OBGYN and Paediatric ACLS presentaion.pptx

ACLS protocols for OBGYN and PAEDS

1. ACLS in Obstetric and Pediatric patient

2. CARDIAC ARREST IN PREGNANCY Because pregnant patients are more prone to hypoxia , oxygenation and airway management should be prioritized during resuscitation from cardiac arrest in pregnancy. Because of potential interference with maternal resuscitation , fetal monitoring should not be undertaken during cardiac arrest in pregnancy Recommended target Temperature management of pregnant women who remain comatose after resuscitation from cardiac arrest. During TTM of the pregnant patient,it is recommended that the fetus be continuously monitored for bradycardia as a potential complication and obstetric and neonatal consultation should be taken

3. MATERNAL INTERVENTION 0BSTRETIC INTERVENTION FOR FETUS Airway management 100% Oxygen administration Secure IV line above Diaphragm If receiving IV magnesium-Stopped and give Calcium chloride or gluconate • Provide continuous lateral uterine displacement-To releif of aortocaval compression. • Prepare for Perimortem Caesarean Section • Goal is to improve maternal and fetal outcome • Ideally performe perimortem C-delivery in 5 Minutes if no ROSC

4. Cardiac arrest in pregnancy

5. Chain of Survival In Paediatric Patients

6. CHILDREN:- • use the heel of one hand on the lower half of the sternum. • compression should be about two inches(5cm) in to the child’s chest and at a rate of 100-120 compressions per minute. • chest compression and delivering breaths in a ratio of 15:2 INFANTS:- • Assessment:Tactile stimulation on Foot • Pulse check:Brachial Pulse • Place 2 or 3 fingers of one hand on the sternum in the middle of the nipple line • compressions should be 1.5 inches(4cm) into the infant’s chest or about 1/3rd the diameter of the chest and at a rate of 100-120 compressions per minute

7. SHOCK ENERGY FOR PAEDIATRIC:- FIRST SHOCK- 2J/ Kg 2 ND SHOCK- 4J/Kg >4J/Kg (Max 10J/Kg or adult dose)

8. Pediatric ACLS Algorithm

9. Bradycardia Algorithm