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