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Pediatric Basic Life Support is a life-saving skill comprising of high quality [[CPR (Cardiopulmonary Resuscitation)]] and Rescue Breadths with [[Artificial External Defibrillator (AED)]].  
Pediatric Basic Life Support is a life-saving skill comprising of high quality [[CPR (Cardiopulmonary Resuscitation)]] and Rescue Breadths with [[Artificial External Defibrillator (AED)]].  


* Bystander CPR - Bystander resuscitation plays a key role in out of hospital CPR. A study by Maryam Y Naim et all found out communities where bystander cardiopulmonary resuscitation is practiced have better survival outcomes in children less than 18 years from out of hospital cardiac arrest.<ref name="pmid27837587">{{cite journal| author=Naim MY, Burke RV, McNally BF, Song L, Griffis HM, Berg RA | display-authors=etal| title=Association of Bystander Cardiopulmonary Resuscitation With Overall and Neurologically Favorable Survival After Pediatric Out-of-Hospital Cardiac Arrest in the United States: A Report From the Cardiac Arrest Registry to Enhance Survival Surveillance Registry. | journal=JAMA Pediatr | year= 2017 | volume= 171 | issue= 2 | pages= 133-141 | pmid=27837587 | doi=10.1001/jamapediatrics.2016.3643 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27837587  }}</ref>
* Bystander CPR - Bystander resuscitation plays a key role in out of hospital CPR. A study by Maryam Y Naim et all found out communities where bystander cardiopulmonary resuscitation is practiced have better survival outcomes in children less than 18 years from out of hospital cardiac arrest.


* Two studies (Total children 781) concluded that about half of the Cardio-Respiratory arrests in children under 12 months occur outside the hospital.
* Two studies (Total children 781) concluded that about half of the Cardio-Respiratory arrests in children under 12 months occur outside the hospital.<ref name="pmid20202679">{{cite journal| author=Kitamura T, Iwami T, Kawamura T, Nagao K, Tanaka H, Nadkarni VM | display-authors=etal| title=Conventional and chest-compression-only cardiopulmonary resuscitation by bystanders for children who have out-of-hospital cardiac arrests: a prospective, nationwide, population-based cohort study. | journal=Lancet | year= 2010 | volume= 375 | issue= 9723 | pages= 1347-54 | pmid=20202679 | doi=10.1016/S0140-6736(10)60064-5 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20202679  }}</ref>
*Good Prognostic Factor upon arrival at the emergency department-
*Good Prognostic Factor upon arrival at the emergency department-
**The short interval between arrest and arrival at the hospital.
**The short interval between arrest and arrival at the hospital.
**Less than 20 minutes of resuscitation in the emergency department.
**Less than 20 minutes of resuscitation in the emergency department.
**Less than 2 doses of epinephrine.
**Less than 2 doses of epinephrine.<ref name="pmid8890097">{{cite journal| author=Schindler MB, Bohn D, Cox PN, McCrindle BW, Jarvis A, Edmonds J | display-authors=etal| title=Outcome of out-of-hospital cardiac or respiratory arrest in children. | journal=N Engl J Med | year= 1996 | volume= 335 | issue= 20 | pages= 1473-9 | pmid=8890097 | doi=10.1056/NEJM199611143352001 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8890097  }}</ref>
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Introduction- Pediatric BLS

Pediatric Basic Life Support is a life-saving skill comprising of high quality CPR (Cardiopulmonary Resuscitation) and Rescue Breadths with Artificial External Defibrillator (AED).

  • Bystander CPR - Bystander resuscitation plays a key role in out of hospital CPR. A study by Maryam Y Naim et all found out communities where bystander cardiopulmonary resuscitation is practiced have better survival outcomes in children less than 18 years from out of hospital cardiac arrest.
  • Two studies (Total children 781) concluded that about half of the Cardio-Respiratory arrests in children under 12 months occur outside the hospital.[1]
  • Good Prognostic Factor upon arrival at the emergency department-
    • The short interval between arrest and arrival at the hospital.
    • Less than 20 minutes of resuscitation in the emergency department.
    • Less than 2 doses of epinephrine.[2]
  1. Kitamura T, Iwami T, Kawamura T, Nagao K, Tanaka H, Nadkarni VM; et al. (2010). "Conventional and chest-compression-only cardiopulmonary resuscitation by bystanders for children who have out-of-hospital cardiac arrests: a prospective, nationwide, population-based cohort study". Lancet. 375 (9723): 1347–54. doi:10.1016/S0140-6736(10)60064-5. PMID 20202679.
  2. Schindler MB, Bohn D, Cox PN, McCrindle BW, Jarvis A, Edmonds J; et al. (1996). "Outcome of out-of-hospital cardiac or respiratory arrest in children". N Engl J Med. 335 (20): 1473–9. doi:10.1056/NEJM199611143352001. PMID 8890097.

Causes of Cardiopulmonary arrest in children.

  • Ventricular Fibrillation
  • Pulseless Ventricular tachycardia
  • Children with preexisting cardiac disorders
    • Hypertrophic cardiomyopathy
    • Anomalous coronary artery (from the pulmonary artery)
    • Long QT syndrome
    • Myocarditis
  • Drug intoxication (eg, tricyclic antidepressants, digoxin, cocaine)
  • Commotio cordis [1]

References

  1. Ralston.M.E (2020).Pediatric basic life support for healthcare providers. In James F Wiley (Ed.), UpTodate. Retrived from https://www.uptodate.com/home

Algorithm

Changes made in the new AHA guidelines 2015

AED (Artificial External Defibrillator)

Airway management

Survival benefits of early high-quality CPR