Raj special situation cpr

BLS 2010In special situation

Pediatric Advanced Life Support

2

Compression TechniquesCompression TechniquesPosition: for all ages: compress the lower third of the sternum

number of hands:children: use one or two hands: depressing the sternum by approximately one third of the depth of the chest

Compression hand positionAdult CPR: Two hands in the center of the chestChild CPR: One or two hands in the center of the chestInfant CPR: Two fingers in the center of the chest

Depth of compressionsAdult CPR: Two inchesChild CPR:Two inchesInfant CPR One and a half inches

• Head position when attempting rescue breaths

• Child CPR: When attempting rescue breaths, be very careful not to tilt a child’s head back too far. Children have fragile airways and in the case of infants you can actually block the airway if you do this.

Children’s bones ----- flexible Tongues take up more space in their mouths; Narrower airways -can be impacted by inflammation.

Infant CPR: For infants, tilt the head into the ‘sniffer’s position,’ which is just far enough back for the baby to look like he or she is sniffing the air.

Circulation/pulseWhere to check for a pulse also differs among adults, children and infants.

Adult CPR: Check the carotid artery (located in the neck)Child CPR: Check the carotid artery(located in the neck)Infant CPR: Look for the brachial artery (located on the inside

of the upper arm)

HighlightsSame as adult CPR with some differences

• One rescuer : 30 comp. -2 Breaths

• Two rescuer : 15 comp.- 2 Breaths

• If pulse present but < 60 / min. needs

Chest compressions and recheck pulse

every 2 min.

01/22/13 07:28 AM Esmaeil Azizi Fini 10

Pregnancy

Maternal cardiac arrest algorithm.

Vanden Hoek T L et al. Circulation 2010;122:S829-S861

Copyright © American Heart Association

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Left uterine displacement using 1-handed technique.



Patient in a 30° left-lateral tilt using a firm wedge to support pelvis and thorax.



Drowning

NO .....CAB-----ABC

Attempts to remove water from the breathing passages by any means other than suction (eg, abdominal thrusts or the Heimlich maneuver) are unnecessary and potentially dangerous.

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Health & Medicine

Raj special situation cpr