Pediatric BLS: Difference between revisions

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* Drug intoxication (eg, [[tricyclic antidepressant]]<nowiki/>s, [[digoxin]], [[cocaine]])
* 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>
=High- quality CPR=
[[Cardiopulmonary resuscitation]] comprises of effective chest compression and [[ventilation]] by [[Rescue breathing|rescue breath]].
*According to the [[American Heart Association|AHA]] guidelines 2015,2017,2010, the following are the steps for [[CPR|high-quality CPR]].
**[[Rate]] - Rate of [[CPR]] is the frequency of the chest compressions in a minute the [[AHA]] guidelines recommend 100 compressions per minute.
**Depth- For high-quality [[CPR]], the depth of the compressions should be 4 cm for infants and 5 cm for children more than 1 year of age.
**Chest recoil- Allow the chest to recoil during chest compression which allows [[blood]] to flow back to the [[heart]] and hence the to the other vital organs.
**[[CPR]] with [[Rescue breathing|rescue breaths]]- The above guidelines suggest better [[Neurology|neurological complications]] in children more than 1 year of age who were given [[CPR]] with the [[Rescue breathing|rescue breaths]] as compared to children who received Compression- only CPR for [[Sudden cardiac death|cardiac arrest]]<ref name="pmid26472999">{{cite journal| author=Atkins DL, Berger S, Duff JP, Gonzales JC, Hunt EA, Joyner BL | display-authors=etal| title=Part 11: Pediatric Basic Life Support and Cardiopulmonary Resuscitation Quality: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. | journal=Circulation | year= 2015 | volume= 132 | issue= 18 Suppl 2 | pages= S519-25 | pmid=26472999 | doi=10.1161/CIR.0000000000000265 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26472999  }} </ref><ref name="pmid29114009">{{cite journal| author=Atkins DL, de Caen AR, Berger S, Samson RA, Schexnayder SM, Joyner BL | display-authors=etal| title=2017 American Heart Association Focused Update on Pediatric Basic Life Support and Cardiopulmonary Resuscitation Quality: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. | journal=Circulation | year= 2018 | volume= 137 | issue= 1 | pages= e1-e6 | pmid=29114009 | doi=10.1161/CIR.0000000000000540 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29114009  }} </ref><ref name="pmid20956229">{{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>,
<br />
<references />
==References==
<references /><br />
<references />{{Reflist|2}}
{{WH}}
{{WS}}
[[Category: (Pediatrics)]]
==Goals of Resuscitation==
==Approach to Suspected Patient of Cardiac or Respiratory Arrest==
==Basic Life Support Guidelines (Revised American Heart Association 2010 Guidelines)==
==General Consideration==
[[Category: (Pediatrics)]]
<references />

Revision as of 07:36, 11 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Neepa Shah, M.D.

Synonyms and keywords:

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]

Classification

  • BLS can be classified as
    • BLS in Out of hospital cardiac arrest (OHCA)
    • BLS inpatient cardiac arrest (IHCA)

Causes of Cardiac arrest(CA) in children

  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.
  3. ↑ Atkins DL, de Caen AR, Berger S, Samson RA, Schexnayder SM, Joyner BL; et al. (2018). "2017 American Heart Association Focused Update on Pediatric Basic Life Support and Cardiopulmonary Resuscitation Quality: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care". Circulation. 137 (1): e1–e6. doi:10.1161/CIR.0000000000000540. PMID 29114009.
  4. ↑ Ralston.M.E (2020).Pediatric basic life support for healthcare providers. In James F Wiley (Ed.), UpToDate. Retrieved from https://www.uptodate.com/home
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