Pediatriclifesupport-LekárskafakultaUPJ.ppt

Paediatric basic life support Monika Grochová MD, PhD Klinika anestéziológie a intenzívnej medicíny LF UPJ? a UNLP Ko?ice .uk Resuscitation (2005, 2010) 67 Supplement Resuscitation (2005, 2010) 67 Basic life support Airway – airways opening Breathing – arteficial ventilation Circulation – recovery of circulation Paediatric basic life support simplification based on the knowledge that many children receive no resuscitation at all because rescuers fear doing harm Age: - An infant is a child under 1 year of age - a child is between 1 year and puberty 25 kg, 8. years CPR IN CHILDREN Adult CPR techniques can be used on children Compressions 1/3 of the depth of the chest Breathing Breathing Breathing, circulation  ? look for signs of a circulation any movement, coughing normal breathing=circulation is present (not agonal gasps, which are infrequent, irregular breaths)  Basic life support Chest compressions To 1. year 2 fingers (2 thumbs circular) Over 1. yer one hand/two hands Low part of sternum Thumb over processus xiphoideus Compression by 1/3 of antero-posterior distance AED Children 1 year Smaller size of pads for children to 8 years 50 – 75 J (4 J/kg) Chest compression Chest compressions to depress the sternum by approximately one third of the depth of the chest and repeat at a rate of about 100 min?1 Chest compressions : breaths30:2 SHOCK INDICATED Stand clear Deliver shock SHOCK DELIVERED FOLLOW AED INSTRUCTIONS Anatomical diferencies of airwais by children Postresuscitation care Aproppriate tissue perfusion Cooling – if unconsiousness after CPR 32 – 34°C of body core 12 – 24 hours Warming 0,25 – 0,5°C / hour AE- infection, koagulopathy, glykémia, ións, circulation Avoid hyperthermia - antipyretics ETICS and CPR Start – not start Parents′presens during CPR Decision to stp CPR- team leader, not parents CPR of newborn Newborn resuscitation Lungs distension- ambu- bag with face mask,in term newbor