Chapter 18 Flashcards
What are the first things to do when approaching a collapsed child? (hint SSS)
Safety - check for dangers
Stimulate - ask if theyre okay, keep head and neck stable and gently shake arm
Shout - shout for help
What would you do if you were alone in assessing a collapsed child?
Perform BLS for 1 minute
If no help arrives within this time stop and phone 999
Unless this is a witnessed sudden collapse with no preceding illness or the child has a known cardiac condition and there isnt an obvious respiratory or circulatory cause.
How would you open an airway in a child in the community?
Head tilt chin lift
Jaw thrust
What position should an infants head be in during a head tilt chin lift? How does this differ in children?
Neutral for infants
Sniffing the air for children
Once manouvres have been performed how do you assess for airway patency?
Look for chest/abdominal movement
Listen for breath sounds
Feel for breath
What should you do if the child is breathing following an airway manoeuvre?
Place them in the recovery position and continue to maintain their airway
What should you do if rescue breaths do not produce chest wall movement?
Reposition the airway and try again
If still insuccessful proceed to choking management
When would you start chest compressions in a child?
If after airway manouvres and rescue breaths:
There are no signs of life - movement, coughing breathing
You are not certain there is a pulse
There is a slow pulse (<60bpm)
What is the ratio for compressions to ventillations?
15:2
What rate should chest compressions be performed at?
100-120 per minute
How would you manage a choking child?
If they have an effective cough keep them calm and encourage them to cough.
If they have an infective cough give 5 back blows then 5 chest/abdomen thrusts and asssess and repeat as necessary.
If they are unconscious open there airway, give rescue breaths and start CPR checking for foreign body dislodging.
