Paediatric BLS

Question 1

You see an unresponsive child/infant/neonate, what steps do you carry out?

Answer 1

Response?:

• ensure child is safe
• gently stimulate child & “are you alright?” - do NOT shake infant

If unresponsive:

• “HELPPP!!”
• Head-Tilt-Chin-lift (jaw thrust when there is difficulty opening airway)

Not breathing normally?

• 5 rescue breaths

No signs of life?

• 15 chest compression, 2 rescue breaths, 15 chest compressions….

Question 2

How to carry out chest compressions on a child

Answer 2

• Hand position at lower half of the sternum
• Compression depth 1/3rd of child’s chest
• 100-120bpm
• allow chest to fully recoil
• 15:2 compression to rescue breath ratio
• minimal interruptions
• ensure child is safe and in a flat surface

Question 3

What 3 things are you looking for to assess breathing quickly and effectively?

Answer 3

1. Feel for air in your cheek
2. Listen for breath sounds coming from child’s mouth
3. Look for chest wall movement

Question 4

How to perform rescue breaths on an infant

Answer 4

Pinch noise, cover mouth with yours, blow steadily, allow recoil of the chest