Pediatric BLS
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Pediatric BLS Microchapters |
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Approach to a Suspected Patient of Cardiac or Respiratory Arrest |
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Basic Life Support Guidelines (Revised American Heart Association 2010 Guidelines) |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Neepa Shah, M.B.B.S.[2]
Introduction
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.
- Two studies (Total children 781) concluded that about half of the Cardio-Respiratory arrests in children under 12 months occur outside the hospital.[1]
- 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]
Causes of Cardiopulmonary arrest in children.
Algorithm
Changes made in the new AHA guidelines 2015
AED (Artificial External Defibrillator)
Airway management
Survival benefits of early high-quality CPR
- ↑ Kitamura T, Iwami T, Kawamura T, Nagao K, Tanaka H, Nadkarni VM; et al. (2010). "Conventional and chest-compression-only cardiopulmonary resuscitation by bystanders for children who have out-of-hospital cardiac arrests: a prospective, nationwide, population-based cohort study". Lancet. 375 (9723): 1347–54. doi:10.1016/S0140-6736(10)60064-5. PMID 20202679.
- ↑ 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.