PEDIATRIC BASIC LIFE SUPPORT

EMERGENSI DAN RAWAT INTENSIF ANAK

Departemen Ilmu Kesehatan Anak
FK UNAIR – RSUD dr. Soetomo
 OBJECTIVE
Understanding paediatric basic life support:
•Airway – airways opening
•Breathing – artificial ventilation
•Circulation – recovery of circulation
For those with DUTY RESPONDS
 TERMINOLOGY
Age:
RESUSCITATION
•Newly born: born —> 4 week FOR NEONATES

•Infant is a child under 1 year

of age RESUSCITATION
FOR PAEDIATRIC
•Child is between 1 year and
puberty

I.K. Maconochie et al. / Resuscitation 95 (2015) 223–248

 SEQUENCE OF BLS
SAFE approach

Are you alright?

Airway Opening Manouvre

Look Listen Feel (LLM)

5 Rescue Breath

Check pulse, check sign of circulation

CPR
1 rescuer: 30 chest compression & 2 breath
2 recuer: 15 chest compression & 2 breath

Call EMS
 Performing BLS

The SAFE approach

Shout for help
Approach with care
Free from danger
Evaluate ABC
 SAFE approach

Are you alright?

Airway Opening Manouvre

AIRWAY
HEAD TILT CHIN LIFT JAW THRUST
Penyangga Nasofaring

(Allan de Cain et al, 2008)

Penyangga Orofaring

(Allan de Cain et al, 2008)

 Look Listen Feel (LLM)

5 Rescue Breath

LOOK, LISTEN AND FEEL

BREATHING
Masker Resusitasi

(Allan de Cain et al, 2008)

Balon Resusitasi

• Tanpa O2 21%
• O2 10 L/menit 30 –
80%
• O2 10 -15 L/menit +
reservoir 60 – 95%

(Allan de Cain et al, 2008)

• Anak: Ibu jari dan telunjuk (“C”) menekan masker, jari
tengah, jari manis dan kelingking (“E”) membuat chin lift
dan ekstensi leher
(Allan de Cain et al, 2008)

• Frekuensi 12 – 20x/menit
 Check pulse, check sign of circulation

CPR
1 rescuer: 30 chest compression & 2 breath Call EMS
2 recuer: 15 chest compression & 2 breath

CIRCULATION
Look for signs of a circulation for no more 10 s
any movement, coughing
normal breathing=circulation is present
(not agonal gasps, which are infrequent, irregular breaths)
or
check pulse: a.brachialis for infant; a.carotid for child
 CHEST COMPRESSION
INFANT
Techique
Infant: 2 fingers or 2
thumbs circular
Child: one hand/two
hands
CHILD Compressions 1/3 of
the depth of the chest
• by 4 cm for infant
• by 5 cm for child
At lower half sternum
ALGORITMA HENTI JANTUNG
PADA ANAK
Ventrikel Takikardia

Ventrikel Fibrilasi

Asystole

PEA
ANY QUESTIONS?
 o u
k y
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