2. Summary of changes since
2005
Lay rescuers have to start the CPR if the
patient doesn’t breath well for 10sec
Healthcare providers can add looking for
pulse (carotid, brachial, femoral)
CV-ratio:
Lay rescuers 30:2
Professionals 15:2 (30:2)
3. Summary of changes since
2005
Compression technique:
For infants:
○ 2 finger for single rescuer
○ 2 thumb encircling for at least 2 rescuers
For older children:
○ 1 or 2 hand technique
Depth: 1/3 of the AP chest diameter
Compression rate: 100-120/min
4. Summary of changes since
2005
Defibrillation
Modified or unmodified AED can be used
over the age 1 year
Manual defibrillators: 4Joule/kg
Antero-lateral or antero-posterior position
Airway:
Cuffed tubes are safe (except newborns)
Cricoid pressure (safe?)
Capnometry is recommended
5.
6. Paediatric Basic Life
Support
Ensure the safety
Check the responsiveness
Gently stimulate and ask:”are you all right?”
Answering&moving: leave in position, check
his condition and get help, re-assess
Shout for help
Open the airways
Head tilt chin lift
Jaw thrust
7. Paediatric Basic Life
Support
Keep the airway open, check the
breathing for 10 sec
If breathing, recovery position, get help&re-
assess
Absent of breathing
○ Remove any obvious airway obstruction
○ Give 5 initial rescue breaths
8.
9.
10. Paediatric Basic Life
Support
Asses circulation
(no more than 10 sec)
Look for signs of life (movement, coughing,
breathing)
Check the pulse (professionals)
○ >1 year-carotid or femoral
○ <1 year-brachial or femoral
11. Paediatric Basic Life
Support
If there are no signs of life:
Start chest compressions
Combine with rescue breathing
Chest compressions:
100-120/min
The lower half of the sternum
1/3 deep of the AP chest diameter
>1 year: 1 or 2 hands technique
<1 year: 2fingers(alone) or encircling way
16. Paediatric Basic Life
Support
When to call Help?
If there are 2 rescuers, one call help
If there is 1 rescuer, after 1 min CPR
In the case of a child with a witnessed,
sudden collapse & the rescuer is alone
(arrhytmia!!!)
17.
18. Paediatric Advanced Life
Support
During CPR
Ensure high quality CPR: rate, depth, recoil
Plan actions before interrupting CPR
Give oxygen
Vascular access (intravenous, intraosseous)
Give adrenalin 3-5min
Consider advanced airway&capnography
Continuous chest compressions when
intubated
Correct reversible causes
30. Post arrest management
Myocardial dysfunction (vasoactive
drugs)
Temperature control (therapeutic
hypothermia 32-34 Celsius)
Glucose control
31. Resuscitation of babies at
birth
Relatively few babies need any
resuscitation
Majority require only assisted lung
aeration
Minority need chest compressions
32.
33. Classification to initial
assessment
Vigorous breathing or crying/good
tone/HR>100/min (no intervention)
Breathing inadequately/normal or
reduced tone/HR<100/min (dry, mask
ventilation, chest compressions
possible)
Breathing inadequately/floppy/low heart
rate(dry,mask ventilation, chest
compressions,drugs)
42. When to stop CPR?
If there’s no detectable heart rate, after 1015 min
43. Specific questions
Normal temperature
Meconium (use suction)
Air or 100% O2 (in term infants start
ventilation with air)
Time of cord clamping (1min, if CPR is
not necessary)
LMA can be used