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7 Cards in this Set
- Front
- Back
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Most common cause paed arrest
Most common rhythms Time after which with CPR and 2x adrenaline good neuro recovery is unlikely Caveats to above |
Hypoxia
Asystole, EMD/PEA, cf adults VT/VF 30/60 Toxin related arrest, refractory shockable rhythm VT/VF, ice-cold immersion with hypothermia (unusual in Australia) |
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Survival to discharge in
Resp arrest OHCA IHCA |
75%
7% 35% |
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Important physiological and anatomical differences
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Large occiput, short neck - tendency to flex neck
Large tongue, small mandible, floppy epiglottitis, anterior larynx - difficulty viewing cords, straight blade Compliant upper airways, may collapse Compliant chest wall - fatigues easily Diaphragm dependent breathing - need to empty stomach as may compromise CO maintained by HR, hypotension late sign Head proportionately greater component of surface area - heat loss Compliant chest wall - risk damage to spleen, liver, lungs with CPR, even in absence fractures |
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Other key paeds RESUS differences
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Age appropriate assessment and interaction
Parental involvement/care Staff care |
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Regarding paeds BLS which is incorrect
1 after airway opening 2 x rescue breaths should be attempted 2 rate for two person CPR is 15:2, neonatal 3:1 3 notification of ambulance services may be delayed until after 5 cycles of CPR to enable a single rescuer to prevent delays to onset BLS 4 the rate of neonatal compressions is 120/min, however only 90 will occur in any one minute 5 the jaw thrust and chin lift may be performed if cervical injury is suspected |
1 incorrect - 2 effective breaths, which should be attempted by up to 5 breaths if required
5 correct, but NOT the head tilt |
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At which HR should compressions commence in children of any age group
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<60
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X
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X
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