8. Infant CPR Flashcards

(59 cards)

1
Q

What is the age range for infants in this module?

A

Below 1 year of age

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2
Q

What age range defines a child in this context?

A

1 to 12 years

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3
Q

What are the main causes of cardiopulmonary arrests in children?

A

Hypoxia or secondary events such as major trauma or deteriorating respiratory condition

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4
Q

What is the focus of emergency care in pediatric cardiopulmonary arrests?

A

Early CPR and ventilation rather than defibrillation

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5
Q

For children below 12 years old but of a larger size, what guidelines should be followed for chest compression?

A

Adult CPR guidelines

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6
Q

List three common emergencies in pediatric care.

A
  • Airway obstruction (e.g. choking)
  • Seizures
  • Poisoning
  • Injury (e.g. road traffic accident)
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7
Q

What is the first step in infant CPR?

A

Check for Danger

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8
Q

What should you ensure when checking for danger?

A

You, the infant, and bystanders are safe

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9
Q

What is the second step in infant CPR?

A

Assessment: Determine unresponsiveness

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10
Q

How should you assess an infant’s level of responsiveness?

A

By tapping the infant’s shoulder

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11
Q

What should be avoided when assessing an infant’s responsiveness?

A
  • Shaking the infant violently
  • Unnecessary movements of the neck
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12
Q

What should you shout for when you recognize an unresponsive infant?

A

Help, call ambulance 995 get AED

This should be done if there is an AED within 60-second walking distance.

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13
Q

What should a lone rescuer do when calling EMS?

A

Use a mobile phone on speaker mode

The rescuer should not leave the casualty.

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14
Q

What information should be provided when calling EMS for an infant?

A
  • The location of the infant
  • The telephone number you are calling from
  • What happened (e.g., that an infant is unconscious)
  • Number of casualties
  • Request for an immediate ambulance
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15
Q

When should you hang up after calling EMS?

A

Only after instructed to do so by the dispatcher

The dispatcher may stay on the line for advice until EMS arrives.

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16
Q

What should a lone rescuer do in a remote situation without EMS access?

A

Commence CPR immediately if breathing and pulse are absent

CPR should be provided for at least 2 minutes before seeking assistance.

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17
Q

How should you position the infant for effective CPR?

A

Lie the infant on his/her back on a firm, flat surface

If the infant is face down or on his/her side, roll them over carefully.

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18
Q

What should be ensured while repositioning an infant?

A

That the head, neck, and body are supported and turned simultaneously

This is crucial for safe repositioning.

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19
Q

What is the first step in assessing an infant’s condition during CPR?

A

Check for normal breathing and pulse

Assessing the presence or absence of spontaneous breathing is crucial before starting CPR.

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20
Q

How can you identify normal breathing in an infant?

A

Look for the rise and fall of the chest and abdomen

Gasping or agonal breathing is not considered normal.

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21
Q

What should you do if the infant is not breathing or has abnormal breathing?

A

Begin CPR

Abnormal breathing includes gasping or agonal breathing.

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22
Q

Where is the brachial pulse located in infants?

A

Inner aspect of the upper arm, between the elbow and shoulder

The carotid pulse is difficult to locate due to the infant’s short neck.

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23
Q

What is the recommended action if normal breathing and pulse are absent?

A

Start CPR

If breathing is absent and pulse is less than 60 beats/minute, CPR should also start.

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24
Q

What is the recommended hand placement for chest compressions in infants?

A

1 finger breadth below the inter-nipple line

This aligns with the lower half of the sternum.

25
What is the depth of chest compressions for infants?
1/3 the anterior-posterior diameter of the chest, about 3 to 4 cm ## Footnote Proper depth is crucial for effective compressions.
26
What is the compression rate during CPR for infants?
100-120 compressions per minute ## Footnote The phrase “Push hard and push fast” summarizes this guideline.
27
What is the compression-to-ventilation ratio for infants?
30:2 ## Footnote This ratio is used when there is one rescuer performing CPR.
28
How many cycles of compressions and breaths should be performed within 2 minutes?
5 cycles of 30 compressions and 2 breaths ## Footnote This ensures timely and effective CPR.
29
What should be done between each chest compression?
Allow complete chest recoil ## Footnote This is essential for effective blood flow.
30
What is the recommended compression-to-ventilation ratio for two trained healthcare providers for infants and children ≤ 12 years?
15:2 ## Footnote This ratio should be applied when two trained providers are available.
31
How often should compressors change during CPR?
Every 2 minutes ## Footnote This change is necessary to prevent fatigue and maintain compression effectiveness.
32
What technique should be performed to open the airway?
Head-tilt, chin-lift
33
How many ventilations should be provided via BVM at one second per breath?
Two ventilations
34
What must be maintained for effective ventilation using BVM?
Head-tilt, chin-lift, and tight mask seal
35
If there is only one rescuer performing CPR, how should BVM ventilation be given?
At the side of the infant using a modified technique
36
What size mask should be selected for BVM ventilation?
Cover the bridge of the nose and sit on the chin of the infant
37
How should the mask be held to ensure a tight seal?
Hold the connecting point of mask and patient valve between index and middle finger
38
What should be done with the thumb during BVM ventilation?
Place thumb over lower bony region of infant’s jaw to maintain upward traction
39
What should a trained healthcare provider do if BVM is not available?
Perform mouth-to-mouth (MTM) ventilation
40
What should be done if a provider is unable or unwilling to perform MTM ventilations?
Continue chest compressions at the rate of 100-120 per minute
41
After how many chest compressions should 2 ventilations be performed?
After every 30 chest compressions
42
What should be avoided to prevent airway obstruction during the head-tilt, chin-lift manoeuvre?
Do not hyperextend the neck
43
What should be done to avoid airway obstruction while lifting the mandible?
Do not close the mouth or push on the soft tissues under the chin
44
How long should each breath be given during MTM ventilation?
Over 1 second
45
What is the maximum time to interrupt chest compressions for performing 2 breaths?
Not more than 10 seconds
46
What is the recommended cycle for chest compressions and breaths?
5 cycles of 30 compressions:2 breaths
47
What can too much volume of air during ventilation cause?
Air to enter the stomach and result in gastric distension
48
What should you check for after 5 cycles of 30:2 CPR?
Normal breathing and pulse
49
What should you do if normal breathing and pulse are not present after 5 cycles of CPR?
Continue CPR 30:2
50
When should you check for normal breathing and pulse during CPR?
After every 5 cycles of CPR 30:2
51
What action should be taken if the pulse has returned but the infant is not breathing?
Perform rescue breathing
52
What is the rate of rescue breathing for an infant?
30 breaths/min
53
How often should a rescuer give a breath during rescue breathing?
One breath every 2 seconds
54
What phrase should the rescuer count while performing rescue breathing?
2 a thousand
55
How many total breaths should be completed during rescue breathing?
30 breaths
56
What should you do after completing 30 breaths of rescue breathing?
Reassess for normal breathing and pulse
57
What position should the infant be placed in if both pulse and breathing are present?
Supine position
58
How often should you monitor breathing and pulse after the infant is stabilized?
Every 2 minutes
59
What should you do until help or AED arrives?
Continue performing CPR