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What is new in pediatric cpr
- 1. WHAT IS NEW INPEDIATRIC CPR? Abd El- Aal Elbahnasy, MD
- 2. WHAT IS CPR????......... Cardio pulmonary resuscitation is a series of steps used to establish artificial ventilation and circulation in the patient who is not breathing and has no pulse.
- 3. BLS for infant&children Infant are less than one year of age (except newborn) Childern are from one year to puberty
- 4. WHEN YOU HAVETO START CPR ????....... 1-No response 2-If the victim is not breathing normally such as gasping for breath or not breathing at all 3-No pulse 4- heart rate less than 60 beatm
- 5. American heart associationnew icon ؟
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- 9. STEPS OF CPR 1-Check the scene safety 2- Check for consciousness 3- check breathing &pulse together 4- call for help 6- start chest compression
- 10. CHECK RESPONSE • Gentletaping the foot of baby • And call him baby baby…… No response
- 11. Activate emergency response •If the infant not respond Immediately call for help and get automated external defibrillator (AED)
- 12. pulse&Check breathing • Lookfor chest rise • Hear agonal breathing • Check pulse in brachial artery within 10 seconds • Or pulse less than 60No breathing Agonal breathing No pulse or less than 60
- 13. Signs of poorperfusion cool extremitie s Altered mental status Weak Pulse Skin : pale mottling then cyanosis
- 14. Start compression One rescuer Bytwo fingers at lower 1|2 of breast bone (sternum) 30 compression to 2 breaths Depth about 4 cm
- 15. Two rescuer Encircle thechest by both hands 15 compression to 2 breaths Switch every 2 minutes or 10 cycle
- 16. Hand placement Infant: compressthe sternum with 2 fingers placed just below the inter- mammary line Child: compress the lower half of the sternum at least one third of the AP diameter of the chest (2 inches) with one or two hands Note: do not compress over the xiphoid or ribs
- 17. Compression depth Infant atleast one third of A P diameter of chest or about4 cm Children at least one third of A P diameter of chest or about 5 cm
- 18. High quality CP R Start chest compression within 10 second of recognition Push hard about 4 cm, push fast from 100-120 compression in minute Avoid interruption Give effective breath Avoid excessive ventilation Count out loud
- 19. CPR FROM EGYPTTO GHANA COUNTRY
- 20. Defibrillation • Defibrillators areeither manual or automated (AED). • AED can be used for infants and children up to approximately 25 kg (8 years of age). • In infants 1 year of age a manual defibrillator is preferred.
- 21. Paddle Size Two sizesof hand-held paddle “Adult” size : 8 to 10 cm for children > 10 kg ( approximately 1 year) “Infant” size :4-5 cm for infants < 10 kg
- 22. Paddle Position: Place overthe right side of the upper chest and the apex of the heart (to the left of the nipple over the left lower ribs) so the heart is between the two paddles. Apply firm pressure
- 23. Defibrillation sequence Switch ONthe device Apply Paddles Clear the patient for analyzing the rhythm Charging if shock needed Clear patients before applying the shock Continue CPR
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- 26. Manual Defibrillation Dosing Therecommended first energy dose for defibrillation is 2 J/kg. If second dose is required, it should be doubled to 4 J/kg. AED with pediatric attenuator is preferred for children < 8 years of age.
- 29. If you heard“you will forgot” If you saw “you will remember” If you did “you will become perfect” SO you must practice CPR
- 30. INFANT CPR WORKSHOP TOMMORROW friday 8:30AM AUDITRUM HALL
- 33. Take home message Infant notsmall adult C A B not A B C nothing delay compression HIGH QUALITY C P R is mandatory CPR is so easy only you want 2 hands &training CPR before defibrillation improving outcome You must follow the new guidlines