Chest compression pauses should be minimised so that 80% or more of the CPR cycle is comprised of chest compressions. help is sought shout for nearby help and dial 999, CPR is promptly started according to current guidelines. Ensure a neutral position of the head (as an infants head is usually flexed when supine, this may require some gentle extension) and apply chin lift. Clench your fist and place it between the umbilicus (navel) and the ribcage. When a foreign body enters the airway the child or infant reacts immediately by coughing in an attempt to expel it. It is necessary to differentiate between infants (under 1 year of age) and children, as there are some important differences between these two groups. OBJECTIVES Students should be able to demonstrate: How to assess the collapsed victim How to perform chest compression and rescue breathing How to place an unconscious breathing victim in the recovery position. Rescuers are no longer taught to feel for a pulse as part of the assessment of need for chest compressions in BLS. Colm Toibin. Looks like youve clipped this slide to already. Place both thumbs flat, side-by-side, on the lower half of the sternum (as above), with the tips pointing towards the infants head. Views: 670, By: krishna4you Coronavirus Disease 2019 Guidance Together with other professional societies, the American Heart Association (AHA) has provided interim guidance for basic and advanced life support in adults, children, and neonates with suspected or confirmed coronavirus disease 2019 (COVID-19). CONTENTS. The ideal interval for re-training is unknown but it is likely that frequent top ups, several times a year, are more effective. 20 slides. Basic life support,Cardi0-pulmonary resuscitation Pinky Rathee 2.8k views 40 slides BASIC LIFE SUPPORT (ADULT) BLS Prof Vijayraddi 28.9k views 35 slides Cardio pulmonary resuscitation (cpr) krl Khemaram Loyal 1.4k views 33 slides Bls222 Gina Magaway 2k views 23 slides CPR procedure anjalatchi 1.3k views 22 slides BLS Aman Bijral By: JenniferDwayne Maconochie IK, Aickin R, Hazinski MF, Atkins DL, Bingham R, Couto TB, Guerguerian AM, Nadkarni VM, Ng KC, Nuthall GA, Ong GYK, Reis AG, Schexnayder SM, Scholefield BR, Tijssen JA, Nolan JP, Morley PT, Van de Voorde P, Zaritsky AL, de Caen AR; Resuscitation. Create stunning presentation online in just 3 steps. If a misjudgement is made, and the victim turns out to be a young adult, little harm will accrue as studies of aetiology have shown that the paediatric causes of arrest continue into early adulthood. Perform bystander CPR when confronted with a child in CA after trauma, provided it is safe to do so. Call out, or send, for help if it is still not available. no response Tap or squeeze shoulders gently no response activate Emergency medical services Check for no breathing or no normal breathing (i.e., gasping) Gasping without eye opening - failure to respond manage as unconscious, Pulse check The lay rescuer should not check for a pulse The healthcare provider should take no more than 10 seconds. A child is between 1 year and 18 years of age. Views: 545, By: JenniferDwayne an AED is located, retrieved and used as early as possible. However, if coughing is absent or ineffective, and the object completely obstructs the airway, the child or infant will rapidly become asphyxiated. Cardiac arrest recognition remains a key priority as it is the first step in triggering the emergency response to cardiac arrest. Those untrained (dispatcher-assisted members of the public). Views: 607. Nolan JP, Maconochie I, Soar J, Olasveengen TM, Greif R, Wyckoff MH, Singletary EM, Aickin R, Berg KM, Mancini ME, Bhanji F, Wyllie J, Zideman D, Neumar RW, Perkins GD, Castrn M, Morley PT, Montgomery WH, Nadkarni VM, Billi JE, Merchant RM, de Caen A, Escalante-Kanashiro R, Kloeck D, Wang TL, Hazinski MF.Resuscitation. In partnership with the Disque Foundation, Save a Life by NHCPS is proud to offer the most comprehensive FREE online BLS course. Use of any of the ACLS medication in Table 1 should be done within your scope of practice and after a thorough study of the actions and side effects. If a shock is indicated, ensure that nobody is touching the person. Bystander cardiopulmonary resuscitation (CPR) and use of an automated external defibrillator (AED) increase the chances of survival by two to four-fold and are a critical part of UK governments strategies to improving survival from cardiac arrest. If unwitnessed, suspect foreign body airway obstruction when the onset of respiratory symptoms (coughing, gagging, stridor, distress) is sudden and there are no other signs of illness; a history of eating or playing with small items immediately before the onset of symptoms might further alert the rescuer. 2. Pediatric Basic Life Support Pedia BLS ---rbt2016--- 6. BASIC LIFE SUPPORT(BLS)save lives following cardiac, IF VICTIM STARTS TO BREATHE NORMALLY PLACE IN RECOVERY. Unconscious children and infants who are not in cardiac arrest and clearly have normal breathing, can have their airway kept open by either continued head tilt - chin lift or jaw thrust or, when there is a perceived risk of vomiting, by positioning the unconscious child in a recovery position. By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators. CHECK RESPONSE, SHOUT FOR HELP Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths, OPEN AIRWAY Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths, OPEN AIRWAY Head tilt and chin lift - lay rescuers - non-healthcare rescuers No need for finger sweep unless solid material can be seen in the airway, OPEN AIRWAY Head tilt, chin lift + jaw thrust - healthcare professionals, CHECK BREATHING Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths, CHECK BREATHING Look, listen and feel for NORMAL breathing Do not confuse agonal breathing with NORMAL breathing, AGONAL BREATHING Occurs shortly after the heart stops in up to 40% of cardiac arrests Described as barely, heavy, noisy or gasping breathing Recognise as a sign of cardiac arrest Erroneous information can result in withholding CPR from cardiac arrest victim, Approach safely Check response Shout for help Open airway Check breathing Call 155 / 112 30 chest compressions 2 rescue breaths, FOREIGN-BODY AIRWAY OBSTRUCTION (FBAO) Approximately 16 000 mature and children receive treatment for FBAO in the UK yearly, 30 CHEST COMPRESSIONS Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths, Place the heel of one hand in the centre of the chest Place other hand on top Interlock fingers Compress the chest Rate 100 min-1 Depth 4-5 cm Equal compression : relaxation When possible change CPR operator every 2 min CHEST COMPRESSIONS, RESCUE BREATHS Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths, RESCUE BREATHS Pinch the nose Take a normal breath Place lips over mouth Blow until the chest rises Take about 1 second Allow chest to fall Repeat, RESCUE BREATHS RECOMMENDATIONS: - Tidal volume 500 600 ml - Respiratory rate give each breaths over about 1s with enough volume to make the victims chest rise - Chest-compression-only continuously at a rate of 100 min, Call 112 Approach safely Check response Shout for help Open airway Check breathing Attach AED Follow voice prompts, AUTOMATED EXTERNAL DEFIBRILLATOR (AED) Some AEDs will automatically switch themselves on when the lid is opened, SHOCK INDICATED Stand clear Deliver shock, SHOCK DELIVERED FOLLOW AED INSTRUCTIONS 30 2, NO SHOCK ADVISED FOLLOW AED INSTRUCTIONS 30 2, IF VICTIM STARTS TO BREATHE NORMALLY PLACE IN RECOVERY POSITION, Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths Approach safely Check response Shout for help Open airway Check breathing Call 112 Attach AED Follow voice prompts, CONTINUE RESUSCITATION UNTIL Qualified help arrives and takes over The victim starts breathing normally Rescuer becomes exhausted. Do not confuse this with normal breathing. If no mobile phone is available and more than one rescuer is available, one (or more) person starts resuscitation while another goes for assistance. Push the shock button as prompted. Allow the chest to recoil completely after each compression; do not lean on the chest. Organized by basic, advanced adult and pediatric life support, and newborn resuscitation, the handbook provides algorithms, protocols, sequences, drug dosages, and much more. Clipping is a handy way to collect important slides you want to go back to later. Recognise cardiac arrest has occurred in any unresponsive person with absent or abnormal breathing. The guidelines emphasise that it is more important that people feel able to do something to help than they become focused on small details or concerned about causing harm. Once cardiac arrest (an unresponsive patient with no breathing or only gasping motions) is recognised, chest compressions should be initiated. of basic life support in paediatric cardiopulmonary arrest is summarised in Figure 4.1. There are no major changes in the 2021 Basic Life Support Guidelines. cpr, Adult Basic Life Support - La. 2020 AHA Basic Life Support Guidelines. Basic life support imangalal 70.4k views 57 slides Cardiopulmonary resuscitation ppt Manali Solanki 600.9k views 34 slides Acls advanced cardiac life support Vipin Mahadevan 80.3k views 73 slides BASIC LIFE SUPPORT (BLS - CPR) Dr. Akshita Duha Juneja (PT) 9.1k views 44 slides Intubation ppt Prof Vijayraddi 34.7k views 16 slides ACLS & BLS The overall sequence of basic life support in cardiopulmonary arrest (CPR = cardiopulmonary arrest) The SAFE approach Weve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. In cases where there is more than one rescuer, a second rescuer should call 999 (outside hospital) to summon emergency medical services (EMS) or call 2222 if in an NHS hospital to summon the clinical emergency team immediately. Now customize the name of a clipboard to store your clips. Eslam Mohammed, M.B.B.Ch, M.Sc., Cardiologist. signs of life, including breathing, can be determined visually from a . How would you describe agonal breathing? If a healthcare provider does feel for a pulse in an unresponsive child, they must be certain that one is present for them NOT to start CPR. Do not perform a blind finger sweep. Open the mouth a little but maintain the chin lift. You can read the details below. If back blows are ineffective, give up to 5 abdominal thrusts: Stand behind the person and put both your arms around the upper part of their abdomen. It is possible that part of the object may remain in the respiratory tract and cause complications. The extent of medical care depends upon the degree of tissue trauma. Views: 524, By: DrDwayne If this is not available, use the standard AED (for all ages). In this situation, a shockable rhythm is likely and the child may need defibrillation. This confusion occurs when rescuer is single Adult collapsing suddenly - mostly cardiac arrest----call first then start CPR If the likely cause of unconsciousness is a breathing problem e.g., drowning, trauma, chocking, intoxication or victim is an infant then do CPR for 2 mins or 5 cycles then call for help, When to Stop CPR ??? Assess the effectiveness of each breath: if a breath does not make the chest rise, reposition the head before making the next attempt. Download the Paediatric chokingalgorithm, ERC Guidelines 2021:https://cprguidelines.eu/. Tibballs J, Weeranatna C. The influence of time on the accuracy of healthcare personnel to diagnose paediatric cardiac arrest by pulse palpation. - YouTube 0:00 / 7:21 BASIC LIFE SUPPORT (BLS) POWERPOINT. Although injury to the CPR provider from a shock by a defibrillator is extremely rare, do not continue chest compression during shock delivery. Dr. Zain Ul Abidin Category: Medicine, Science & Technology. BASIC LIFE SUPPORT There is emphasis on rescuers using mobile phones with speaker function to facilitate bystander access to dispatcher guided cardiopulmonary resuscitation (CPR) and to summon emergency medical services (EMS) without leaving the child or infant. Slow, laboured breathing (agonal breathing) should be considered a sign of cardiac arrest. This free collection of CPR and first aid PPT templates can be useful for health care professionals and doctors, but also for first aid presentations in PowerPoint. Two or more rescuers should alternate who is performing chest compressions frequently; the compressing rescuer should switch hands (the hand compressing, the hand which is on top) or the technique (one to 2-handed) to avoid fatigue. Do not push on the soft tissues under the chin as this may block the airway. If you wish to obtain BLS Certification, BLS Recertification, or BLS For Life, please view the options to purchase by clicking the purchase button below, or here. The review recommended the need for further research before device use can be supported in practice. Place your arms under the childs arms and encircle their torso. Doctor at Bahawal Victoria Hosipital, Bahawalpur, PK. Rescuers who have been taught adult BLS, and have no specific knowledge of paediatric resuscitation, should use the. Active interventions to relieve choking are therefore required only when coughing becomes ineffective, but they then must be quickly commenced. In larger children, or for small rescuers, this may be achieved more easily by using both hands with the fingers interlocked. The differences between adult and paediatric resuscitation are largely based on differing aetiology. Continuous compressions if advanced airway present. Follow the spoken (and/or visual) prompts from the AED. No greater harm can occur than failing to act when someone requires CPR and defibrillation. To maintain consistency with adult BLS guidelines, the compression rate remains at 100120 min. Abdominal thrusts for children over 1 year: Following chest or abdominal thrusts, reassess the child/infant: If the child/infant with foreign body airway obstruction is, or becomes, unconscious, move to treatment with the paediatric BLS algorithm. 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