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** Myocarditis
** Myocarditis
* Drug intoxication (eg, tricyclic antidepressants, digoxin, cocaine)
* Drug intoxication (eg, tricyclic antidepressants, digoxin, cocaine)
* Commotio cordis <ref>Ralston.M.E (2020).Pediatric basic life support for healthcare providers. In James F Wiley (Ed.), UpTodate. Retrived 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
{{Reflist|2}}
{{Reflist|2}}



Revision as of 13:26, 11 June 2020

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Introduction- Pediatric BLS

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 cardiopulmonary resuscitation is practiced have better survival outcomes in children less than 18 years from out of hospital cardiac arrest.
  • 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.[1]
  1. Schindler MB, Bohn D, Cox PN, McCrindle BW, Jarvis A, Edmonds J; et al. (1996). "Outcome of out-of-hospital cardiac or respiratory arrest in children". N Engl J Med. 335 (20): 1473–9. doi:10.1056/NEJM199611143352001. PMID 8890097.

Causes of Cardiopulmonary arrest in children.

  • Ventricular Fibrillation
  • Pulseless Ventricular tachycardia
  • Children with preexisting cardiac disorders
    • Hypertrophic cardiomyopathy
    • Anomalous coronary artery (from the pulmonary artery)
    • Long QT syndrome
    • Myocarditis
  • Drug intoxication (eg, tricyclic antidepressants, digoxin, cocaine)
  • Commotio cordis [1]

References

  1. Ralston.M.E (2020).Pediatric basic life support for healthcare providers. In James F Wiley (Ed.), UpToDate. Retrieved from https://www.uptodate.com/home

Algorithm

Changes made in the new AHA guidelines 2015

AED (Artificial External Defibrillator)

Airway management

Survival benefits of early high-quality CPR