Pediatric BLS
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)
- 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.
Causes of Cardiac arrest(CA) 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. Retrieved from https://www.uptodate.com/home
Classification
- Pediatric Basic Life Support is classified according to age[1]
- Age - Less than 1 year - Infant Basic Life Support
- Age - 1 year to Puberty - Child Basic Life Support
- Age - After Puberty - Adult Basic Life Support
Pediatric Basic Life Support Guidelines (Revised American Heart Association 2019 Guidelines)
- Pulse present but cannot breathe.
- No Pulse and not breathing.
Changes made in the new AHA guidelines 2015
AED (Artificial External Defibrillator)
Airway management
Survival benefits of early high-quality CPR
- ↑ 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.