In the event of a pediatric cardiac arrest, it is essential to be able to respond rapidly, and provide safe and effective care. Based upon current research and evidence-based clinical guidelines, this concise reference offers a practical and systematic approach to the rapid assessment and delivery of appropriate resuscitation to infants and children.
• Conforms to current European Resuscitation Council Guidelines.
• Based upon up-to-date research and evidence-based practice protocols.
• Synoptic approach enables rapid delivery of effective treatment.
• Written by experts in the fields of both resuscitation and pediatrics.
Introduction:
Background to ERC guidelines Chapter 1:Pathophysiology of cardiopulmonary arrest in infants and children
· chapter objectives
· causes
· pathways leading to cardiac arrest and importance of early recognition of impending respiratory failure and circulatory shock
· relevant statistics
· chapter summary Chapter 2:Recognition of respiratory failure and shock
· chapter objectives
· assessment of vital functions
· respiratory: appearance; position; rate; mechanics; colour; air entry; conscious level;
· cardiovascular: heart rate; blood pressure; perfusion (pulses, capillary refill, peripheral temperature, conscious level)
· neurological: conscious level; AVPU, Glasgow Coma Scale
· chapter summary Chapter 3:Airway & Ventilation
· chapter objectives
· importance of early treatment of respiratory distress/failure
· relevant A&P and significance in resuscitation, eg enlarged tongue, narrow cricoid ring
· compliance of ribs and intercostals cartilage, high oxygen consumption
· assessment of airway – patency, partially obstructed, obstructed – wheeze, grunting, gurgling, see-saw movements, stridor
· simple interventions – position, eg upright with mother if conscious, head tilt and chin lift, jaw thrust
· airways, ET tube, tracheal intubation
· chapter summary Chapter 4 :I/V access in resuscitation
· chapter objectives
· options in an arrest – advantages/disadvantages
· peripheral
· intraosseous – sites, technique, complications, etc
· endotracheal – procedure, reliability, options, etc
· drug administration via each routes
· chapter summary Chapter 5:Cardiac Monitoring
· chapter objectives
· principles of cardiac monitoring – electrode placement, monitoring lead, use of monitor or defib monitor
· monitoring through the paddles
· recognition of sinus rhythm
· cardiac arrest arrhythmias – recognition of VF, asystole, EMD
· chapter summary Chapter 6:Basic Life Support
· chapter objectives
· priorities of management
· assessment of collapsed infant/child
· airway management
· mouth-to-mouth, mouth-to-mask ventilation
· bag/valve/mask ventilation
· chest compressions
· chapter summary Chapter 7:Advanced Life Support
· chapter objectives
· European Resuscitation Council Guidelines
· VF & non VF – asystole & EMD
· Defibrillation
· Intervention during arrest
· When to stop
· Chapter summary Chapter 8:Post-resuscitation care and transfer
· chapter objectives
· post-resuscitation priorities
· predicting outcome
· investigations
· preventing further arrest
· transfer priorities
· equipment required
· communication issues
· documentation – what to include, UKCC regulations
· chapter summary Chapter 9: Bereavement
· chapter objectives
· relatives room
· preparation
· breaking bad news
· seeing the body
· relatives witnessing resuscitation
· staff support
· chapter summary Chapter 10:Resuscitation equipment
· chapter objectives
· equipment inventory
· crash trolley
· checking and maintenance
· chapter summary Chapter 11:Professional and legal issues
· chapter objectives
· not for CPR
· child and parents’ rights
· UKCC regulations
· Duty of care, negligence
· Chapter summary Chapter 12: Training issues
· chapter objectives
· why training is important
· methods of training
· courses available
· evaluation
· manikins/models available
· chapter summary Chapter 13: Anaphylaxis
Overview
In the event of a pediatric cardiac arrest, it is essential to be able to respond rapidly, and provide safe and effective care. Based upon current research and evidence-based clinical guidelines, this concise reference offers a practical and systematic approach to the rapid assessment and delivery of appropriate resuscitation to infants and children.
• Conforms to current European Resuscitation Council Guidelines.
• Based upon up-to-date ...