Pediatric Basic Life Support(BLS) Pediatric Cardiac arrest (CA) causes: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{CMG}}; {{AE}} {{Neepa Shah}} | |||
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==Overview== | ==Overview== | ||
Pediatric Basic Life Support is a life-saving skill comprising of high quality [[CPR (Cardiopulmonary Resuscitation) | Pediatric Basic Life Support is a life-saving skill comprising of high quality [[CPR]] (Cardiopulmonary Resuscitation) and Rescue Breadths with Artificial External Defibrillator ([[AED]]). | ||
* Bystander CPR - Bystander resuscitation plays a key role in out of hospital CPR. A study by Maryam Y Naim et all <ref name="pmid27837587">{{cite journal| author=Naim MY, Burke RV, McNally BF, Song L, Griffis HM, Berg RA | display-authors=etal| title=Association of Bystander Cardiopulmonary Resuscitation With Overall and Neurologically Favorable Survival After Pediatric Out-of-Hospital Cardiac Arrest in the United States: A Report From the Cardiac Arrest Registry to Enhance Survival Surveillance Registry. | journal=JAMA Pediatr | year= 2017 | volume= 171 | issue= 2 | pages= 133-141 | pmid=27837587 | doi=10.1001/jamapediatrics.2016.3643 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27837587 }} </ref> | * Bystander [[CPR]] - Bystander resuscitation plays a key role in out of hospital [[CPR]]. A study by Maryam Y Naim et all found out communities, where bystander [[CPR]] is practiced, have better survival outcomes in children less than 18 years from out of hospital [[Sudden cardiac death|cardiac arrest]](CA)<ref name="pmid27837587">{{cite journal| author=Naim MY, Burke RV, McNally BF, Song L, Griffis HM, Berg RA | display-authors=etal| title=Association of Bystander Cardiopulmonary Resuscitation With Overall and Neurologically Favorable Survival After Pediatric Out-of-Hospital Cardiac Arrest in the United States: A Report From the Cardiac Arrest Registry to Enhance Survival Surveillance Registry. | journal=JAMA Pediatr | year= 2017 | volume= 171 | issue= 2 | pages= 133-141 | pmid=27837587 | doi=10.1001/jamapediatrics.2016.3643 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27837587 }} </ref> | ||
* Two studies (Total children 781) concluded that about half of the Cardio-Respiratory arrests in children under 12 months occur outside the hospital. | * Two studies (Total children 781) concluded that about half of the [[Cardio-Respiratory arrests]] in children under 12 months occur outside the hospital. | ||
*Good Prognostic Factor upon arrival at the emergency department- | *Good [[Prognosis|Prognostic]] Factor upon arrival at the [[emergency]] department- | ||
**The short interval between arrest and arrival at the hospital. | **The short interval between arrest and arrival at the hospital. | ||
**Less than 20 minutes of resuscitation in the emergency department. | **Less than 20 minutes of [[resuscitation]] in the emergency department. | ||
**Less than 2 doses of epinephrine.<ref name="pmid20930968">{{cite journal| author=Sahu S, Kishore K, Lata I| title=Better outcome after pediatric resuscitation is still a dilemma. | journal=J Emerg Trauma Shock | year= 2010 | volume= 3 | issue= 3 | pages= 243-50 | pmid=20930968 | doi=10.4103/0974-2700.66524 | pmc=2938489 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20930968 }}</ref> | **Less than 2 doses of [[epinephrine]].<ref name="pmid20930968">{{cite journal| author=Sahu S, Kishore K, Lata I| title=Better outcome after pediatric resuscitation is still a dilemma. | journal=J Emerg Trauma Shock | year= 2010 | volume= 3 | issue= 3 | pages= 243-50 | pmid=20930968 | doi=10.4103/0974-2700.66524 | pmc=2938489 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20930968 }}</ref> | ||
==References== | ==References== | ||
<references /> | <references /><br /> | ||
{{Reflist|2}} | <references />{{Reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category: (Pediatrics)]] | [[Category: (Pediatrics)]] | ||
==Causes of Cardiac arrest(CA) in children.== | ==Causes of Cardiac arrest(CA) in children.== | ||
* Ventricular Fibrillation | *[[Fibrillation|Ventricular Fibrillation]] | ||
* Pulseless Ventricular tachycardia | *[[Pulseless ventricular tachycardia|Pulseless Ventricular tachycardia]] | ||
* Children with preexisting cardiac disorders | * Children with preexisting [[cardiac]] disorders | ||
** Hypertrophic cardiomyopathy | **[[Hypertrophic cardiomyopathy]] | ||
** Anomalous coronary artery (from the pulmonary artery) | **[[Anomalous coronary artery]] (from the [[pulmonary artery]]) | ||
** Long QT syndrome | **[[Long QT syndrome]] | ||
** Myocarditis | **[[Myocarditis]] | ||
* Drug intoxication (eg, tricyclic | * Drug intoxication (eg, [[tricyclic antidepressant]]<nowiki/>s, [[digoxin]], [[cocaine]]) | ||
* Commotio cordis <ref>Ralston.M.E (2020).Pediatric basic life support for healthcare providers. In James F Wiley (Ed.), UpToDate. Retrieved from <nowiki>https://www.uptodate.com/home</nowiki></ref> | *[[Commotio cordis]] <ref>Ralston.M.E (2020).Pediatric basic life support for healthcare providers. In James F Wiley (Ed.), UpToDate. Retrieved from <nowiki>https://www.uptodate.com/home</nowiki></ref> | ||
==References== | ==References== | ||
Latest revision as of 07:31, 11 July 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Neepa Shah, M.B.B.S.[2]
Overview
Pediatric Basic Life Support is a life-saving skill comprising of high quality CPR (Cardiopulmonary Resuscitation) and Rescue Breadths with Artificial External Defibrillator (AED).
- Bystander CPR - Bystander resuscitation plays a key role in out of hospital CPR. A study by Maryam Y Naim et all found out communities, where bystander CPR is practiced, have better survival outcomes in children less than 18 years from out of hospital cardiac arrest(CA)[1]
- Two studies (Total children 781) concluded that about half of the Cardio-Respiratory arrests in children under 12 months occur outside the hospital.
- Good Prognostic Factor upon arrival at the emergency department-
- The short interval between arrest and arrival at the hospital.
- Less than 20 minutes of resuscitation in the emergency department.
- Less than 2 doses of epinephrine.[2]
References
- ↑ Naim MY, Burke RV, McNally BF, Song L, Griffis HM, Berg RA; et al. (2017). "Association of Bystander Cardiopulmonary Resuscitation With Overall and Neurologically Favorable Survival After Pediatric Out-of-Hospital Cardiac Arrest in the United States: A Report From the Cardiac Arrest Registry to Enhance Survival Surveillance Registry". JAMA Pediatr. 171 (2): 133–141. doi:10.1001/jamapediatrics.2016.3643. PMID 27837587.
- ↑ Sahu S, Kishore K, Lata I (2010). "Better outcome after pediatric resuscitation is still a dilemma". J Emerg Trauma Shock. 3 (3): 243–50. doi:10.4103/0974-2700.66524. PMC 2938489. PMID 20930968.
Causes of Cardiac arrest(CA) in children.
- Ventricular Fibrillation
- Pulseless Ventricular tachycardia
- Children with preexisting cardiac disorders
- Drug intoxication (eg, tricyclic antidepressants, digoxin, cocaine)
- Commotio cordis [1]
References
- ↑ Ralston.M.E (2020).Pediatric basic life support for healthcare providers. In James F Wiley (Ed.), UpToDate. Retrieved from https://www.uptodate.com/home