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CPR should begin with a check for responsiveness, getting help, and activating the emergency response system. [2] After this, the provider should assess for breathing and a pulse (brachial pulse in infant and carotid pulse in child) - all within 10 seconds. [3] If no pulse and no breathing or only gasping, start CPR.
Pulse should be checked at distal and proximal sites. Evaluate whether it is normal, bounding, or thready, as well as, compare strength symmetry. Bounding is a stronger than normal pulse and thread a weaker. Unequal pulse is an abnormal finding and indicates a cardiovascular issue. [18]
The brachial artery. The artery usually bifurcates near the apex (inferior part) of the cubital fossa into the radial artery (superficial) and ulnar artery (deeper) The median nerve; The ulnar nerve is also in the area, but is not in the cubital fossa; it occupies a groove on the posterior aspect of the medial epicondyle of the humerus.
The Apgar score is a quick way for health professionals to evaluate the health of all newborns at 1 and 5 minutes after birth and in response to resuscitation. [1] It was originally developed in 1952 by an anesthesiologist at Columbia University, Virginia Apgar, to address the need for a standardized way to evaluate infants shortly after birth.
The brachial artery is the major blood vessel of the (upper) arm. It is the continuation of the axillary artery beyond the lower margin of teres major muscle . It continues down the ventral surface of the arm until it reaches the cubital fossa at the elbow .
The pulses should be palpated, first the radial pulse commenting on rate and rhythm then the brachial pulse commenting on character and finally the carotid pulse again for character. The pulses may be: Bounding as in large pulse pressure found in aortic regurgitation or CO 2 retention.
The profile describes the baby's strengths, adaptive responses and possible vulnerabilities. This knowledge may help parents develop appropriate strategies for caring in intimate relationships to enhance their earliest relationship with the child.
The pulse is the rate at which the heart beats while pumping blood through the arteries, recorded as beats per minute (bpm). [11] It may also be called "heart rate". In addition to providing the heart rate, the pulse should also be evaluated for strength and obvious rhythm abnormalities. [11] The pulse is commonly taken at the wrist (radial ...