Chapter 18 Basic life support Flashcards
How does paediatric basic life support differ from adults?
Start with two breaths
15 chest compressions
Hypoxia is the most likely cause of arrest
What is the best position for opening the airway (head lift/chin tilt) for an infant or child?
How is it different from an adult?
Infant: neural position
Child: sniffing
Different airway to adults, over extension occludes airway
How long should a rescue breath be given over?
What happens if you give too quick of a breath?
Over 1 second
If too fast, gastric inflation occurs with risk of aspiration
If your mouth does not cover the nose of the child when providing rescue breaths, what must you do?
Pinch the nose closed
Where do you feel for a pulse in an infant?
Brachial or femoral
Neck is often short and fat and difficult to palpate carotid in this age group
Where do you feel for pulse in a child > 12 months
Carotid or femoral
What do you do if the HR is < 60 BPM the child is unresponsive and there is no improvement with ventilation?
Start CPR
What depth should the chest be compressed in a child and infant?
1/3 of depth of chest
Infant = 4cm
Child = 5cm
Where should your hand placement be?
Lower half of sternum but not so low it compressed the xiphisternum into abdominal structures
How to you provide chest compressions to an infant (hand placement)
Single rescuers: two fingers to lower half of sternum
Two rescuers: both thumbs to lower half of sternum with hands encircling body
How do you provide chest thrusts to a choking infant?
two fingers to lower half of sternum
