Substitute date is for students, who were not able to arrive for normal date.3.12.2010 14.00h TEST: 10 MCQ First aid ( Basic life support adults, Pediatric basic life support, Shock, Wounds, Heat Stroke,Burns , Emergency Rescue and Transfer Removal from Automobile, Literature: First Aid Manual, Latest Update, St John Ambulance Association, 2005, www.erc.com, Moule P., Albarran J., 2009: Practical resuscitation for healthcare professionalswww. books.google.comFirst aid fundamentals (28th October 2010)1st part : education Department of anaesthesiology and inten. medicine, SNP 1 st.2nd part :education Department of Traumatology, Rastislavova 43 st.

Seminary room KAIM 2nd floor, SNP st. 1, we ask students to wait for teacher on the 2nd floor in front of University Department of Anaesthesiology & Intensive Care

Paediatric basic life supportMonika Grochov MD, PhDKlinika anestziolgie a intenzvnej medicny LF UPJ a UNLP Koice

www.erc.edu www.resus.org.uk

Resuscitation (2005, 2010) 67 SupplementResuscitation (2005, 2010) 67

Basic life supportAirway airways openingBreathing arteficial ventilationCirculation recovery of circulationCBA adults

Paediatric basic life support

simplification based on the knowledge that many children receive no resuscitation at all because rescuers fear doing harmAge: - An infant is a child under 1 year of age - a child is between 1 year and puberty 25 kg, 8. years

CPR IN CHILDRENAdult CPR techniques can be used on children

Compressions 1/3 of the depth of the chest

3030

Approach safelyCheck responseShout for helpOpen airwayBASIC LIFE SUPPORT (BLS) head tilt and chin lift,

Approach safelyCheck responseShout for helpOpen airwayCheck breathing

BASIC LIFE SUPPORT (BLS) Look, listen and feel for NORMAL breathing

Breathing Take a breath and cover the mouth and nasal apertures of the infant with your mouth, makingsure you have a good seal Blow steadily into the infants mouth and nose over 11.5 s, sufficient to make the chest visibly rise

Take another breath and repeat this sequencefive times

BreathingNo effective breathing: - the airway may be obstructed

Open the childs mouth and remove any visible obstruction. Ensure that there is adequate head tilt and chin lift,try the jaw thrust method Make up to five attempts to achieve effective breaths; if still unsuccessful, move on to chestcompressions

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 supportChest compressionsTo 1. year 2 fingers (2 thumbs circular)Over 1. yer one hand/two handsLow part of sternumThumb over processus xiphoideusCompression by 1/3 of antero-posterior distanceAEDChildren > 1 yearSmaller size of pads for children to 8 years50 75 J (4 J/kg)

Chest compression

Chest compressionsto depress the sternum by approximately one third of the depth of the chest and repeat at a rate of about 100 min1

Chest compressions : breaths30:2

AED IN CHILDREN Age > 8 yearsuse adult AED Age 1-8 yearsuse paediatric pads / settings if available (otherwise use adult mode) Age < 1 yearuse only if manufacturer instructions indicate it is safe

AED DEFIBRILLATION

ATTACH PADS TO CASUALTYS BARE CHEST

ANALYSING RHYTHM - DO NOT TOUCH VICTIM

SHOCK INDICATEDStand clearDeliver shock

SHOCK DELIVERED FOLLOW AED INSTRUCTIONS 30 2

Recovery position

Approach safely5 rescue breathsCheck responseShout for helpOpen airwayCheck breathingCall 11230 chest cmpressionsApproach safelyCheck responseShout for helpOpen airwayCheck breathingCall 112Attach AEDFollow voice prompts

Anatomical diferencies of airwais by children

Postresuscitation care Aproppriate tissue perfusionCooling if unconsiousness after CPR32 34C of body core 12 24 hoursWarming 0,25 0,5C / hourAE- infection, koagulopathy, glykmia, ins, circulationAvoid hyperthermia - antipyretics

ETICS and CPRStart not startParentspresens during CPRDecision to stp CPR- team leader, not parents

CPR of newborn

Newborn resuscitationLungs distension- ambu- bag with face mask, in term newborn f: 30-60/minif bradycardia persists - increase oxygen concentrationMecnium desuflation by weak newbornsCompressions- breathing ratio 3:1 90 compressionsi and 30 breathsAdrenaln, if despite art. Vent.with O2 bradycardia 60/minCirculation support evective only by lungs distension Temperature of body core maintenance

Foreign body airway obstruction

Combination of methods needed5 hits back blows5 chest compressions (till 1year) / abdominal thrusts over 1 yearHorisontal ribs position abdominal organs damage risk

ANY QUESTIONS?