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  • Lecture F2F - Cardiac Arrest New Algorithms

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    colinj
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    This document provides guidance on managing pediatric cardiac arrest. It outlines the initial actions of commencing basic life support, supporting the airway, delivering oxygen, and applying a monitor. It reviews cardiac arrest protocols, including airway management, rescue breathing, chest compressions, rhythm analysis, and defibrillation. It also addresses potential causes, team approach, family presence, and differences for newborn resuscitation.

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    APLS algorithm

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    Lecture F2F - Cardiac Arrest new algorithms

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    This document provides guidance on managing pediatric cardiac arrest. It outlines the initial actions of commencing basic life support, supporting the airway, delivering oxygen, and applying a monitor. It reviews cardiac arrest protocols, including airway management, rescue breathing, chest compressions, rhythm analysis, and defibrillation. It also addresses potential causes, team approach, family presence, and differences for newborn resuscitation.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    13 views24 pages

    Lecture F2F - Cardiac Arrest New Algorithms

    Uploaded by

    colinj
    This document provides guidance on managing pediatric cardiac arrest. It outlines the initial actions of commencing basic life support, supporting the airway, delivering oxygen, and applying a monitor. It reviews cardiac arrest protocols, including airway management, rescue breathing, chest compressions, rhythm analysis, and defibrillation. It also addresses potential causes, team approach, family presence, and differences for newborn resuscitation.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 24

    Advanced Paediatric Life Support

    The management of cardiac arrest

    © ALSG, 2015
    Updated 2022
    Cardiac arrest
    Learning outcomes
    • To review your understanding of the structured
    approach to cardiac arrest
    • To review your knowledge of, and fluency with
    the cardiac arrest protocols
    • To understand the sequences of actions from
    basic to advanced skills
    • To understand the team approach
    • To highlight differences in newborn resuscitation

    © ALSG, 2015
    Updated 2022
    Cardiac arrest
    Initial actions
    • Commence basic life support
    • Support airway
    • Deliver high flow oxygen
    • Apply monitor and assess rhythm

    © ALSG, 2015
    Updated 2022
    Updated
    cardiac arrest Appropriate for age
    algorithm

    © ALSG, 2015
    Updated 2022
    Airway opening
    manoeuvres

    © ALSG, 2015
    Updated 2022
    Updated
    cardiac arrest
    algorithm

    © ALSG, 2015
    Updated 2022
    5 rescue breaths

    © ALSG, 2015
    Updated 2022
    EFFECTIVE BLS SAVES
    LIVES

    15:2 rate 100-120 per minute


    Push hard to a depth of at least 1/3rd

    © ALSG, 2015
    Updated 2022
    Updated
    cardiac arrest
    algorithm

    Effective BLS
    is essential

    © ALSG, 2015
    Updated 2022
    Airway adjuncts/intubation as expedient
    and appropriate

    © ALSG, 2015
    Updated 2022
    Updated
    cardiac arrest
    algorithm

    © ALSG, 2015
    Updated 2022
    Asystole

    © ALSG, 2015
    Updated 2022
    Pulseless Electrical Activity

    © ALSG, 2015
    Updated 2022
    Ventricular Fibrillation
    Ventricular Tachycardia

    © ALSG, 2015
    Updated 2022
    Updated asystole PEA
    Updated asystole PEA algorithm
    algorithm

    © ALSG, 2015
    Updated 2022
    Updated VF pVT algorithm

    © ALSG, 2015
    Updated 2022
    4 Hs and 4 Ts

    • Hypoxia • Tension
    • Hypovolaemia pneumothorax
    • Hyper/hypo-kalaemia • Cardiac Tamponade
    (and other metabolic • Toxic substances
    causes) • Thromboembolism
    • Hypothermia

    © ALSG, 2015
    Updated 2022
    Defibrillation

    One shock:
    • 4 Joules/kg with manual defibrillator for all ages
    • Paediatric attenuated AED age 1-8 years
    • AED adult shock dose age over 8 years

    © ALSG, 2015
    Updated 2022
    Team
    approach

    © ALSG, 2015
    Updated 2022
    Reproduced with kind permission

    Newborn resuscitation

    APPROX 60 SECONDS

    MAINTAIN TEMPERATURE

    AT ALL TIMES A S K “IS H E L P NEEDED”


    © ALSG, 2015
    Updated 2022
    Reproduced with kind permission

    Newborn resuscitation

    MAINTAIN TEMPERATURE

    AT AL L TIMES A S K “IS H E L P NEEDED”


    © ALSG, 2015
    Updated 2022
    Family presence during
    resuscitation efforts
    • In general, family members should be offered
    the opportunity to be present during the
    resuscitation of their child
    • If the presence of parents is impeding the
    progress of the resuscitation, they should
    sensitively be asked to leave

    © ALSG, 2015
    Updated 2022
    Advanced Paediatric Life Support
    The management of cardiac arrest

    © ALSG, 2015
    Updated 2022
    Cardiac arrest management
    Summary
    • Safety, stimulate, shout
    • Open airway and check breathing
    • 5 initial rescue breaths
    • Check for signs of life with the above two points
    • Chest compressions & lung inflations (15:2)
    • Assess rhythm and follow protocol
    • Manage the team
    • Introduce advanced interventions when expedient

    © ALSG, 2015
    Updated 2022

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