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BLS 2015 BLS for Infants and Children (Part 2)

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echoecho's version from 2016-06-16 13:35

Section

Question Answer
BLS HEALTHCARE PROVIDER PEDIATRIC CARDIAC ARREST ALGORITHM FOR 2 OR MORE RESCUERS
List the steps of the pediatric cardiac arrest algorithm for 2 or more rescuers?1) verify scene safety 2) victim is unresponsive. Shout for nearby help. First rescuer remains with victim. Second rescuer activates emerency response system and retrieves AED and emergency equipment 3) look for no breathing or only gasping and check pulse (simultaneously). Is pulse definitely felt when 10 seconds? If normal breathing, has pulse, monitor until emergency responders arrive. If no normal breathing, has pulse, provide rescue breathing (1 breath every 3-5 seconds, or about 12-20 breaths/min). Add compressions if pulse remains < 60 / min with signs of poor perfusion. Activate emergency response system (if not already done) after 2 minutes. Continue rescue breathing, heck pulse about every 2 minutes. If no pulse, begin CPR 4) CPR (first rescuer begins CPR with 30 to 2 ratio (compressions to breaths). When second rescuer returns, use 15 to 2 ratio (compressions to breaths). Use AED as soon as it is available 5) AED analyzes rhythm. If Yes, shockable, give 1 shock. Resume CPR immediately for about 2 minutes (until prompted by AED to allow rhythm check. Continue until ALS providers take over or victim starts to move. 5) If the rhythm is nonshockable. Resume CPR immediately for about 2 minutes (until prompted by ED to allow rhythm check). Continue until ALS providers take, over or victim starts to fall
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INFANT AND CHILD 2-RESCUER BLS SEQUENCE
VERIFY ScENE SAFETY, CHECK FOR RESPONSIVENESS, AND GET HELP (ALGORITHM BOXES 1,2)
Question Answer
The first rescuer who arrives at the side of an unresponsive infant or child should quickly perform what steps?1) verify that the scene is safe for you and the victim 2) check for responsiveness. Tap the child's shoulder or heel of the infant's foot and shout, "Are you OK?" 3) if the victim is NOT responsive, the first rescuer initiates the resuscitation attempt. The second rescuer actives the emergency response system and retrieves the AED and emergency equipment, and returns to the victim to help with CPR and the use of the AED
As more rescuers arrive, what should the first rescuer do?assign roles and responsibilities (when more than one rescuer is available, more tasks can be performed simultaneously)
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ASSESS FOR BREATHING AND PULSE (Box 3)
Question Answer
What is done to assess for breathing and pulse?look for no breathing or only gasping and check pulse (simultaneously), is the pulse DEFINITELY felt within 10 seconds?
memorize
DETERMINE NEXT ACTIONS (BOXES 3a, 3b)
Question Answer
If there is normal breathing PLUS a pulse, what should be done?activate emergency response system (if not already done) and returnt o victim and monitor until emergency responders arrive
If there is NO normal breathing BUT the patient has a pulse, what should be done?1) provide rescue breathing (1 breath every 3-5 seconds OR about 12-20 breaths/minute) 2) add compressions if pulse remains < 60 beats/min with signs of poor perfusion (cool extremities; decrease in responsiveness; weak pulses; paleness; mottling or patchy skin appearance; cyanosis) 3) activate emergency response system (if not already done) after 2 minutes 4) continue rescue breathing; check pulse about every 2 minutes. If no pulse begin CPR.
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BEGIN HIGH-QUALITY CPR, STARTING WITH CHEST COMPRESSIONS (BOX 4)
Question Answer
If the victim is NOT breathing normally OR is ONLY gasping and has NO pulse, immediately do what?1) the first rescuer begins high-quality CPR, starting with chest compressions. Remove or more the clothing covering the victim's chest so that you can locate appropriate hand or finger placement for compression. This will also allow placement of the AED pads when the AED arrives 2) for an infant, use the 2-finger technique until the second rescuer returns to provide 2-rescuer CPR. During 2 rescuer CPR, use the 2 thumb-encircling hands technique 3) For a child use 1 or 2 hands (1 hand for a very small child) 4) When the second rescuer returns, that rescuer gives breaths 5) Rescuers should switch compressors about every 5 cycles or 2 minutes
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ATTEMPT DEFIBRILLATION WITH THE AED (BOXES 5, 6, 7)
Question Answer
What should be done with the AED?use the AED as soon as possible and follow the prompts
memorize
RESUME HIGH-QUALITY CPR (BOXES 6, 7)
Question Answer
After shock delivery or if no shock is advised, immediately do what?resume high-quality CPR, starting with chest compressions, when advised by the AED
Continue to provide CPR and follow the AED prompts until what happens?advanced life support providers take over or the victim starts to move
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REVIEW QUESTIONS
1) What is the correct compression-to-ventilation ratio for a single rescuer of a 3-year old child?
a) 15 compressions to 1 breath
b) 15 compressions to 2 breaths
c) 20 compressions to 2 breaths
d) 30 compressions to 2 breaths
Answer = d
2) What is the correct compression-to-ventilation ratio for a 7 year old child when 2 or more rescuers are present?
a) 15 compressions to 1 breath
b) 15 compressions to 2 breaths
c) 20 compressions to 2 breaths
d) 30 compressions to 2 breaths
Answer = b
3) For what age victim is the 2 thumb-encircling hands technique recommended when 2 or more rescuers are present?
a) a child younger than 3 years
b) a child older than 3 years
c) an infant older than 1 year
d) an infant younger than 1 year
Answer = d
4) What is the correct chest compression depth for a child?
a) at least 1/4 the dept of the chest, or about 1 inch
b) at least 1/3 the depth of the chest, or about 1 1/2 inches
c) at least 1/3 the depth of the chest, or about 2 inches
d) at least 1/2 the depth of the chest or about 3 inches
Answer = c
5) What is the correct chest compression depth in an infant?
a) at least 1/4 the dept of the chest, or about 1 inch
b) at least 1/3 the depth of the chest, or about 1 1/2 inches
c) at least 1/3 the depth of the chest, or about 2 inches
d) at least 1/2 the depth of the chest or about 3 inches
Answer = b