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NCM - 109 (BCLS & Acls)

1. Pediatric basic life support refers to providing CPR with or without devices like bag-mask ventilation until advanced life support can be provided for infants and children experiencing cardiac arrest. 2. Cardiac arrest in infants and children is characterized by unresponsiveness, abnormal or absent breathing, and lack of a pulse, often due to respiratory failure or apnea leading to bradycardia or asystole. 3. The key steps for pediatric BLS include checking for responsiveness and breathing, calling for help, performing high-quality chest compressions and rescue breathing, using an AED if available, and providing care until more advanced medical support arrives.

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0% found this document useful (0 votes)
220 views5 pages

NCM - 109 (BCLS & Acls)

1. Pediatric basic life support refers to providing CPR with or without devices like bag-mask ventilation until advanced life support can be provided for infants and children experiencing cardiac arrest. 2. Cardiac arrest in infants and children is characterized by unresponsiveness, abnormal or absent breathing, and lack of a pulse, often due to respiratory failure or apnea leading to bradycardia or asystole. 3. The key steps for pediatric BLS include checking for responsiveness and breathing, calling for help, performing high-quality chest compressions and rescue breathing, using an AED if available, and providing care until more advanced medical support arrives.

Uploaded by

Kyla Bungay
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Pediatric Basic Life Support devices, until advanced life support (ALS) can be

provided. The population addressed in this chapter


Objectives: includes infants from birth to 1 year of age and
children from 1 to 8 years of age.
AT THE END OF THE LECTURE, THE
STUDENT NURSE WILL BE ABLE TO: What is Cardiac Arrest?

1. Identify the 2015 AHA Guidelines for Pediatric Pediatric cardiopulmonary arrest is characterized by
CPR. unresponsiveness and lack of normal breathing
(with only an occasional gasp), and is most often
2. Recognize and initiate early management of peri- the end result of apnea or respiratory failure leading
arrest conditions that may result in cardiac arrest or to bradycardia and pulseless electrical activity or
complicate resuscitation outcome. asystole.
3. Demonstrate proficiency in providing BLS care, Factors affecting development of airway
including prioritizing chest compressions and all the obstruction and Respiratory Failure in Infant
dynamics of BLS. and Child
4. Manage cardiac arrest until the paramedics arrive. The infant tongue is proportionately large in relation
5. Demonstrate effective communication as a to the size of the oropharynx.
member or leader of the resuscitation team and In the infant and child, the subglottic airway is
recognize the impact of team dynamics on overall smaller and more compliant and the supporting
team performance. cartilage less developed than in the adult.
The ribs and sternum normally contribute to
Anatomy maintenance of lung volume.
Infants and children have limited oxygen reserve.

The infant tongue is proportionately large in relation


to the size of the oropharynx. As a result, posterior
displacement of the tongue occurs readily and may
cause severe airway obstruction in the infant.

B- Basic

INTRODUCTION C- Cardiopulmonary

Pediatrics BLS refers to the provision of CPR, with L- Life


no devices or with bag-mask ventilation or barrier S- Support
1. Check and ensure that the scene is safe. 5. Put Patient Bed in CPR mode
6. Begin bag-mask Ventilation and give
2. Check for responsiveness. Tap the heel of the
oxygen.
foot and shoulder firmly. “Hey Hey are you ok?”
7. Attached patient to cardiac monitor
3. Call for medical help. Ask someone to call 911 8. Identify the rhythm.
and get AED (Automated External Defibrillator).
Shockable Rhythm
4. Check for normal breathing (observe for chest
• Deliver Shock
rise) not more than 10 seconds. Check brachial
• Proceed with CPR
pulse.
• Establish and IV/IO Line
5. If the casualty is pulseless or you are unsure,
Non-Shockable Rhythm
perform CPR.
• Proceed with CPR
6. Draw an imaginary line from nipple to sternum
• Give Epinephrine
and place your middle and ring finger next to your
• Consider Advanced airway and
index finger. Lift your index finger and perform 30
Capnography
compressions. (1 1001 1002 1003.....)
1. Pulse Check
7. Perform a gentle head tilt – chin lift. Place your
mouth over the infant’s mouth and nose and give 2 2. Give Medications as ordered and Identify
breaths, just enough for chest to rise. (If the chest Reversible Causes (6Hs and 5Ts)
does not rise after first ventilation, reposition the
3. If with ROSC (Return of spontaneous
head and re-attempt to ventilate).
circulation), Position on recovery position
8. If the casualty is still not breathing, continue
chest compression until AED or paramedics arrive. Pediatric Advance Life
9. When AED arrived, infants below 1 year old is
recommended to use a pediatric pad on the chest
Support (PALS)
and the other one on the back between shoulder
blades.
10. If the casualty resumes normal breathing carry
or place him/her on lateral position and wait for
paramedics to arrive.
AUTOMATED EXTERNAL
DEFIBRILLATOR

FOR HOSPITAL SETTING ACTIVATE EMS

1. Verify Scene Safety


2. Provide Privacy
3. Assess for Responsiveness
4. Check Patient’s Pulse and Breathing
AMBUBAG

DEFIBRILATION PEDIATRIC AMBUBAGGING

INTUBATION SET

SHOCKABLE RHYTHM

NON-SHOCKABLE RHYTHM PEDIATRIC INTUBATION

POST CARDIAC ARREST


PERFORM CPR
MECHANICAL VENTILATOR

OXYGEN SUPPORT

MEDICATIONS

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