Sandbox:Neepa Shah

Revision as of 13:46, 9 June 2020 by Neepa Shah (talk | contribs) (added mysteriously disappearing references)
Jump to navigation Jump to search

Please help WikiDoc by adding more content here. It's easy! Click here to learn about editing.

Kindly start practicing writing in your sandbox before writing other pages/chapters.


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