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39 Cards in this Set

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Single-Rescuer Pediatric BLS Algorithm: Step 1

Verify Scene Safety




Pt. 5, pg. 46

Single-Rescuer Pediatric BLS Algorithm: Step 2

-Victim is unresponsive


-Shout for nearby help


-Activate emergency response system via mobile device (if appropriate)




Pt. 5, pg. 46

Single-Rescuer Pediatric BLS Algorithm: Step 3

Look for no breathing or only gasping and check pulse (simultaneously). Is pulse definitely felt within 10 seconds?




Pt. 5, pg. 46

Single-Rescuer Pediatric BLS Algorithm: Step 3a (Normal breathing, has pulse)

-Activate emergency response system (if not already done)


-Return to victim and monitor until emergency responders arrive




Pt. 5, pg. 46

Single-Rescuer Pediatric BLS Algorithm: Step 3b (No normal breathing, has pulse)

-Provide rescue breathing, 1 breath every 3-5 sec


-Add compressions if pulse is below 60/min with signs of poor perfusion


-Activate emergency response system after 2 minutes if not already done


-Continue rescue breathing; check pulse every 2 min. If no pulse, begin CPR




Pt. 5, pg. 46

Single-Rescuer Pediatric BLS Algorithm: Step 4 (No breathing or only gasping, no pulse)

Check if sudden collapse was witnessed




Pt. 5, pg. 46

Single-Rescuer Pediatric BLS Algorithm: Step 4a (sudden collapse WAS witnessed)

Activate emergency response system (if not already done) and retrieve AED/defibrillator




Pt. 5, pg. 46

Single-Rescuer Pediatric BLS Algorithm: Step 5 (sudden collapse was NOT witnessed)

CPR:


-1 rescuer: begin cycles of 30 compressions and 2 breaths


-Use 15:2 ratio if second rescuer arrives


-Use AED as soon as it is available




Pt. 5, pg. 46

Single-Rescuer Pediatric BLS Algorithm: Step 6

After about 2 minutes of CPR, if still alone, activate the emergency response system and retrieve the AED (if not already done)




Pt. 5, pg. 46

Single-Rescuer Pediatric BLS Algorithm: Step 7

AED analyzes rhythm.




Pt. 5, pg. 46

Single-Rescuer Pediatric BLS Algorithm: Step 8 (shockable rhythm detected)

-Give 1 shock


-Resume CPR immediately for about 2 minutes (until prompted by AED to allow rhythm check)


-Continue until ALS providers take over or victim starts to move




Pt. 5, pg. 46

Single-Rescuer Pediatric BLS Algorithm: Step 9 (no shockable rhythm detected)

-Resume CPR immediately for about 2 minutes (until prompted by AED to allow rhythm check)


-Continue until ALS providers take over or victim starts to move




Pt. 5, pg. 46

"To perform a pulse check in an infant, palpate a _________________."

Brachial pulse




Pt. 5, pg. 47

"To perform a pulse check in a child, palpate a _________________."

Carotid or femoral pulse




Pt. 5, pg. 47

Steps for Locating the Brachial Artery Pulse

1. Place 2 or 3 fingers on the inside of the upper arm, midway between the infant's elbow and shoulder


2. Then press the fingers to attempt to feel the pulse for at least 5 but no more than 10 seconds




Pt. 5, pg. 48

Steps for Locating the Femoral Artery Pulse

1. Place 2 fingers in the inner thigh, midway between the hipbone and the pubic bone and just below the crease where the leg meets the torso


2. Feel for a pulse for at least 5 but no more than 10 seconds




Pt. 5, pg. 48

If a pediatric victim is not breathing normally but a pulse of 60/min or less with signs of poor perfusion, start __________________."

Chest compressions




Pt. 5, pg. 48

If you are alone and the infant's/child's arrest was sudden and witnessed:

-Leave the victim to activate the emergency response system in your setting


-Get the AED and emergency equipment. If someone else is available, send that person to get it




Pt. 5, pg. 48

If you are alone and the infant's/child's arrest was not sudden and witnessed:

-Begin high-quality CPR for 2 minutes




Pt. 5, pg. 48

"If two rescuers are present for the resuscitation attempt of an infant or child, use a compression-to-ventilation ratio of _________."

15:2




Pt. 5, pg. 49

"For a very small child, _______________ may be adequate to achieve the desired compression depth."

1-handed compressions




Pt. 5, pg. 50

"For infants, single rescuers should use the ____________ technique. If multiple rescuers are present, the ____________ technique is preferred."

-2-finger technique


-2 thumb-encircling




Pt. 5, pg. 50

Finger placement in the 2-finger technique

-Center of the infant's chest

-Just below the nipple line


-Lower half of the breastbone


-Do not press the tip of the breastbone




Pt. 5, pg. 50

Thumb and finger placement in the 2 thumb-encircling technique

-Side by side in the center of the infant's chest


-On the lower half of the breastbone


-Thumbs may overlap in very small infants


-Encircle the infant's chest and support the infant's back with the fingers of both hands




Pt. 5, pg. 51

"It is very important to give both ________ and ___________ for infants and children during high-quality CPR."

-Compressions


-Breaths




Pt. 5, pg. 52

Multiple-Rescuer Pediatric BLS Algorithm: Step 1

Verify scene safety




Pt. 5, pg. 53

Multiple-Rescuer Pediatric BLS Algorithm: Step 2

-Victim is unresponsive


-Shout for nearby help


-First rescuer remains with victim


-Second rescuer activates emergency response system and retrieves AED and emergency equipment




Pt. 5, pg. 53

Multiple-Rescuer Pediatric BLS Algorithm: Step 3

Look for no breathing or only gasping and check pulse (simultaneously)




Pt. 5, pg. 53

Multiple-Rescuer Pediatric BLS Algorithm: Step 3a (Normal breathing, has pulse)

Monitor until emergency responders arrive




Pt. 5, pg. 53

Multiple-Rescuer Pediatric BLS Algorithm: Step 3b (No normal breathing, has pulse)

-Provide rescue breathing, 1 breath every 3-5 sec


-Add compressions if pulse remains below 60/min with signs of poor perfusion


-Activate emergency response system (if not already done) after 2 minutes


-Continue rescue breathing; check pulse about every 2 minutes; if no pulse, begin CPR




Pt. 5, pg. 53

Multiple-Rescuer Pediatric BLS Algorithm: Step 4 (No breathing or only gasping, no pulse)

CPR:


-First rescuer begins CPR with 30:2 ratio


-When second rescuer returns, use 15:2 ratio


-Use AED as soon as it is available




Pt. 5, pg. 53

Multiple-Rescuer Pediatric BLS Algorithm: Step 5

AED analyzes rhythm




Pt. 5, pg. 53

Multiple-Rescuer Pediatric BLS Algorithm: Step 6 (shockable rhythm detected)

-Give 1 shock


-Resume CPR immediately for about 2 minutes (until prompted by AED to allow rhythm check)


-Continue until ALS providers take over or victim starts to move




Pt. 5, pg. 53

Multiple-Rescuer Pediatric BLS Algorithm: Step 7 (no shockable rhythm detected)

-Resume CPR immediately for about 2 minutes (until prompted by AED to allow rhythm check).


-Continue until ALS providers take over or victim starts to move




Pt. 5, pg. 53

Review Question 5.1: "What is the correct compression-to-ventilation ratio for a single rescuer of a 3-year-old child?"


a. 15 compressions to 1 breath


b. 15 compressions to 2 breaths


c. 20 compressions to 2 breaths


d. 30 compressions to 2 breaths

d. 30 compressions to 2 breaths




Pt. 5, pg. 55

Review Question 5.2: "What is the correct compression-to-ventilation ratio for a 7-year-old child when 2 or more rescuers are present?"


a. 15 compressions to 1 breath


b. 15 compressions to 2 breaths


c. 20 compressions to 2 breaths


d. 30 compressions to 2 breaths

b. 15 compressions to 2 breaths




Pt. 5, pg. 55

Review Question 5.3: "For what age victim is the 2-thumb encircling hands technique recommended when 2 or more rescuers are present?"


a. A child younger than 3 years


b. A child older than 3 years


c. An infant older than 1 year


d. An infant younger than 1 year

d. An infant younger than 1 year




Pt. 5, pg. 55

Review Question 5.4: "What is the correct compression depth for a child?"


a. At least 1/4 the depth of the chest, or about 1 inch


b. At least 1/3 the depth of the chest, or about 1 1/2 inches


c. At least 1/3 the depth of the chest, or about 2 inches


d. At least 1/2 the depth of the chest, or about 2 1/2 inches



c. At least 1/3 the depth of the chest, or about 2 inches




Pt. 5, pg. 56

Review Question 5.5: "What is the correct compression depth for an infant?"


a. At least 1/4 the depth of the chest, or about 1 inch


b. At least 1/3 the depth of the chest, or about 1 1/2 inches


c. At least 1/3 the depth of the chest, or about 2 inches


d. At least 1/2 the depth of the chest, or about 2 1/2 inches

b. At least 1/3 the depth of the chest, or about 1 1/2 inches




Pt. 5, pg. 56