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 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

  1. 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.
  2. 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.