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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 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 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