1

Not SICK
SICK

Stable
Stable
potential
potential unstable.
unstable.
UnStable
UnStable Level 1
Level 2
Level 3
Level 4
Level 5

Resuscitative
Emergent
Urgent
Less urgent
Non-urgent

MENENTUKAN
ANAK SAKIT GAWAT
PAT

MELIHAT KEADAAN ANAK

GENERAL ASSESSMENT

PENILAIAN ABCDE

INITIAL ASSESSMENT

For the purpose of resuscitation,

children are divided into 3 age
groups:
Infants: under one year of age
Small children:

1 to 8 years of age

Older children/adults: 9 years and over

Circulation, Circulation,
Circulation

If you see someone down in the

parking lot, ask them if they are
ok, if they don't respond, just
start chest compressions.
NO mouth to mouth.
No more "look, listen, and feel" for
breathing.
Just start compressions.

 This doesn't apply to hospitalized

patients or ER patients.
In the hospital, you can have
someone bag them right away and
intubate them.
You don't have to ignore airway

 Advanced airways, central lines, and

drug delivery
should not interupt chest
compressions

Atropine is gone.
Atropine is no longer part of ACLS
protocols at all.
If they are slow or bradycardic,
epinephrine will work just fine.
Use an epinephrine drip or dopamine
drip if needed.

Determine Responsiveness
Gently tap on shoulder and speak
loudly.
If responsive, place in position of
comfort

10

Airway
Airway may be obstructed by tongue.
Use head tilt-chin lift technique or
jaw-thrust maneuver to open the
airway.
Jaw-thrust maneuver is safer if
possibility of neck injury exists

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Breathing
Provide rescue
breathing if needed.
Perform Sellick
maneuver to
prevent gastric
distention

15

Circulation
Assess circulation after airway is open
and two rescue breaths have been
given.
Check for pulses.
Evaluate for other signs of circulation.
Do not spend more than 10 seconds
trying to find a pulse

16

Infant CPR
Place infant on firm
surface and maintain
airway.
Place two fingers in the
middle of the sternum.
Use two fingers to
compress the chest
about 1" at a rate of
least 100/min
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 Allow sternum to return

briefly to its normal
position between
compressions.
Coordinate rapid
compressions and
ventilations in a
15:2 or 30 :2
ratio.
18

Child CPR
Place child on firm surface and
maintain airway with one hand
Place heel of other hand over lower
half of the sternum.
Avoid the xiphoid process.

Compress chest about 1" to 1 1/2"

at a rate of 100/min.

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 should be performed 5 times - 30

compressions and 2 breaths
check the victim's artery for pulse
(for no longer than 10 seconds) and
other signs of consciousness.
If you not feel a pulse within 10
seconds, you should begin cycles of
chest compressions and ventilations.
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