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SRC II
SHG
Cardiac Arrest Survival
Since the start of using CPR in the 1980s, in-
hospital survival for children and infants has
increased from 9% to 27%
Out-of-hospital arrests has not improved much from
6% for infants and 9% for children
It is essential to teach more people who to treat
cardiac arrest in children, and give it as quickly as
possible to improve outcomes
Difference in Cause
Adults often have a primary cardiac cause for
cardiac arrest, but in children and infants, the
majority of the causes are due to respiratory
failure and shock
Treat hypoxemia, hypotension, and acidosis to
prevent bradycardia and arrest!
Ventricular fibrillation (VF) and ventricular
tachycardia (VT) are the primary causes of
arrhythmia arrests in children (5-15%)
Age Definition
Children
Defined as 1 to 8 years old
Infants
Defined as < 1 year old
Newborns
Defined as first few hours to days of life
Review of Basic CPR (BLS)
2010 updated
Check for responsiveness and respirations
Call for help
Check for pulses in less than 10 seconds
Give 30 compressions (within 10 sec.)
Rate of at least 100/min
Depth of at least 1/3 of the chest
Open airway and give 2 breaths
Continue compressions (30:2)
Review of Basic CPR (BLS)
2010 updated
Have AED available (with a pediatric dose-
attenuator if possible) for children
For infants, a manual defibrillator is preferred,
although AED can be used if necessary
2 to 4 J/kg initially, max of 10 J/kg
Pediatric Assessment
General Assessment
Appearance, Work of breathing, Circulation
Primary Assessment
Airway, Breathing, Circulation, Disability, Exposure
Secondary Assessment
SAMPLE history, focused exam, glucose test
Tertiary Assessment
Laboratory studies, X-rays, etc as needed
Pediatric Assessment
Separate illness by respiratory versus circulatory
Determine severity of illness
Determine if there is a combination of illness
(respiratory and circulatory)