Pediatric Basic Life Support(BLS) Pediatric Basic Life Support Guidelines (Revised American Heart Association 2019 Guidelines: Difference between revisions

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[[Category: (Pediatrics)]]
[[Category: (Pediatrics)]]
=Bls Guidelines<ref name="pmid 20956229">{{cite journal| author=Berg MD, Schexnayder SM, Chameides L, Terry M, Donoghue A, Hickey RW | display-authors=etal| title=Part 13: pediatric basic life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. | journal=Circulation | year= 2010 | volume= 122 | issue= 18 Suppl 3 | pages= S862-75 | pmid= 20956229 | doi=10.1161/CIRCULATIONAHA.110.971085 | pmc=3717258 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20956229  }} </ref>=
*Look for safety around the infant or child who is unresponsive.
*Ask "Are you ok?"
*Inspect if there are any injuries.
*Shout for help, ask if there is any skilled professional around if you haven't taken the BLS course.
*If there are 2 rescuers send one person to activate the Emergency medical services and get AED.
*If the child is breathing normally don't do CPR.
*If the child or infant is gasping for air or not breathing start CPR, inspect for any trauma if there is no trauma move the child on one side in the recovery position to increase the patency of the airway.
*Check pulse for not more than 10 seconds if no pulse found start CPR.
*Compressions - Try to find a firm surface.
** Infant and single bystander- Use 2 fingers below the intermammary line, don't compress the ribs or the xiphoid process of the sternum.
** Depth of the compression for infants is 4 cm or 1.5 inch or 1/3rd depth of the sternum.
** Allow for good chest recoil which helps the blood gets pumped back to the heart and further to the other vital organs.
*If its for children more than 1 year to puberty.
**The key difference in the CPR technique between infants and children is the depth of each compression.
**For children the compression depth is 5 cm or 2 inches. You can use two hands for compressions as shown in the image depending on the size of the child to avoid exhaustion by the bystander.
**Ventilation

Latest revision as of 11:03, 15 June 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 [1] 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)
  • 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

  1. ↑ 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.
  2. ↑ 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.

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Bls Guidelines[1]

  • Look for safety around the infant or child who is unresponsive.
  • Ask "Are you ok?"
  • Inspect if there are any injuries.
  • Shout for help, ask if there is any skilled professional around if you haven't taken the BLS course.
  • If there are 2 rescuers send one person to activate the Emergency medical services and get AED.
  • If the child is breathing normally don't do CPR.
  • If the child or infant is gasping for air or not breathing start CPR, inspect for any trauma if there is no trauma move the child on one side in the recovery position to increase the patency of the airway.
  • Check pulse for not more than 10 seconds if no pulse found start CPR.
  • Compressions - Try to find a firm surface.
    • Infant and single bystander- Use 2 fingers below the intermammary line, don't compress the ribs or the xiphoid process of the sternum.
    • Depth of the compression for infants is 4 cm or 1.5 inch or 1/3rd depth of the sternum.
    • Allow for good chest recoil which helps the blood gets pumped back to the heart and further to the other vital organs.
  • If its for children more than 1 year to puberty.
    • The key difference in the CPR technique between infants and children is the depth of each compression.
    • For children the compression depth is 5 cm or 2 inches. You can use two hands for compressions as shown in the image depending on the size of the child to avoid exhaustion by the bystander.
    • Ventilation
  1. ↑ Berg MD, Schexnayder SM, Chameides L, Terry M, Donoghue A, Hickey RW; et al. (2010). "Part 13: pediatric basic life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care". Circulation. 122 (18 Suppl 3): S862–75. doi:10.1161/CIRCULATIONAHA.110.971085. PMC 3717258. PMID 20956229.
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