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Unlike adult Basic Life Support (BLS), PBLS is dedicated to pediatric patients. It can be practiced by anyone without help of tools or drugs and is differentiated according to the patient's age baby: from 0 to 28 days; infant: from 1 month to 12 months; youth: from 12 months to puberty (about 10–11 years)
While some guidelines do tend to change, certain elements of neonatal resuscitation have persisted. These include: 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]
Basic life support (BLS) is a level of medical care which is used for patients with life-threatening condition of cardiac arrest until they can be given full medical care by advanced life support providers (paramedics, nurses, physicians or any trained general personnel).
Providers should follow the AHA's Pediatric BLS Algorithms for single and ≥ 2 person rescuer. The most essential component of BLS and PALS cardiac arrest care is high quality cardiopulmonary resuscitation (CPR). CPR should begin with a check for responsiveness, getting help, and activating the emergency response system. [2]
For management of pediatric cardiac arrest, CPR should be initiated if suspected. Guidelines provide algorithms for pediatric cardiac arrest management. Recommended medications during pediatric resuscitation include epinephrine, lidocaine, and amiodarone. [163] [81] [82] However, the use of sodium bicarbonate or calcium is not recommended.
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.
The ABC system for CPR training was later adopted by the American Heart Association, which promulgated standards for CPR in 1973. As of 2010, the American Heart Association chose to focus CPR on reducing interruptions to compressions, and has changed the order in its guidelines to Circulation, Airway, Breathing (CAB). [48]
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.
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