Pediatric BLS

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Pediatric BLS Microchapters

Overview

Classification

Causes of Cardiac Arrest in Children

Goals of Resuscitation

Approach to a Suspected Patient of Cardiac or Respiratory Arrest

Basic Life Support Guidelines (Revised American Heart Association 2010 Guidelines)

General Consideration

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 Defibrilator (AED).

  • Bystander CPR -

Bystander resuscitation plays a key role in out of hospital CPR as survival rates of more than 70 % with good neurological outcome have been reported.[1] Two studies (Total children 781) concluded that about half of the Cardio- Respiratory arrests in children under 12 months occur outside the hospital.[2].

  • Good Prognostic Factor upon arrival at the emergency department-

Short interval between arrest and arrival at the hospital.

Less than 20 minutes of resuscitation in emergency department.

Less than 2 doses of epinephrine. [3]



Good Prognostic Factor upon arrival at the emerygency department-

  1. Schmoldt A, Benthe HF, Haberland G (1975). "Digitoxin metabolism by rat liver microsomes". Biochem Pharmacol. 24 (17): 1639–41. PMID https://doi.org/10.1161/CIRCULATIONAHA.110.971085 Check |pmid= value (help).
  2. Sirbaugh PE, Pepe PE, Shook JE, Kimball KT, Goldman MJ, Ward MA; et al. (1999). "A prospective, population-based study of the demographics, epidemiology, management, and outcome of out-of-hospital pediatric cardiopulmonary arrest". Ann Emerg Med. 33 (2): 174–84. doi:10.1016/s0196-0644(99)70391-4. PMID 9922413.
  3. 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.