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BLS 2015 Automated External Defibrillator for Infants and Children Less Than 8 Years of Age (Part 6)

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echoecho's version from 2016-06-16 14:57

Section

Question Answer
AED FOR INFANTS AND CHILDREN
BE FAMILIAR WITH THE AED EQUIPMENT IN YOUR SETTING
Why should one be familiar with the AED equipment in your setting?because some AEDs require you turn them on while others turn on automatically when you raise the lid
memorize
PEDIATRIC-CAPABLE AEDs:
Question Answer
What are pediatric-capable AEDs?they deliver a reduced shock dose when pediatric pads are used
memorize
DELIVERING A PEDIATRIC SHOCK DOSE:
Question Answer
List the options to reduce a AED shock dose?1) pediatric cables 2) an attenuator 3) preprogramming in the device
Describe what an attenuator is and how it is used?1) when attached to an AED, it reduces the shock dose by about 2/3 2) child pads are used to deliver the reduced shock dose
memorize
CHOOSING AND PLACING THE AED PADS:
Question Answer
What type of pads should be used for infants and children < 8 y.o.?child pads
What should be done if no child pads are available?use adult pads
What cautions should be followed when using adult pads?make sure the pads do not touch each other
Adults pads deliver a _____ shock dose, but a _____ shock dose is preferred to no shock?higher; higher
List the 2 options for placing the pads for children and infants < 8 years of age?1) right-left (anterolateral placement) 2) front and back (anteroposterior)
What 3 steps that should be done for victims 8 years of age and older regarding AED pads?1) use the AED as soon as it is available 2) use adult pads and do not use child pads as they will likely give a shock dose that is too low 3) place pads as illustrated on the pads
What are the 4 steps that should be done for victims less than 8 years of age?1) use the AED as soon as it arrives 2) use child pads if available, but if there are no child pads, use adult pads making sure the pads do not touch each other 3) if the AED has a key or switch that will deliver a child shock dose, turn the key or switch 4) place the pads as illustrated on the pads
memorize
USE OF THE AED FOR INFANTS:
For infants, what is preferred to an AED for defibrillation: a manual defibrillator
Question Answer
Why is a manual defibrillator preferred for infants?it has more capabilities than an AED and can provide lower energy doses that are often needed in infants
What is required to use a manual defibrillator?advanced training
If a manual defibrillator is not available, what is preferred?an AED equipped with a pediatric dose attenuator
If no manual defbrillator or an AED equipped with a pediatric dose attenuator is not available, what can be used?an AED without a pediatric dose attenuator
memorize
USING ADULT PADS OR ADULT SHOCK DOSE IS BETTER THAN NO ATTEMPT AT DEFIBRILLATOR FOR AN INFANT OR CHILD:
Question Answer
Regarding AED pads, if you are using an AED for an infant or for a child < 8 yo and the AED does not have child pads, what should you do?use the adult pads making sure they do not touch each other or overlap (use the anterior and posterior placement)
Regarding shock doses, if the AED you are using doesn't have the capability of delivering pediatric doses, what dose should you use?an adult dose
memorize
REVIEW QUESTIONS:
1) What should you do when using an AED on an infant or child < 8 years of age?
a) never use adult AED pads
b) use adult AED pads
c) use adult AED pads if the AED does not have child pads
d) use adult AED pads, but cut them in half
Answer = c
2) If a manual defibrillator is NOT available for an infant victim, which action should you take?
a) perform high-quality CPR
b) use an AED equipped with a pediatric dose attenuator
c) use an AED without a pediatric dose attenuator
d) wait for advanced care to arrive
Answer = b
3) What is important to remember about AED pad placement on infants?
a) ensure that pads overlap each other in very small infants
b) place 1 adult pad on the chest
c) you may need to place 1 pad on the chest and 1 on the back, according to the diagrams on the pad
d) if child AED pads are not available, do not use the AED
Answer = c