BLS paeds Flashcards
What arrest is more likely in paeds?
Respiratory
What do NICE class the paeds algorithm up to in BLS eg age that do paeds BLS until?
Puberty - in community
On ward up to 18
What age is an infant?
Under 1 years old
How assess responsiveness in a baby?
Shout their name
Tickle bototm of feet (should pull legs up)
How do you open AW in paeds?
Head tilt chin lift
Problem with babies in AW and how to stop them
Big tongue, pliable trachea, short neck
Maintain neutral position - overextending occludes AW
Process of deterioration in children
Hypoxic
Bradycardia
Cardiopulmonary arrest
What is the first thing try to fix in paeds arrest?
Hypoxia - amby bags or mouth to mouth and nose
Why dont press hard on amby bag on face of baby
Vasovagal response -> slowed HR
How many rescue breaths do in paeds
5
What look for after rescue breaths
Signs of life - normal
Where feel for pulse in baby
Brachial or femoral
What do if any doubt that there are signs of life
CPR
Where do u do CPR in paeds
Ziphysternum - nipple line in middle of chest
How far press in baby CPR
2/3 down/4cm
Rate if CPR in child
15 compressions, 2 rounds
100-120 BPM
What happens if get better from CPR and not in hospital
Recovery position
Position for AW opening in child
sniffing morning air - between neutral and full extension
WHat remember to do if mouth to mouth
Pinch nose
How do cardiac massage in a child?
2/3 down - 5 cm
One hand in middle chest
First thing do with choking baby
chekc effective cough
chest thrust
Chest thrsut in baby
On tummy head down
5 blows on back under scapula upwards motion
Then turn up, push down and up with two fingers
When go into BLS and stop repeating chest thrust in baby with foreign object obstruction?
when they fall unconscious
