Paeds BLS Flashcards
When is someone classed as infant
<1
What is different about a child’s airway
- large tongue
- large head
- large epiglottis
- short neck and protruberant occiput
- funnel shaped, narrow trachea
- floor of mouth easily compressed
Breathing in children rate
30-40bpm
Low 02 reserve but high consumption
Small alveolar interface
Become hypoxic fast
Child circulation rate
140bpm
Circulating volume is 240mls
Where would you check pulse in child
Brachial <1
Carotid >1
Common causes of airway obstruction in children
Congenital abnormalities
Infection
Secretions
Trauma
Drowning
CNS depression
Most common paediatric cardiac arrhythmia
Severe bradycardia
Deteriorates to
- pulseless electrical acvitiy
-asystole
How does Paeds cardiac arrest start
Primary respiratory arrest first which deteriorates to secondary cardiac arrest
Severe tissue hypoxia due to both
Causing myocardial dysfunction
Acronym for BLS kids
SSSABCR
Safety, stimulate, shout, airway, breathing, Circulation , reassess
How to stimulate for children in BLS
Infant- move arms , don’t shake
Child - shake
2 ways to check airway
Jaw thrust
Head tilt, chin lift
Infant just jaw thrust
Then finger sweep (NOT BLIND)
How long do you check pulse
10 seconds
What to do if absence of normal breathing (BLS)
- give 5 rescue breaths - because of low O2 reserve
Soft tissues under chin children
DONT TOUCH
Blocks airway
CPR in children rules
If pulse or rate below 60bpm
15 compressions: 2 ventilation
Where to give CPR child
Lower half sternum
1 finger above xiphisternum
5 cm compression
How to give CPR child
Trace along ribs
One finger about xiphisternum
Encircling technique
Compress 1/3 sternum
How does Defib work on child
Paediatric pads
Anterior and posterior
50-70 joules
Can’t use on asystole or PAE
What is used for ventilations in child BLS
Bag valve masks
