth • Infant: approx 4cm • Child: approx 5cm
- 9. Chest compression technique Child • Bigger child: 2 handed • Small child: 1 handed compressions may be adequate • Lower half of sternum • Infant: 2 finger or 2 thumb-encircling hands technique • Just below nipple line
- 11. 2 Thumb-Encircling Hands Technique
- 12. AED in children and infants
- 13. AED in children and infants • Pediatric pads must be used • Use adult pads if not available • Do not let pads touch each other • For infant < 1yr old, use manual defibrillator • Use pediatric shock if available • Use adult dose shock if pediatric dose shock not available
- 14. Ventilation
- 15. Pediatric BLS Algorithm for Healthcare Providers – Single Rescuer
- 18. Pediatric BLS Algorithm for Healthcare Providers – 2 or more Rescuers
- 22. Signs of foreign body airway obstruction
- 23. Choking relief in responsive child 1. Stand or kneel behind the victim and wrap your arms around victim’s waist. Make a fist with one hand. 2. Place the thumb side of your fist against victim’s abdomen, in the midline, slightly above the navel and well below the breastbone 3. Grasp your fist with your other hand and press your fist into the victim’s abdomen with a quick, forceful upward thrust. 4. Repeat thrusts until the object is expelled from the airway or the victim becomes unresponsive. 5. Give each new thrust with a separate, distinct movement to relieve obstruction.
- 24. Choking relief in infants
- 25. Choking relief in infants
Editor's Notes
- In adults, cardiac arrest is often from cardiac cause In children, arrest is often secondary to respiratory failure or shock Prevention of cardiac arrest is the first link in pediatric chain of survival