Sandbox:Neepa Shah
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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.[1]
- 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.
- ↑ Naim MY, Burke RV, McNally BF, Song L, Griffis HM, Berg RA; et al. (2017). "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". JAMA Pediatr. 171 (2): 133–141. doi:10.1001/jamapediatrics.2016.3643. PMID 27837587.
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
- ↑ Ralston.M.E (2020).Pediatric basic life support for healthcare providers. In James F Wiley (Ed.), UpTodate. Retrived from https://www.uptodate.com/home