Pediatric BLS
Template:Pediatric Basic Life Support(BLS)
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Neepa Shah, M.B.B.S.[2]
Synonyms and keywords:
Overview
Classification
Pediatric Cardiac arrest (CA) Causes
Pediatric Basic Life Support Guidelines (Revised American Heart Association 2019 Guidelines
Changes made in the new AHA guidelines 2015
AED (Artificial External Defibrillator)
Airway management
Survival benefits of early high-quality CPR
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[1] 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.
References
- ↑ Naim MY, Burke RV, McNally BF, Song L, Griffis HM, Berg RA; et al. (2017). "Association of Bystander Cardiopulmonary Resuscitation With Overall and Neurologically Favorable Survival After Pediatric Out-of-Hospital Cardiac Arrest in the United States: A Report From the Cardiac Arrest Registry to Enhance Survival Surveillance Registry". JAMA Pediatr. 171 (2): 133–141. doi:10.1001/jamapediatrics.2016.3643. PMID 27837587.
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
- 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.