Paediatric Basic Life Support

2015

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 Sequences in recognizing
A critically ill child

01 02 03 04 05

Quick Primary Secondary Tertiary
Re-assessment
look assessment assessment assessment

PAT ABCDE •  History taking Diagnosis

•  Focused
physical exam
•  Detailed exam
INDONESIAN PEDIATRIC SOCIETY
 OBJECTIVES

Understanding paediatric basic life support:

A irway – airways opening

B reathing – artificial ventilation

C irculation – recovery of circulation

For those with DUTY RESPONDS

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 TERMINOLOGY

Age:
•  Newly born: born —> 4 week RESUSCITATION
FOR NEONATES

•  Infant is a child under 1 year

of age RESUSCITATION
FOR PAEDIATRIC
•  Child is between 1 year and
puberty

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I.K. Maconochie et al. / Resuscitation 95 (2015) 223–248
 I.K. Maconochie et al. / Resuscitation 95 (2015) 223–248

SEQUENCE OF BLS

Fig. 6.2. Mouth to mouth and no

Fig. I.K.
6.1. Paediatric basic life
5 support algorithm.
Look for chest movements.
•/ Resuscitation
Maconochie et al. 95 (2015) 223–248

•
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I.K. Maconochie et al. / Resuscitation 95 (2015) 223–248
 AIRWAY

HEAD TILT CHIN LIFT JAW THRUST

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BREATHING

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I.K. Maconochie et al. / Resuscitation 95 (2015) 223–248
 CIRCULATION

Look for signs of a circulation for no more 10 s

any movement, coughing
normal breathing=circulation is present
(not agonal gasps, which are infrequent, irregular breaths)
or
check pulse: a.brachialis for infant; a.carotid for child

NO/HR<60 YES:
bpm: Continue rescue breathing until
effective
START CPR Recovery position
Re-assess frequently
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I.K. Maconochie et al. / Resuscitation 95 (2015) 223–248
CHEST COMPRESSION
•  Techique
Infant: 2 fingers (2 thumbs
circular)
Child: one hand/two hands
•  Compressions 1/3 of the depth of
the chest
•  by 4 cm for infant
•  by 5 cm for child
At lower half sternum

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I.K. Maconochie et al. / Resuscitation 95 (2015) 223–248
 REMEMBER!
HIGH QUALITY CPR
»  Push hard and fast
»  Complete recoil
»  Minimal interruption
»  Avoid excessive ventilation

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 WHEN TO STOP?

»  Signs of life: start to wake up/move/

opens eyes/breathe normally
»  More healthcare workers arrive and can
either assist or take over
»  You become exhausted

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I.K. Maconochie et al. / Resuscitation 95 (2015) 223–248
FOREIGN BODY
OBSTRUCTION

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I.K. Maconochie et al. / Resuscitation 95 (2015) 223–248
5 BACK BLOWS AND 5 THRUST

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ANY QUESTIONS?

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