Sandbox:Neepa Shah
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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.[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]
- ↑ 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.
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
- ↑ Ralston.M.E (2020).Pediatric basic life support for healthcare providers. In James F Wiley (Ed.), UpTodate. Retrived from https://www.uptodate.com/home