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Cardiopulmonary resuscitation (CPR) is an emergency procedure consisting of chest compressions often combined with artificial ventilation, or mouth to mouth in an effort to manually preserve intact brain function until further measures are taken to restore spontaneous blood circulation and breathing in a person who is in cardiac arrest.
Healthcare professionals are recommended to use, if available, an oropharyngeal airway: in the infant, placed by the use of a tongue depressor and without rotating. After first 5 breaths, if effective, it is also advisable to search for signs such movements, coughing, shortness and possibly only the presence of pulse, for less than 10 seconds.
The PALS systematic approach algorithm begins with a quick initial assessment followed by checking for responsiveness, pulse, and breathing. If the child has no pulse and isn't breathing, start CPR. If the child has a pulse but isn't breathing, provide ventilation and give oxygen (when possible). Once it has been established that the child has ...
The CPR mask is the preferred method of ventilating a patient when only one rescuer is available. Many feature 18 mm (0.71 in) inlets to support supplemental oxygen, which increases the oxygen being delivered from the approximate 17% available in the expired air of the rescuer to around 40-50%. [12]
The Broselow Tape relates a child's height as measured by the tape to their weight to provide medical instructions including medication dosages, the size of the equipment that should be used, and the level of energy when using a defibrillator. Particular to children is the need to calculate all these therapies for each child individually.
For uncomplicated term or preterm infants, delayed cord clamping is standard so that the child can immediately be placed in the mothers arms to be evaluated. [4] Supplemental oxygen is used judiciously. [4] Monitoring of heart rate is the best indicator of response to resuscitation efforts. [4]
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