PEDIATRIC BLS

1. Check RESPONSE : Not breathing and unresponsive

Taps heel
INFANT
CHILD

Taps shoulders

2. Activate emergency response and get and AED

1,2,3,4,5,6,7,8,9,10,11,12,13,14,15 = 2 BREATHS
9. FIRST RESCUER BVM VENTILATION
a. 2nd RESCUER gives 15 compressions after shock
b. 1st RESCUER delivers 2 breaths with BVM

3. Check PULSE (not more than 10 seconds)

Brachial pulse
INFANT
CHILD

2-3 fingers bet. elbow & shoulder

Carotid or femoral pulse

4. Chest compressions

ONE RESCUER
INFANT
2 fingers below
nipple line

CHILD

1/3 chest depth:

1 1/2in 4 cm

1/3 chest depth:

2in 5cm

1 heel of hand or 2
hands on lower half of
breastbone

30:2 compression; 100/min

30 compressions in 18 secs or less
1,2,3,4,5,6,7,8,9,10,11,12,13,14,
15,16,17,18,19,20,21,22,23,24,
25,26,27,28,29,30
= 2 BREATHS
Switch roles AFTER 5TH COMPRESSION CYCLE.
5-8 2nd RESCUER turns on AED and apply PADS
5-8. AED with CPR
a. Turn AED on
b. Place PADS
c. Clear rescuer fr victim for AED to analyze rhythm
d. CLEARS victim and deliver shock
e. RESUME compression after shock
f. DOESNT turn of AED during CPR

SUMMARIZED CPR STEPS

COMPONENT
Recognition

CPR sequence
Compression RATE
Compression DEPTH
Chest wall recoil
Compression
INTERUP
AIRWAY
COMP-VENT RATE
VENT w/ ADV airway

TWO RESCUER
INFANT
2 thumb encircling
fingers below nipple line

CHILD

1/3 chest depth:

1 1/2in 4 cm

1/3 chest depth:

2in 5cm

1 heel of hand or 2
hands on lower half
of breastbone

15:2 compression; 100/min

15 compressions in 9 secs or less

DEFIBRILLATION

CHILDREN
INFANT
UNRESPONSIVE
(-) Breathing or Gasping
(-) Pulse within 10 secs
Compression Airway -- Breathing
At least 100/min
1/3 AP diameter
1/3 AP diameter
5cm (2 inches)
4cm (1 inches)
Allow complete recoil between compressions

Rotate compressors q 2 minutes

Limit interruptions to <10 secs
HTCL (suspected trauma: JAW THRUST)
SINGLE rescuer : 30:2
TWO rescuers : 15:2
1 breath q 6-8 secs (8-10 breaths/min)
Asynchronous with chest compressions
1 second per breath
Visible chest rise
Attach & use AED ASAP
Minimize interruption in compression before
& after shock
Resume CPR beg. Compression after each
shock