paediatric ALS Flashcards
what is the usual primary cause for cardiac arrest in paediatrics?
hypoxia
why are children more likely to have a secondary arrest?
due to decompensated respiratory or circulatory failure.
Is it a cardiac arrest when there is no pulse or spontaneous respiration?
yes
is it a cardiac arrest when the hr is 60bpm or less with no signs of life and no response from respiration/ventilations?
yes cardiac arrest
management
DANGER
RESPONSE
SUMMON HELP
CAT HAEM
AIRAWAY
BREATHING
CIRCULATION (LOOK LISTEN FEEL, 10 SECONDS).
5 RESCUE BREATHS CHECKING FOR CHEST RISE AND FALL
REASSESS BREATHING AND CIRUCLATION
HOW MANY VENTILATION BREATHS CAN BE DONE BEFORE CONFIRMING CARDIAC ARREST?
25
HOW ARE WE DOING 25 VENTILATIONS ? CONSISTNT ?
NO
DO 5 INITIAL LOOKING FOR CHEST RISE AND FALL IF THIS FAIL THEN REASSESS POSITION, AND DO 5 MORE VENTILATIONS, IF THIS FAILS SIZE AND OP AND DO 5 MORE AND CHECK WITH A LARYNGOSCOPE AND IF THIS FAILS ADVANCE TO IGEL DO 5 MORE THEN CONFIRM CARDIAC ARREST/
Where are pads placed on 0-1 year old
one on the front and one on the back
how do we position a 0-1 year old
padding under shoulders to maintain neutral alignment
what position for 1-5
neutral alignment
what position for 6-12?
head tilt chin life, sniffing the air.
what do you need to be mindful of in 6-12 year olds doing head tilt chin lift?
hyper extending the neck
how do we size the BVM mask
from the bridge of the noes to the point of the chin
where should we feel for pulse in infant
feel for brachial
where should we feel for a pulse in a child over 1
carotid
