Basic Life Support AHA Pediatrics 2020 updates

Basic life support pedia

1. Basic Life Support - Pediatrics Dr. Hazel Baconga

2. Outline Chain of Survival Recognize warning signs Infant and Child CPR Foreign body airway obstruction

3. Pediatric Chain of Survival

4. Overview Although there are slight differences in the Chain of Survival based on age and location, it includes the following events: Prevention and preparedness Activated the emergency response system High-quality CPR, including early defibrillation Advanced resuscitation interventions Post-cardiac arrest care Recover

5. Assess for breathing and pulses No more than 10 seconds If victim is breathing: monitor until additional help arrives If the victims is not breathing or only gasping: respiratory arrest Infant: brachial pulse 2-3 fingers on inside of upper arm, midway between elbow and shoulder Child: carotid or femoral pulse Femoral: 2-3 fingers in inner thigh between hip and pubic bone Carotid: locate trachea, slide 2-3 fingers between groove of trachea and muscle at side of neck

6. CPR Main components: Chest compressions Airway Breathing Compression-to-ventilation ratio Single rescuer 30:2 2 rescuer 15:2 Compression rate 100-120/min

7. CPR Main components: Chest compressions Airway Breathing Compression-to-ventilation ratio Single rescuer 30:2 2 rescuer 15:2 Compression rate 100-120/min Depth Infant: approx 4cm Child: approx 5cm

8. Chest compression technique Child Bigger child: 2 handed Small child: 1 handed compressions may be adequate Lower half of sternum Infant: 2 finger or 2 thumb-encircling hands technique Just below nipple line

9. 2-Finger technique

10. 2 Thumb-Encircling Hands Technique

11. AED in children and infants

12. AED in children and infants Pediatric pads must be used Use adult pads if not available Do not let pads touch each other For infant < 1yr old, use manual defibrillator Use pediatric shock if available Use adult dose shock if pediatric dose shock not available

13. Ventilation

14. Pediatric BLS Algorithm for Healthcare Providers – Single Rescuer

15. Pediatric BLS Algorithm for Healthcare Providers – 2 or more Rescuers

16. Opioid-Associated Emergency for Healthcare Providers Algorithm

17. Signs of foreign body airway obstruction

18. Choking relief in responsive child Stand or kneel behind the victim and wrap your arms around victim’s waist. Make a fist with one hand. Place the thumb side of your fist against victim’s abdomen, in the midline, slightly above the navel and well below the breastbone Grasp your fist with your other hand and press your fist into the victim’s abdomen with a quick, forceful upward thrust. Repeat thrusts until the object is expelled from the airway or the victim becomes unresponsive. Give each new thrust with a separate, distinct movement to relieve obstruction.

19. Choking relief in infants

20. Choking relief in infants