Pediatric Advanced Life Support

P ediatric A dvanced L ife S upport By R2 張家穎

小兒生命之鏈預防措施早期 CPR 早期求救高級小兒救命術

Basic Life Support ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Appearance BC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

A Breathing C ,[object Object],[object Object],[object Object],[object Object],　 12~18 Adolescent 　 20~30 Schooler 　 25~40 Toddler 　 30~60 Infant 　 40~60 Neonate 　 RR 　 AGE

AB Circulation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Ｃ apillary refill time: Normal : <2 sec. SBP>90 60~140 >10 y/o DBP: 70+age*2 100~180 1~10 y/o SBP 50~90 80~200 Neonate DBP~ Gestational age Pre- maturity 　 BP 　 HR 　 AGE

Airway BCDE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

A Breathing CDE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

AB Circulation DE~1 ,[object Object],3:1=90:30 5:1=100:20 15:2 Ratio 胸壁厚度 1/2~1/3 胸壁厚度 1/2~1/3 4~5 cm Depth 兩手指兩手環抱 , 以拇指壓單手掌跟兩手指互扣 Method 兩乳頭連線下一指幅胸骨下半段胸骨下半段 Position Brachial a. Umbilical a. Common carotid a. Common carotid a. Check pulse Newborn <8 y/o > 8 y/o

AB Circulation DE~2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],CCB is contraindicated!!! 電電電藥電藥電　 xylocaine: 1mg/kg. amiodarone 5mg/kg.

AB Circulation DE~3 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ABC Disability E ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ＤＯＰＥ ,[object Object],[object Object],[object Object],[object Object]

Newborn management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],If meconium presents ?

Trauma ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

~The End~ Thanks for your at tension .

Pediatric Advanced Life Support

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Pediatric Advanced Life Support