Pediatric advanced life support. Management of decreased conscious level in children. Virgi ija Žili skaitė 2017
|
|
- Mark Small
- 5 years ago
- Views:
Transcription
1 Pediatric advanced life support. Management of decreased conscious level in children Virgi ija Žili skaitė 2017
2 Life threatening conditions: primary assessment, differential diagnostics and emergency care. Pediatric advanced life support. Management of decreased conscious level in children
3 Pediatric advanced life support
4 V.Žili skaitė, 7 4
5 Causes of sudden cardiac arrest Causes Children and adult Management differences Asphyxial cardiac arrest More common in infant and children In adults: drowning, drug abuse, trauma (hipoventilation) CPR 1min., then call for help or use AED (if 1 rescuer) VF cardiac arrest More common in adults. In children - acute collapse in prehospital settings (about 15% of SCA) If 1 rescuer, call for help first, get and use AED, and start CPR Call for help - immediately activate the emergency response system (ERS) Differences of sudden cardiac arrest (SCA) in Children and Adults: Asphyxial cardiac arrest is more common than VF cardiac arrest in infants and children, and ventilation is extremely important in pediatric resuscitation SCA in children more common is due to respiratory distress or shock, than cardiac disturbances Therefore, cardiac arrest is the result of bradycardia and asystole (not VF)
6 Child age for resuscitation Child age for resuscitation Causes of sudden cardiac arrest Newborn From birth until discharge from the hospital Insufficiency of breathing Infant From discharge from the hospital until 1 year Child From 1 year until puberty (puberty is Asphyxia: tachycardia bradycardia asystole defined as breast development in females and the presence of axillary hair in males) Adolescent Adult From puberty until 18 years From 18 years until end of life Ventricular fibrillation cardiac arrest Pediatric patient: Infant, child, adolescent
7 Pediatric advanced life support The order of assessment and intervention for any seriously ill child follows the ABCDE principles: indicates airway head and chin position airway suctioning oropharyngeal tube endotracheal tube, laryngeal mask tracheostomy indicates breathing. Take no more than 10 s to: Look for this includes any movement, coughing or normal breathing (not abnormal gasps or infrequent, irregular breaths). In a child over 1 year feel for the pulse in the neck. pulse or the pulse In an infant feel for the bag-mask ventilation respiratory monitoring (first line pulse oximetry/peripheral oxygen saturation SpO2), end tidal carbon dioxide monitoring artificial ventilation with special devices give oxygen at the highest concentration (i.e. 100%) during initial resuscitation indicates circulation chest compressions cardiac monitoring (first line pulse oximetry/spo2,electrocardiography (ECG) intravascular access (peripheral intravenous (IV) or intraosseous (IO) route), endotracheal route if IV/IO is imposiblle indicates disability indicates exposure Each step is evaluated and the intervention is performed
8 Resuscitation team: at least 4 rescuers CPR + monitor/defibrillator + IV/IO access Two rescuers Breathing Chest compressions Fourth rescuer Intravascular access IV or IO Fluids and drugs Third rescuer Documentation Defibrillation / cardioversion V.Žili skaitė, 7 8
9 V.Žili skaitė, 7 9
10
11 Asystole CPR + monitor/defibrillator + IV/IO access Give adrenaline IV or IO (0.01 mg/kg) and repeat every 3 5 min (every 2nd cycle) ET Adrenaline 0,1 mg/kg until IV/IO access has been established Identify and treat any reversible causes (4Hs & 4Ts) V.Žili skaitė, 7 11
12
13 Defibrillation CPR + monitor/defibrillator + IV/IO access Ventricular fibrillation or ventricular tachycardia without central pulse Give one shock, energy dose 4 J/kg Resume CPR as soon as possible without reassessing the rhythm After 2 min, check briefly the cardiac rhythm on the monitor Give second shock (4 J/kg) if still in VF/pVT Give CPR for 2 min as soon as possible without reassessing the rhythm Pause briefly to assess the rhythm; if still in VF/pVT give a third shock at 4 J /kg Give adrenaline 0.01 mg/kg and amiodarone 5 mg/kg after the third shock once CPR has been resumed Give adrenaline every alternate cycle (i.e. every 3 5 min during CPR) Give a second dose of amiodarone 5 mg/kg if still in VF/pVT after the fifth shock V.Žili skaitė, 7 13
14
15
16 Unstable arrhythmias Open the airway Give oxygen and assist ventilation as necessary Attach ECG monitor or defibrillator and assess the cardiac rhythm Evaluate if the rhyth is slow or fast for the child s age Evaluate if the rhythm is regular or irregular Measure QRS complex (narrow complexes: <0.08 s duration; wide complexes: >0.08 s) The treatment options are dependent on the child s haemodynamic stability
17 Unstable arrhythmias Bradycardia If a child with decompensated circulatory failure has a heart rate <60 beats min, a d they do ot respo d rapidly to ventilation with oxygen, start chest compressions and give adrenaline Tachycardia Narrow complex tachycardia Vagal manoeuvres (Valsalva or diving reflex) may be used in haemodynamically stable children Chemical (adenosine) or electrical cardioversion (1 J/kg and the second dose is 2 J/kg) Wide complex tachycardia Synchronized cardioversion is the treatment of choice for unstable VT with signs of life Consider anti-arrhythmic therapy (amiodarone) if a second cardioversion attempt is unsuccessful or if VT recurs
18
19 AHA PALS Systematic Approach Algorithm
20 Drugs for resuscitation Drug Adrenaline 0,1% 1mg/ml (1:1000) Indication Dose IV bolus therapy: - asystole - heart rate <60 beats min 1 with decompensated circulatory failure and it does not respond rapidly to ventilation with oxygen 1: ,1mg/ml Asystole: - IV, IO: 0,01mg/kg (0,1ml/kg 1:10.000, 1 ml / 10 kg) - every 3-5 minutes - ET (endotracheal): 0,1mg/kg (0,1ml/kg 1:1.000) - every 3-5 min., until venipuncture is performed Bradycardia: - IV 0,01mg/kg (0,1ml/kg 1:10.000) - ET : 0,1mg/kg (0,1ml/kg 1:1.000) V.Žili skaitė, 7 20
21 Reduced level of consciousness Children may present with reduced level of consciousness for many different reasons. Coma is not a disease, but syndrome caused by various causes. Reduced level of consciousness may show: the child is seriously ill there is the first sign of sepsis or other type of shock the sign of direct CNS injury trauma, hemorrhage, infection, stroke etc. The approach to a child with altered mental status requires an process of stabilization, assessment, differential diagnosis, and definitive management The degree of altered consciousness can be quantified by various scales including AVPU (Alert, Voice, Pain, Unresponsive) and GCS (Glasgow Coma Scale), modified when necessary for the child under five years of age
22
23
24
25 Assessment and management (1) Prior headaches, vomiting or diplopia (double vision) suggest raised intra-cranial pressure. In the absence of specific pointers or a history of previous similar episodes, blood sugar should be measured without delay. Key components of the neurological examination: Level of consciousness Muscle tone, posture, movement and reflexes Brainstem reflexes including pupillary responses and corneal reflexes. Infection represents the most common cause after trauma.
26 Assessment and management (2) Assessment and management should follow the structured approach of ABCDEFG. In particular determine Glasgow Coma Score (GCS) or modified GCS for the child under five. Assess for: Ask about: Raised intra-cranial pressure (ICP) - Cushing's triad of bradycardia, raised blood Pressure and irregular respiration (note that these are late signs of raised ICP); Abnormal pupillary responses Loss of conjugate gaze Abnormal posture Ocular fundi for papillodema and retinal haemorrhage. Previous similar presentations Trauma Seizures Fevers Recent illnesses, including rashes Diarrhea and vomiting Exposure to drugs and medications, including: Accidental overdose/poisons Alcohol, recreational drugs Oncology treatment
27 First line investigation and diagnostic tests Intravenous (IV) or intraosseous (IO) blood should be collected if possible, at cannulation, for: Culture Electrolytes, Sodium, Urea, Creatinine, Glucose (EUCG) full blood count (FBC) Blood gas analysis, including lactate Calcium Magnesium Ammonia requires a fresh sample on ice for immediate analysis Creatine phosphokinase (CPK). Blood should be taken for storage of serum, plasma and EDTA (for DNA storage) CT scan should be performed, as soon as the child is stable with adequate airway protection, if the diagnosis remains unclear
28 Emergency management of children with altered consciousness Assessment and correction of breathing (AB) Assessment and correction of circulation(c) Assessment and correction of glycaemia (D) Assessment and correction of raised intracranial pressure V.Žili skaitė, 7 28
29
European Resuscitation Council
European Resuscitation Council Objectives To know basic elements to evaluate patients with rythm disturbance To know advanced treatment of paediatric cardiac arrest To know emergency treatment of most
More informationPEDIATRIC CARDIAC RHYTHM DISTURBANCES. -Jason Haag, CCEMT-P
PEDIATRIC CARDIAC RHYTHM DISTURBANCES -Jason Haag, CCEMT-P General: CARDIAC RHYTHM DISTURBANCES - More often the result and not the cause of acute cardiovascular emergencies - Typically the end result
More informationPreparing for your upcoming PALS course
IU Health PALS Study Guide Preparing for your upcoming PALS course UPDATED November 2016 Course Curriculum: 2015 American Heart Association (AHA) Guidelines for Pediatric Advanced Life Support (PALS) AHA
More informationMICHIGAN. State Protocols. Pediatric Cardiac Table of Contents 6.1 General Pediatric Cardiac Arrest 6.2 Bradycardia 6.
MICHIGAN State Protocols Protocol Number Protocol Name Pediatric Cardiac Table of Contents 6.1 General Pediatric Cardiac Arrest 6.2 Bradycardia 6.3 Tachycardia PEDIATRIC CARDIAC PEDIATRIC CARDIAC ARREST
More informationMichigan Pediatric Cardiac Protocols. Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS
Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Pediatric Asystole Section 4-1 Pediatric Bradycardia Section 4-2 Pediatric Cardiac Arrest General Section 4-3 Pediatric Narrow Complex Tachycardia
More informationAdult Basic Life Support
Adult Basic Life Support UNRESPONSIVE? Shout for help Open airway NOT BREATHING NORMALLY? Call 112* 30 chest compressions 2 rescue breaths 30 compressions *or national emergency number Fig 1.2_Adult BLS
More informationDepartment of Paediatrics Clinical Guideline. Advanced Paediatric Life Support. Sequence of actions. 1. Establish basic life support
Advanced Paediatric Life Support Sequence of actions 1. Establish basic life support 2. Oxygenate, ventilate, and start chest compression: - Provide positive-pressure ventilation with high-concentration
More informationMichigan Pediatric Cardiac Protocols. Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS
Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Pediatric Asystole Section 4-1 Pediatric Bradycardia Section 4-2 Pediatric Cardiac Arrest General Section 4-3 Pediatric Narrow Complex Tachycardia
More informationHealthCare Training Service
HealthCare Training Service Advanced Life Support Exam Time: Perusal Time: 20 minutes 5 minutes Total Marks: 25 Instructions: Read each question carefully. Using a pencil, record your response to each
More informationAdvanced Resuscitation - Child
C02C Resuscitation 2017-03-23 1 up to 10 years Office of the Medical Director Advanced Resuscitation - Child Intermediate Advanced Critical From PRIMARY ASSESSMENT Known or suspected hypothermia Algorithm
More informationPALS Case Scenario Testing Checklist Respiratory Case Scenario 1 Upper Airway Obstruction
Respiratory Case Scenario 1 Upper Airway Obstruction Directs administration of 100% oxygen or supplementary oxygen as needed to support oxygenation Identifies signs and symptoms of upper airway obstruction
More informationtable of contents pediatric treatment guidelines
table of contents pediatric treatment guidelines P1 PEDIATRIC PATIENT CARE...70 P2 APPARENT LIFE-THREATENING EVENT (ALTE)...71 P3 CARDIAC ARREST INITIAL CARE AND CPR...72 73 P4 NEONATAL CARE AND RESUSCITATION...74
More informationPediatric CPR. Mustafa SERİNKEN MD Professor of Emergency Medicine, Pamukkale University, TURKEY
Pediatric CPR Mustafa SERİNKEN MD Professor of Emergency Medicine, Pamukkale University, TURKEY What are the differences? Normal limits ADULT CARDIOPULMONARY ARREST CAUSES INFANTS AND CHILDREN İschemic
More informationNassau Regional Emergency Medical Services. Advanced Life Support Pediatric Protocol Manual
Nassau Regional Emergency Medical Services Advanced Life Support Pediatric Protocol Manual 2014 PEDIATRIC ADVANCED LIFE SUPPORT PROTOCOLS TABLE OF CONTENTS Approved Effective Newborn Resuscitation P 1
More informationYolo County Health & Human Services Agency
Yolo County Health & Human Services Agency Kristin Weivoda EMS Administrator John S. Rose, MD, FACEP Medical Director DATE: December 28, 2017 TO: Yolo County Providers and Agencies FROM: Yolo County EMS
More informationSUMMARY OF MAJOR CHANGES 2010 AHA GUIDELINES FOR CPR & ECC
SUMMARY OF MAJOR CHANGES 2010 AHA GUIDELINES FOR CPR & ECC The following is a summary of the key issues and changes in the AHA 2010 Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiac
More informationRoutine Patient Care Guidelines - Adult
Routine Patient Care Guidelines - Adult All levels of provider will complete an initial & focused assessment on every patient, and as standing order, use necessary and appropriate skills and procedures
More informationINSTITUTE FOR MEDICAL SIMULATION & EDUCATION ACLS PRACTICAL SCENARIOS
Practical Teaching for Respiratory Arrest with a Pulse (Case 1) You are a medical officer doing a pre-operative round when 60-year old patient started coughing violently and becomes unconscious. Fortunately
More informationStayin Alive: Pediatric Advanced Life Support (PALS) Updated Guidelines
Stayin Alive: Pediatric Advanced Life Support (PALS) Updated Guidelines Margaret Oates, PharmD, BCPPS Pediatric Critical Care Specialist GSHP Summer Meeting July 16, 2016 Disclosures I have nothing to
More informationDYSRHYTHMIAS. D. Assess whether or not it is the arrhythmia that is making the patient unstable or symptomatic
DYSRHYTHMIAS GENERAL CONSIDERATIONS A. The 2015 American Heart Association Guidelines were referred to for this protocol development. Evidence-based science was implemented in those areas where the AHA
More informationnational CPR committee Saudi Heart Association (SHA). International Liason Commission Of Resuscitation (ILCOR)
2 It is our pleasure to present to you this work as a result of team work of the national CPR committee at the Saudi Heart Association (SHA). We adapted the 2010 guidelines as per International Liason
More informationPALS PRETEST. PALS Pretest
PALS PRETEST 1. A child with a fever, immune system compromise, poor perfusion and hypotension is most likely to be experiencing which type of shock A. cardiogenic B. Neurogenic C. Septic D. Hypovolemic
More informationAdvanced Resuscitation - Adolescent
C02B Resuscitation 2017-03-23 10 up to 17 years Office of the Medical Director Advanced Resuscitation - Adolescent Intermediate Advanced Critical From PRIMARY ASSESSMENT Known or suspected hypothermia
More informationPediatric Advanced Life Support Overview Judy Haluka BS, RCIS, EMT-P
Pediatric Advanced Life Support Overview 2006 Judy Haluka BS, RCIS, EMT-P General Our Database is lacking in pediatrics Pediatrics are DIFFERENT than Adults not just smaller The same procedure may require
More information1 Pediatric Advanced Life Support Science Update What s New for 2010? 3 CPR. 4 4 Steps of BLS Survey 5 CPR 6 CPR.
1 Pediatric Advanced Life Support Science Update 2010 2 What s New for 2010? 3 CPR Take no longer than seconds for pulse check Rate at least on per minute (instead of around 100 per minute ) Depth change:
More informationPediatric Advanced Life Support
Pediatric Advanced Life Support Pediatric Chain of Survival Berg M D et al. Circulation 2010;122:S862-S875 Prevention Early cardiopulmonary resuscitation (CPR) Prompt access to the emergency response system
More informationAdvanced Resuscitation - Adult
C02A Resuscitation 2017-03-23 17 years & older Office of the Medical Director Advanced Resuscitation - Adult Intermediate Advanced Critical From PRIMARY ASSESSMENT Known or suspected hypothermia Algorithm
More informationUpdated Policies and Procedures # s 606, 607, 610, 611, 612, 613, 625, 628, 630, 631, and 633 (ACLS Protocols and Policies)
SLO County Emergency Medical Services Agency Bulletin 2012-09 PLEASE POST Updated Policies and Procedures # s 606, 607, 610, 611, 612, 613, 625, 628, 630, 631, and 633 (ACLS Protocols and Policies) July
More informationTEACHING BASIC LIFE SUPPORT (& ALS)
TEACHING BASIC LIFE SUPPORT (& ALS) Anton Koželj, R.N., B. Sc., lecturer Faculty of Health Sciences, University of Maribor Žitna ulica 15, 2000 Maribor, Slovenia Fact s To know-how to perform basic life
More informationFinal Written Exam ASHI ACLS
Final Written Exam ASHI ACLS Instructions: Identify the choice that best completes the statement or answers the question. Questions 1 and 2 pertain to the following scenario: A 54-year-old man has experienced
More informationHanna K. Al-Makhamreh, M.D., FACC Interventional Cardiologist
Hanna K. Al-Makhamreh, M.D., FACC Interventional Cardiologist Introduction. Basic Life Support (BLS). Advanced Cardiac Life Support (ACLS). Cardiovascular diseases (CVDs) are the number one cause of death
More informationACLS Prep. Preparation is key to a successful ACLS experience. Please complete the ACLS Pretest and Please complete this ACLS Prep.
November, 2013 ACLS Prep Preparation is key to a successful ACLS experience. Please complete the ACLS Pretest and Please complete this ACLS Prep. ACLS Prep Preparation is key to a successful ACLS experience.
More informationUpdate of CPR AHA Guidelines
Update of CPR AHA Guidelines Donald Hal Shaffner Course objective is to have an updated understanding of the American Heart Association s treatment algorithms for the management of cardiac decompensation
More informationManagement of Cardiac Arrest Based on : 2010 American Heart Association Guidelines
Management of Cardiac Arrest Based on : 2010 American Heart Association Guidelines www.circ.ahajournals.org Elham Pishbin. M.D Assistant Professor of Emergency Medicine MUMS C H E S Advanced Life Support
More informationOutline of the 2005 European Resuscitation Council Guidelines
Practice Guidelines Launch Outline of the 2005 European Resuscitation Council Guidelines Mary Rose Cassar, Diane Tabone Introduction Resuscitation guidelines are revised and updated about every 5 years
More informationLearning Station Competency Checklists
Learning Station Competency Checklists Cardiac Arrest: Shockable Rhythm Team Dynamics Practice Demonstrates effective team dynamics (see, below) Performs manual maneuvers to open airway* Initiates assisted
More informationRequirements to successfully complete PALS:
The American Heart Association released new resuscitation science and treatment guidelines on October 19, 2010. The new AHA Handbook of Emergency Cardiac Care (ECC) contains these 2010 Guidelines.The 2010
More informationPediatric Resuscitation
Pediatric Resuscitation Section 24 Pediatric Cardiac Arrest Protocol The successful resuscitation of a child in cardiac arrest is dependent of a systematic approach of initiating life-saving CPR, recognition
More informationScene Safety First always first, your safety is above everything else, hands only CPR (use pocket
BLS BASICS: Scene Safety First always first, your safety is above everything else, hands only CPR (use pocket facemask or AMBU bag) Adults call it in, start CPR, get AED Child CPR First, Phone call second
More informationAdvanced Cardiac Life Support (ACLS) Science Update 2015
1 2 3 4 5 6 7 8 9 Advanced Cardiac Life Support (ACLS) Science Update 2015 What s New in ACLS for 2015? Adult CPR CPR remains (Compressions, Airway, Breathing Chest compressions has priority over all other
More informationTHE EVIDENCED BASED 2015 CPR GUIDELINES
SAUDI HEART ASSOCIATION NATIONAL CPR COMMITTEE THE EVIDENCED BASED 2015 CPR GUIDELINES (EXECUTIVE SUMMARY) Page 1 FORWARD Since 2000, the International Liaison Committee on Resuscitation (ILCOR) has published
More informationResuscitation Checklist
Resuscitation Checklist Actions if multiple responders are on scene Is resuscitation appropriate? Conditions incompatible with life Advanced decision in place Based on the information available, the senior
More informationMICHIGAN. State Protocols
MICHIGAN State Protocols Protocol Number 5.1 5.2 5.3 5.4 5.5 Protocol Name Adult Cardiac Table of Contents General Cardiac Arrest Bradycardia Tachycardia Pulmonary Edema/CHF Chest Pain/Acute Coronary Syndrome
More informationHeartCode PALS. PALS Actions Overview > Legend. Contents
HeartCode PALS PALS Actions Overview > Legend Action buttons (round buttons) Clicking a round button initiates an action. Clicking this button, for example, checks the child s carotid pulse. Menu buttons
More informationPediatric Advanced Life Support Essentials
chapter 14 Pediatric Advanced Life Support Essentials Sharon E. Mace, MD, FACEP, FAAP 1Discuss the new developments in resuscitation science. Review new 2010 2 American Heart Association Guidelines for
More informationChapter 9. Learning Objectives. Learning Objectives 9/11/2012. Cardiac Arrhythmias. Define electrical therapy
Chapter 9 Cardiac Arrhythmias Learning Objectives Define electrical therapy Explain why electrical therapy is preferred initial therapy over drug administration for cardiac arrest and some arrhythmias
More informationBeth Cetanyan, RN AHA RF Aka The GURU
* Beth Cetanyan, RN AHA RF Aka The GURU *Discuss common causes of Pediatric CA *Review current PALS Guidelines *Through case presentations and discussion, become more comfortable and confident in providing
More informationACLS Review. Pulse Oximetry to be between 94 99% to avoid hyperoxia (high oxygen tension can lead to tissue death
ACLS Review BLS CPR BLS CPR changed in 2010. The primary change is from the ABC format to CAB. After establishing unresponsiveness and calling for a code, check for a pulse less than 10 seconds then begin
More informationPALS NEW GUIDELINES 2010
PALS NEW GUIDELINES 2010 DR WALEED ALAMRI PEDIATRIC EMERGENCY CONSULTANT FEB 24, 2011 Pediatric Basic Life Support Change in CPR Sequence (C-A-B Rather Than A-B-C) 2010 (New): Initiate CPR for infants
More informationPALS Study Guide 2016
Mandatory Precourse Self-Assessment at least 70% pass. Bring proof of completion to class. The PALS Provider exam is 50 multiple-choice questions. Passing score is 84%. Student may miss 8 questions. All
More informationMASTER SYLLABUS
A. Academic Division: Health Sciences B. Discipline: Respiratory Care MASTER SYLLABUS 2018-2019 C. Course Number and Title: RESP 2330 Advanced Life Support Procedures D. Course Coordinator: Tricia Winters,
More informationTachycardia. four pediatric drugs: (LEAN) lidocaine, epinephrine,
Dysrhythmias 93 transport. If he does not respond to oxygen, begin assisted bag-mask ventilation. Check effectiveness of ventilation by observing for chest rise and an improvement in the PAT, heart rate,
More informationPaediatric Advanced Life Support SUPERSEDED
Paediatric Advanced Life Support Introduction There is concern that resuscitation from cardiac arrest is not performed as well as it might because the variations in guidelines for different age groups
More informationVENTRICULAR FIBRILLATION. 1. Safe scene, standard precautions. 2. Establish unresponsiveness, apnea, and pulselessness. 3. Quick look (monitor)
LUCAS COUNTY EMS SUMMARY PAGES VENTRICULAR FIBRILLATION 2. Establish unresponsiveness, apnea, and pulselessness 3. Quick look (monitor) 4. Identify rhythm 5. Provide 2 minutes CPR if unwitnessed by EMS
More informationAdult Advanced Cardiovascular Life Support. Emergency Procedures in PT
Adult Advanced Cardiovascular Life Support Emergency Procedures in PT BLS Can be learned & practiced by the general public Includes: CPR First Aid (e.g. choking relief) Use of AED ACLS Used by healthcare
More informationObjectives: This presentation will help you to:
emergency Drugs Objectives: This presentation will help you to: Five rights for medication administration Recognize different cardiac arrhythmias and determine the common drugs used for each one List the
More informationChain of Survival. Highlights of 2010 American Heart Guidelines CPR
Highlights of 2010 American Heart Guidelines CPR Compressions rate of at least 100/min. allow for complete chest recoil Adult CPR depth of at least 2 inches Child/Infant CPR depth of 1/3 anterior/posterior
More informationLecture. ALS Algorithm
Lecture ALS Algorithm 1 Learning outcomes The ALS algorithm Treatment of shockable and non-shockable rhythms Potentially reversible causes of cardiac arrest 2 Adult ALS Algorithm 3 To confirm cardiac arrest
More informationCardiopulmonary Resuscitation in Adults
Cardiopulmonary Resuscitation in Adults Fatma Özdemir, MD Emergency Deparment of Uludag University Faculty of Medicine OVERVIEW Introduction Pathophysiology BLS algorithm ALS algorithm Post resuscitation
More informationPortage County EMS Patient Care Guidelines. Cardiac Arrest
Portage County EMS Patient Care Guidelines Cardiac Arrest Note: These guidelines are based on (or adapted from) the current American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency
More informationSupplemental Digital Content 1. Simulation scenarios and critical action checklist for debriefing
Supplemental Digital Content 1. Simulation scenarios and critical action checklist for debriefing Simulation Scenario #1 I. Title (ACS)-VF-Asystole-ROSC II. Target learner 6-7 medical students per team
More informationHigHligHts of the 2018 Focused In 2015 Updates to the American Heart Association Guidelines for CPR and ECC: Advanced Cardiovascular Life
Highlights of the 2018 Focused Updates to the American Heart Association Guidelines for CPR and ECC: Advanced Cardiovascular Life Support and Pediatric Advanced Life Support - Heart and Stroke Foundation
More informationAdult Advanced Cardiovascular Life Support 2015 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular
Adult Advanced Cardiovascular Life Support 2015 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care 1 DR. Alireza Abootalebi Assistant Professor Of
More informationTHE FOLLOWING QUESTIONS RELATE TO THE RESUSCITATION COUNCIL (UK) RESUSCITATION GUIDELINES 2005
THE FOLLOWING QUESTIONS RELATE TO THE RESUSCITATION COUNCIL (UK) RESUSCITATION GUIDELINES 2005 1. The guidelines suggest that in out-of-hospital cardiac arrests, attended but unwitnessed by health care
More informationILCOR, ARC & NZRC PAEDIATRIC RESUSCITATION RECOMMENDATIONS 2010
ILCOR, ARC & NZRC PAEDIATRIC RESUSCITATION RECOMMENDATIONS 2010 Jim Tibballs Officer, RCH Convenor, Paediatric Sub-Committee, (ARC) ARC Paediatric Representative International Liaison Committee on (ILCOR)
More informationPALS Review 2015 Guidelines
PALS Review 2015 Guidelines BLS CPR BLS CPR changed in 2010. The primary change is from the ABC format to CAB. 1. Scene Safety 2. Establish Unresponsiveness 3. Check for breathing if absent or agonal (No
More informationAdvanced Cardiac Life Support ACLS
Essential Medical Training, LLC Providing Quality, Professional Training Advanced Cardiac Life Support ACLS Course Study Guide and Agenda 772-781-9249 office 772-382-0607 fax Email: treasurecoastcpr@gmail.com
More information2015 Interim Training Materials
2015 Interim Training Materials ACLS Manual and ACLS EP Manual Comparison Chart Assessment sequence Manual, Part 2: The Systematic Approach, and Part BLS Changes The HCP should check for response while
More informationThe ALS Algorithm and Post Resuscitation Care
The ALS Algorithm and Post Resuscitation Care CET - Ballarat Health Services Valid from 1 st July 2018 to 30 th June 2020 2 Defibrillation Produces simultaneous mass depolarisation of myocardial cells
More informationEmergency Medical Training Services Emergency Medical Technician Paramedic Program Outlines Outline Topic: Pediatric Revised: 11/2013
Emergency Medical Training Services Emergency Medical Technician Paramedic Program Outlines Outline Topic: Pediatric Revised: 11/2013 (10 questions from this outline in the blue section) Emergency Medical
More information2. General Cardiac Arrest Protocol Medical Newborn/Neonatal. Protocol 8-3 Resuscitation 4. Medical Supraventricular
PEDIATRIC CARDIAC SECTION: Pediatric Cardiovascular Emergencies REVISED: 06/2017 Section 8 1. Cardiac Arrest Unknown Rhythm (i.e. Protocol 8-1 BLS) 2. General Cardiac Arrest Protocol 8-2 3. Medical Newborn/Neonatal
More informationEmergency Medical Training Services Emergency Medical Technician Paramedic Program Outlines Outline Topic: PALS Revised: 11/2013
NUMBERS Emergency Medical Training Services Emergency Medical Technician Paramedic Program Outlines Outline Topic: PALS Revised: 11/2013 Weight in kg = 8 + (age in yrs X 2) Neonate (less than 1 month)
More informationPediatric Advanced Life Support: A Review of the AHA Recommendations
Advanced Search Log In AAFP Home Page > News & Publications > Journals > American Family Physician > Vol. 60/No. 6 (October 15, 1999) Email This Link Search AFP Browse by Topic MEDLINE: Citation Related
More informationMaternal Collapse Guideline
Maternal Collapse Guideline Guideline Number: 664 Supersedes: Classification Clinical Version No: Date of EqIA: Approved by: Date Approved: Date made active: Review Date: 1 Obstetric Written Documentation
More informationCSI Skills Lab #5: Arrhythmia Interpretation and Treatment
CSI 202 - Skills Lab #5: Arrhythmia Interpretation and Treatment Origins of the ACLS Approach: CSI 202 - Skills Lab 5 Notes ACLS training originated in Nebraska in the early 1970 s. Its purpose was to
More informationCARDIAC ARREST GENERAL CONSIDERATION
CARDIAC ARREST GENERAL CONSIDERATION A. Age delineation: Infant CPR guidelines apply to victims less than one year of age; Child CPR guidelines apply to victims one year of age to the onset of adolescence
More informationPEDIATRIC TREATMENT GUIDELINES - CARDIAC VENTRICULAR FIBRILLATION - PULSELESS VENTRICULAR TACHYCARDIA (SJ-PO1) effective 05/01/02
PEDIATRIC TREATMENT GUIDELINES - CARDIAC VENTRICULAR FIBRILLATION - PULSELESS VENTRICULAR TACHYCARDIA (SJ-PO1) effective 05/01/02 Revision #5 04/19/02 Identify Dysrhythmia DEFIBRILLATE: 2 J/kg, 4 J/kg,
More informationPediatric Cardiac Arrest General
Date: November 15, 2012 Page 1 of 5 Pediatric Cardiac Arrest General This protocol should be followed for all pediatric cardiac arrests. If an arrest is of a known traumatic origin refer to the Dead on
More informationPALS PROVIDER Course Study Guide/Pre-Test
PALS PROVIDER Course Study Guide/Pre-Test *PLEASE COMPLETE AND BRING THIS DOCUMENT WITH YOU TO CLASS* Heartland CPR, llc 8101 NW 10 th St, Suite #C3 Oklahoma City, OK 73127 405-603-6666 contact@heartlandcpr.com
More informationIt s as easy as ABC. Dr Andrew Smith
It s as easy as ABC Dr Andrew Smith ABCDE A useful framework to apply to your assessment and management of (unwell) patients. Correct problems before moving on and reassess Call for help early it shows
More informationPrehospital Resuscitation for the 21 st Century Simulation Case. VF/Asystole
Prehospital Resuscitation for the 21 st Century Simulation Case VF/Asystole Case History 1 (hypovolemic cardiac arrest secondary to massive upper GI bleed) 56 year-old male patient who fainted in the presence
More informationAdrenaline 1mg in 10mL (1:10,000) Pre-filled syringe 3 Amiodarone 300mg/10mL Pre-filled syringe 5
Quick Reference Guide for: Cardiac Arrest Medicines Box (BLUE) Please Note: Any medicines given must form part of an Airway, Breathing, Circulation, Disability and Exposure (ABCDE) Assessment (9)999 must
More informationSTATE OF OHIO EMS BOARD
0 STATE OF OHIO EMS BOARD Emergency Medical Services Pediatric Guidelines and Procedures Manual INTRODUCTION On behalf of the State Board of Emergency Medical Services, the Ohio Emergency Medical Services
More informationPEDIATRIC SVT MANAGEMENT
PEDIATRIC SVT MANAGEMENT 1 INTRODUCTION Supraventricular tachycardia (SVT) can be defined as an abnormally rapid heart rhythm originating above the ventricles, often (but not always) with a narrow QRS
More informationHEALTH PROFESSIONS COUNCIL OF SOUTH AFRICA PROFESSIONAL BOARD FOR EMERGENCY CARE CAPABILITIES OF EMERGENCY CARE PROVIDERS: JUNE 2016
HEALTH PROFESSIONS COUNCIL OF SOUTH AFRICA PROFESSIONAL BOARD FOR EMERGENCY CARE CAPABILITIES OF EMERGENCY CARE PROVIDERS: JUNE 2016 CAPABILITIES Airway Management Finger sweep Head-tilt-chin lift Jaw-thrust
More informationPediatric Assessment Triangle
Pediatric Assessment Triangle Katherine Remick, MD, FAAP Associate Medical Director Austin Travis County EMS Pediatric Emergency Medicine Dell Children s Medical Center Objectives 1. Discuss why the Pediatric
More informationNote: See current PALS 2015 guidelines textbook as your PRIMARY Source. Posted November
PALS PALS Helpful Helpful Hints Courtesy Hints are of Key Courtesy Medical of Resources, Key Medical Resources, www.cprclassroom.com PALS Helpful Hints 2015 Guidelines - December 2016 Mandatory precourse
More informationIndian Diploma in Critical Care Nursing
Indian Diploma in Critical Care Nursing MCQ Section A - Only one answer is correct 1. Four emergency interventions used in resuscitating a patient in cardiac arrest. a. Adrenaline/Atropine/ Amiodarone/Defibrillation
More informationTHE EVIDENCED BASED 2015 CPR GUIDELINES
SAUDI HEART ASSOCIATION NATIONAL CPR COMMITTEE THE EVIDENCED BASED 2015 CPR GUIDELINES Page 1 Chapter 3 ACLS AND SPECIAL SITUATIONS CHAPTER The International Liaison Committee on Resuscitation (ILCOR)
More informationSan Benito County EMS Agency Section 700: Patient Care Procedures
Purpose: To outline the steps EMTs & paramedics will take to manage possible life threats in any child or adult patient they encounter. This policy is in effect for all treatment protocols & is to be referred
More informationAdvanced Life Support
Standard Operating Procedure 2.1 Advanced Life Support Position Responsible: Head of Operations CGC Approved: October 2017 Related Documents Further Information 1.0 Background Magpas Resuscitation Policy
More informationChapter 5 PEDIATRIC RESUSCITATION
Chapter 5 PEDIATRIC RESUSCITATION Lisa D. Heyden, MD This chapter discusses the 2010 American Heart Association (AHA) guidelines for cardiopulmonary resuscitation and focuses on the resuscitation of pediatric
More informationSimulation 15: 51 Year-Old Woman Undergoing Resuscitation
Simulation 15: 51 Year-Old Woman Undergoing Resuscitation Flow Chart Flow Chart Opening Scenario Section 1 Type: DM Arrive after 5-6 min in-progress resuscitation 51 YO female; no pulse or BP, just received
More informationADVANCED LIFE SUPPORT
ANSWERS IN ITALICS WITH REFERENCES 1. The guidelines suggest that in out-of-hospital cardiac arrests, attended but unwitnessed by health care professionals equipped with a manual defibrillator, the providers
More informationCOUNTY OF SACRAMENTO EMERGENCY MEDICAL SERVICES AGENCY
COUNTY OF SACRAMENTO EMERGENCY MEDICAL SERVICES AGENCY Document # 8024.31 PROGRAM DOCUMENT: Initial Date: 10/26/94 Cardiac Dysrhythmias Last Approval Date: 11/01/16 Effective Date: 11/01/18 Next Review
More informationZ19.2 Cross Reference to Patient Care Maps & Clinical Care Procedures
2017-04-07 Old version G1 Code of Ethics G2 Scope and Function G3 Scene Assessment G4 Triage G5 Primary Survey G6 Shock G7 Load and Go G8 Secondary Survey G9 Unconscious Patient G10A Obstructed Airway
More informationEmergency Cardiac Care Guidelines 2015
Emergency Cardiac Care Guidelines 2015 VACEP 2016 William Brady, MD University of Virginia Guidelines 2015 Basic Life Support & Advanced Cardiac Life Support Acute Coronary Syndrome Pediatric Advanced
More informationPrinted copies of this document may not be up to date, obtain the most recent version from
Children s Acute Transport Service Clinical Guidelines Septic Shock Document Control Information Author Claire Fraser P.Ramnarayan Author Position tanp CATS Consultant Document Owner E. Polke Document
More informationEmergency Cardiovascular Care: EMT-Intermediate Treatment Algorithms. Introduction to the Algorithms
Emergency Cardiovascular Care: EMT-Intermediate Treatment Algorithms Introduction to the Algorithms Cardiac Arrest Algorithms Prehospital Medication Profiles Perspective regarding the EMT- Intermediate
More informationAdvanced Life Support. Algorithm. Learning outcomes. Shockable rhythms (VF/VT) Introduction. Treatment of shockable rhythms (VF/VT) CHAPTER
CHAPTER Advanced Life Support 6 Algorithm Learning outcomes To understand: The function of the advanced life support (ALS) algorithm The importance of minimally interrupted high quality chest compressions
More information