BLS paeds

Question 1

What arrest is more likely in paeds?

Answer 1

Respiratory

Question 2

What do NICE class the paeds algorithm up to in BLS eg age that do paeds BLS until?

Answer 2

Puberty - in community
On ward up to 18

Question 3

What age is an infant?

Answer 3

Under 1 years old

Question 4

How assess responsiveness in a baby?

Answer 4

Shout their name
Tickle bototm of feet (should pull legs up)

Question 5

How do you open AW in paeds?

Answer 5

Head tilt chin lift

Question 6

Problem with babies in AW and how to stop them

Answer 6

Big tongue, pliable trachea, short neck
Maintain neutral position - overextending occludes AW

Question 7

Process of deterioration in children

Answer 7

Hypoxic
Bradycardia
Cardiopulmonary arrest

Question 8

What is the first thing try to fix in paeds arrest?

Answer 8

Hypoxia - amby bags or mouth to mouth and nose

Question 9

Why dont press hard on amby bag on face of baby

Answer 9

Vasovagal response -> slowed HR

Question 10

How many rescue breaths do in paeds

Answer 10

5

Question 11

What look for after rescue breaths

Answer 11

Signs of life - normal

Question 12

Where feel for pulse in baby

Answer 12

Brachial or femoral

Question 13

What do if any doubt that there are signs of life

Answer 13

CPR

Question 14

Where do u do CPR in paeds

Answer 14

Ziphysternum - nipple line in middle of chest

Question 15

How far press in baby CPR

Answer 15

2/3 down/4cm

Question 16

Rate if CPR in child

Answer 16

15 compressions, 2 rounds
100-120 BPM

Question 17

What happens if get better from CPR and not in hospital

Answer 17

Recovery position

Question 18

Position for AW opening in child

Answer 18

sniffing morning air - between neutral and full extension

Question 19

WHat remember to do if mouth to mouth

Answer 19

Pinch nose

Question 20

How do cardiac massage in a child?

Answer 20

2/3 down - 5 cm
One hand in middle chest

Question 21

First thing do with choking baby

Answer 21

chekc effective cough
chest thrust

Question 22

Chest thrsut in baby

Answer 22

On tummy head down
5 blows on back under scapula upwards motion
Then turn up, push down and up with two fingers

Question 23

When go into BLS and stop repeating chest thrust in baby with foreign object obstruction?

Answer 23

when they fall unconscious