pals 2010
TRANSCRIPT
PEDIATRIC CARDIOPULMONARY RESUSCITATION
From PALS Course 2010
GENERAL CONSIDERATION
Neonatal :1 - 28 days Infant : <1 yrChild :1 yr - puberty(HCP)
:1 yr – 8 yr (Lay provider)
GENERAL CONSIDERATION
Weight : < 1yr : (age + 9)/2
1-6yr : (age x 2) + 8
7-11yr : [yr x 7 – 5] / 2
BASIC LIFE SUPPORT
CALL FOR HELP
Phone firstCPR first
CHEST COMPRESSION
Rate1 – 30:22 – 15:2
Land markPed : Lower half sternumInfant : Below inter mamillary line
CHEST COMPRESSIONS
“Push hard”“Push fast”
fully recoil.
Minimize interruptions
AED
Recommended for >1 yr only
ADVANCE LIFE SUPPORT
AIRWAY : ENDOTRACHAEAL TUBE
The internal diameter roughly equal the size of that child’s little finger
Uncuffed (mm ID)= (age in years/4) + 4
Cuffed (mm ID)= (age in years/4) + 3.5
AIRWAY : ENDOTRACHAEAL TUBE
Depth Age/2 + 12
IF INTUBATED PATIENT’S CONDITION DETERIORATES ?
DOPE● Displacement● Obstruction● Pneumothorax● Equipment failure
BREATHING : ON ETT
With pulse : 12 -20 /min
No Pulse : 8-10/min
CIRCULATIONSPeripheral vascularIntraosseous access
ENDOTRACHEAL DRUG ADMINISTRATION
IO or IV, is prefer can give only lipid-soluble drugs“LEAN” such as lidocaine,
epinephrine, atropine, and naloxone Flush with a minimum of 5 mL NSS
5 assisted manual ventilations If CPR stop chest compressions briefly
EMERGENCY FLUIDS AND MEDICATIONS
Estimating Weight Out-of-hospital setting a child’s weight
is often unknown Tapes with precalculated doses printed
at various patient lengths are helpful and have been clinically validated
DEFIBILLATIONS
2 J / kg 4J / kg not exeed 10 J/kg
Thank you for your attention