Paediatric basic life support (PBLS) involves procedures to prevent anoxic brain damage by promoting return of spontaneous circulation and breathing in children. It entails checking response and breathing, then pulse, and performing cycles of chest compressions and rescue breaths in a ratio of 30:2 for one rescuer or 15:2 for multiple rescuers. Key considerations include maintaining an open airway with head tilt and jaw thrust maneuvers rather than finger sweeps, and compressing 1/3 the depth of the chest's anterior-posterior diameter at a fast rate of 100/min until signs of life return, help arrives, or exhaustion occurs.
This presentation is designed to cover some of the principles of Basic Life Support & First Aid for Children as of May 2014. It follows the Australian Resuscitation Guidelines and uses the DRSABCD approach.
D - Danger
R - Response
S - Send for Help
A - Airways
B - Breathing
C - CPR
D - Defib.
It is intended for lay-people and healthcare students.
Basic Life Support, or BLS, generally refers to the type of care that first-responders, healthcare providers and public safety professionals provide to anyone who is experiencing cardiac arrest, respiratory distress or an obstructed airway. It requires knowledge and skills in cardiopulmonary resuscitation (CPR), using automated external defibrillators (AED) and relieving airway obstructions in patients of every age.
This presentation is designed to cover some of the principles of Basic Life Support & First Aid for Children as of May 2014. It follows the Australian Resuscitation Guidelines and uses the DRSABCD approach.
D - Danger
R - Response
S - Send for Help
A - Airways
B - Breathing
C - CPR
D - Defib.
It is intended for lay-people and healthcare students.
Basic Life Support, or BLS, generally refers to the type of care that first-responders, healthcare providers and public safety professionals provide to anyone who is experiencing cardiac arrest, respiratory distress or an obstructed airway. It requires knowledge and skills in cardiopulmonary resuscitation (CPR), using automated external defibrillators (AED) and relieving airway obstructions in patients of every age.
PREVIEW OF EMT/EMR PEDIATRIC EMERGENCIES POWERPOINT TRAINING PRESENTATIONBruce Vincent
Presents information concerning the developmental and anatomical differences in infants and children, discuss common medical and trauma situations, and also covered are infants children dependent on special technology. Dealing with an ill or injured infant or child patient has always been a challenge for EMS providers. Presentation is over 100 slides in length. Meets or exceeds USDOT NHTSA 2009 Training Standards.
A presentation created and delivered by me in the pediatric department of Ibrahim Malik Teaching Hospital (Khartoum, Sudan) on the 10th of May 2017. It is composed of the following parts:
- Definition
- Epidemiology
- Causes
- Assessment
- Management
The total number of slides is 19 slide. One of the slides contain a video from the IMCI program by World Health Organization (WHO) for assessment of children with dehydration. The youtube link of the video added in this online version instead of the complete video that was shown in the original presentation.
Changing Guidelines of CPR & BLS For General Dental Practitioners & O...DrKamini Dadsena
The tolerance of the heart to anoxia is relatively high, but the central nervous system will show irreversible lesions if anoxia lasts for more than 3–4 min.
Though unusual, there are reports of deaths due to CPA in dental offices during dental treatment.
Cardiopulmonary resuscitation (CPR) is a vital skill which must be mastered by all health care professionals.
Therefore the thorough knowledge of CPR and Basic Life Support is of utmost importance to the dentist.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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3. Definition
• Paediatric Basic Life Support (PBLS) is a rescue
procedure which has purpose of preventing the anoxic
brain damage by promoting the return of spontaneous
circulation and breathing.
AHA 2010
4. Introduction
• Dentistry is a surgical speciality often associated with
high levels of patient anxiety, that may be conducive to
medical emergencies.
• Highly vasoactive drugs like LAs, vasoconstrictors etc
and drugs like antibiotics, sedatives, analgesics carry
potential for producing acute life threatening reactions.
• It should be appreciated that the role of a dental surgeon
in the management of a medical emergency is to stabilize
the patient until transferred to emergency Medical
Services (EMS) personnel.
5. Prevention is better than
Cure!
Prevention of Medical Emergencies
• Thorough medical history
• Physical Examination
• Medical Consultation (as and when required)
• Vigilant patient monitoring
6. Patient Monitoring for a
pediatric patient
• Observe general appearance from time to time
• Level of consciousness
• Level of comfort
• Muscle tonicity
• Colour of skin and mucosa
• Respiratory pattern
7. When moderate sedation is used especially in a child with
narrow safety margin due to smaller degree of respiratory
and cardiovascular reserve, additional monitoring should
routinely be employed.
• Continual monitoring of B.P via automated B.P cuff.
• Oxygenation and pulse rate via pulse oximetry.
• Ventilation via pretracheal/ pre chordial stethoscope or a
capnograph.
In case of deep sedation / GA more sophisticated
monitoring is required.
8. Preparation For Emergencies
• Personal Preparation
• Staff preparation
• Back-up medical assistance
• Office preparation
Emergency equipment
Emergency drugs
9. • A practicing dental surgeon cannot be expected to be able
to diagnose and manage every possible medical
emergency.
• However, can prepare to deal with the most likely
emergencies in a dental office and those with greater
potential to cause morbidity or mortality.
A. Syncope
B. Hyperventilation
C. Seizures
D. Hypoglycemia
E. Acute Asthmatic attack
F. Allergic reactions
G. Airway obstruction
10. • Knowledge of signs and symptoms, course and therapy of
common emergencies.
• Training in basic life support at health care provider level.
• Intramuscular injection techniques (most common
method of emergency drug delivery).
• Deltoid of U/arm and Vastus lateralis of thigh.
11. Staff preparation
• Desirable to keep certified BLS-HCP clinical staff.
• Pre assign and organize individual roles.
• Run mock drill to keep team protocol run smoothly.
13. Office preparation
• Emergency equipment
• Correct sized equipment for infants and adolescents.
• Oxygen is the primary emergency drug in the dental
office.
• >90% O2 at 10 L/min for minimum 1 hour source should
be available. Therefore minimum “E” cylinder should be
available.
14. Non
rebreathing
face mask
for
spontaneous
breather
• Since pediatric dental patients very rarely suffer MI or
cardiac arrest as initiating medical events and drug
induced respiratory depression and loss of patent airway
during unconsciousness much more likely.
• The primary goal of BLS is to maintain proper respiratory
function. Hypoxemia ( low arterial blood O2) leads to
morbidity and mortality in majority of patients.
Bag valve
mask device
connected to
high flow
O2 essential
for apneic
patientsRobertshaw demand
valve device
15. • Next, essential equipment is a high volume suction
device, esp in those obtunded patients in whom vomiting
is induced. Aspiration of vomitus can be dangerous.
Prevented by positioning and suctioning.
• Yankaeur type suction can be connected to dental high
volm evacuation dental suction unit.
• Syringes and needles for IM drug administration.
• Automated external defibrillator. (AED)
16. Emergency Drugs
• Most medical emergencies in dental office do not require
drugs. Practitioner’s thought should primarily directed
towards BLS and drug therapy only when clearly
indicated.
17. Epinephrine
• Second most important after oxygen in emergency
armamentarium.
• Drug of choice for life threatening anaphylactic reactions and
severe asthmatic attacks unresponsive to salbutamol/ albuterol.
• It is early advanced cardiac life support drug for cardiac arrest.
• EpiPen 0.3mg per dose, EpiPen Jr 0.15mg per dose (Dey
Pharma LP)
• Pediatric Doses: 0.01mg/kg IM
• Side effects: hypertension, tachycardia, arrythmia, chest pain,
anxiety, headache.
18. Albuterol
• Use : acute asthmatic attack
• Doses: two puffs with deep inspiration
• SE: tachycardia, anxiety.
19. Nitroglycerine
• Chest pain due to stable/unstable angina pectoris/
evolving MI. Unlikely in pediatric patients.
• Dose: 0.4 mg, every 5 mins until chest pain subsides or
<100mm Hg B.P. max 3 sprays.
• SE: hypotension, headache.
28. Paediatric BLS at a
glance……….
Check for Response
No
Response
Shout for Help
Responds
Allow most comfortable
position
Safety of the Rescuer & Victim
29. BLS cont…
Check Breathing
Regular Breathing
Recovery Position
No breathing/ Gasping
Check Pulse ( <10 sec)
Carotid artery in Children
Brachial artery in infant
30. BLS cont…
Check Pulse
Palpable Pulse
( >60/min)
Rescue Breathing
(12-20/ min i.e.1 breath every
3-5 seconds until spontaneous
breathing resumes)
No Pulse / Bradycardia with
poor perfusion
Chest Compression
31. PUSH HARD compress 1/3rd of A-P dia of
sternum .
1.5 inch infant
2 inch children
PUSH FAST at least 100/min
Allow COMPLETE RECOIL of Chest.
CHEST COMPRESSION
39. After chest compression (C) and opening
airway (A) give 2 Breaths (B)
Each Breath should be of 1 Sec
Mouth to Mouth
Mouth to Mouth & Nose
Mouth to Mask
Bag valve mask (BVM)
40. FOR 1 RESCUER COMPRESSION : VENTILATION IS
30 :2 & FOR 2 OR MORE RESCUERS RATIO IS 15
:2
CONTINUE 5 CYCLES (2 MINS) BEFORE ACTIVATING
EMERGENCY SYSTEM OR SWITCHING TO OTHER
RESCUER
41. Duration of CPR
• Signs of life return
• Qualified help arrives to assist you
• It is impossible to continue (e.g.exhaustion)
• An authorised person pronounces life extinct.
