Sandbox:Neepa Shah: Difference between revisions

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**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.<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>
**Less than 2 doses of epinephrine.
<references />
<references />


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==[[Xyz Algorithm|Algorithm]]==
==[[Xyz Algorithm|Algorithm]]==
* Pulse present but cannot breath.
* No Pulse and not breathing.
*
<br />
==[[Xyz Changes made in the new AHA guidelines 2015|Changes made in the new AHA guidelines 2015]]==
==[[Xyz Changes made in the new AHA guidelines 2015|Changes made in the new AHA guidelines 2015]]==
==[[Xyz AED (Artificial External Defibrillator)| AED (Artificial External Defibrillator)]]==
==[[Xyz AED (Artificial External Defibrillator)| AED (Artificial External Defibrillator)]]==

Revision as of 05:56, 12 June 2020

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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.
  • 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.


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. Retrieved from https://www.uptodate.com/home

Algorithm

  • Pulse present but cannot breath.
  • No Pulse and not breathing.



Changes made in the new AHA guidelines 2015

AED (Artificial External Defibrillator)

Airway management

Survival benefits of early high-quality CPR