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Paediatric basic life support
Cardiopulmonary arrest in children usually results from hypoxia due to respiratory or neurological failure or shock. If it occurs, irrespective of the cause, basic life support (BLS) must be started immediately.
1. First things
· Assess the safety of the situation.
· Stimulate the child and check responsiveness.
2. Shout for help
Open the airway
Give head tilt and chin lift, or jaw thrust
4. Assess breathing
Look, listen, and feel
5. If no breathing: rescue breaths
Child: 5 breaths mouth to mouth
Infant: 5 breaths mouth to mouth and nose
6. Assess the pulse
Child: at the carotid artery
Infant: at the brachial or femoral artery
7. If HR <60/min and poor perfusion: chest compressions
Child >8yrs: use two-handed method for rate of 100/min and ratio of 15 compressions to 2 breaths
Child 1–8yrs: use heel of hand on the lower third of the sternum for rate of 100/min and ratio of 15 compressions to 2 breaths
Infant: use two fingers or the encircling chest technique if you have help at rate of 100/min and ratio of 15 compressions to 2 breaths
8. Provide 1min of life support
9. Contact emergency medical services
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