Cardiopulmonary resuscitation, child
Description
Cardiopulmonary resuscitation (CPR) in adults, children, and infants: based on the same principle of aiming to restore cardiopulmonary function by ventilating the lungs and pumping the victim’s heart until natural function resumes
Alert
For CPR purposes, the American Heart Association defines a patient by age. An infant is younger than age 1; a child is age 1 to onset of adolescence or puberty.
Survival chances improving the sooner CPR begins and the faster advanced life support systems are implemented
When an infant or child is requiring CPR, likely suffering from hypoxia caused by respiratory difficulty or respiratory arrest
Most pediatric crises requiring CPR preventable, including motor vehicle accidents, drowning, burns, smoke inhalation, falls, poisoning, suffocation, and choking (usually from inhaling a plastic bag or small foreign bodies, such as toys or food)
Equipment
Hard surface (on which to place the patient) ♦ child-size bag-valve mask, if available
Essential steps
Gently tap the apparently unconscious child’s shoulder and ask if he’s okay, calling his name if you know it.
If the child is conscious but has difficulty breathing, help him into a position that best eases his breathing.
Call for help to alert others and to enlist emergency assistance.
If you’re alone and the child isn’t breathing, perform CPR for five cycles (about 2 minutes), before calling for help. One cycle of CPR for the single rescuer is 30 compressions and two breaths.
Place the child in a supine position on a firm, flat surface (usually the ground). The surface should provide the resistance needed for adequate compression of the heart.
If you must turn the child from a prone position, support his head and neck and turn him as a unit to avoid twisting or turning the head or neck.
Establishing a patent airway
Kneel beside the child’s shoulder.
Place one hand on the child’s forehead and gently lift his chin with your other hand to open his airway (head tilt-chin lift maneuver).
Avoid fingering the soft neck tissue to avoid obstructing the airway.
Never let the child’s mouth close completely.
If you suspect a neck injury, use the jaw-thrust maneuver to open the child’s airway to keep from moving the child’s neck while you open his airway.
To prepare for the maneuver, kneel beside the child’s head.
With your elbows on the ground, rest your thumbs at the corners of the child’s mouth, and place two or three fingers of each hand under the lower jaw.
Lift the jaw upward.Stay updated, free articles. Join our Telegram channel
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