1. First aid fundamentals (28th October 2010)
1st part : education Department of anaesthesiology and inten. medicine, SNP 1 st.
2nd part :education Department of Traumatology, Rastislavova 43 st.
Seminary room KAIM 2nd floor, SNP st. 1, we ask students to wait for teacher on the 2nd floor in front of University Department of Anaesthesiology & Intensive Care
Exercise date
Time
Seminary room KAIM
Lecture PA
14.00 – 15.30h
Wednesday h
DM 4ab
Friday
KAIM h
Substitute date
Friday
TEST h
Substitute date is for students, who were not able to arrive for normal date.
h TEST: 10 MCQ First aid ( Basic life support adults, Pediatric basic life support, Shock, Wounds, Heat Stroke, Burns , Emergency Rescue and Transfer – Removal from Automobile,… Literature: First Aid Manual, Latest Update, St John Ambulance Association, 2005,
Moule P., Albarran J., 2009: Practical resuscitation for healthcare professionals
www. books.google.com

2. Paediatric basic life support
KLINIKA ANESTÉZIOLÓGIE a INTENZÍVNEJ MEDICÍNY
UPJŠ LF a UNLP KOŠICE
Paediatric basic life support
Monika Grochová MD, PhD
Klinika anestéziológie a intenzívnej medicíny LF UPJŠ a UNLP Košice

3. www.erc.edu www.resus.org.uk
Resuscitation (2005, 2010) 67 Supplement
Resuscitation (2005, 2010) 67

4. Airway – airways opening Breathing – arteficial ventilation
Basic life support
Airway – airways opening
Breathing – arteficial ventilation
Circulation – recovery of circulation
CBA adults

5. Paediatric basic life support
simplification based on the knowledge that many children receive no resuscitation at all because rescuers fear doing harm
Age:
- An infant is a child under 1 year of age
- a child is between 1 year and puberty
25 kg, 8. years

6. CPR IN CHILDREN Adult CPR techniques can be used on children
Compressions 1/3 of the depth of the chest

7. 30 30

8. BASIC LIFE SUPPORT (BLS)
Approach safely
Check response
Shout for help
Open airway
Campbell
head tilt and chin lift,

9. BASIC LIFE SUPPORT (BLS)
Approach safely
Check response
Shout for help
Open airway
Check breathing
Look, listen and feel for NORMAL breathing

10. Breathing sure you have a good seal
• Take a breath and cover the mouth and nasal apertures of the infant with your mouth, making
sure you have a good seal
• Blow steadily into the infant’s mouth and nose over 1—1.5 s, sufficient to make the chest visibly rise
• Take another breath and repeat this sequence
five times

11. Breathing No effective breathing: - the airway may be obstructed
• Open the child’s mouth and remove any visible obstruction.
• Ensure that there is adequate head tilt and chin lift,
try the jaw thrust method
• Make up to five attempts to achieve effective breaths; if still unsuccessful, move on to chest
compressions

12. Breathing, circulation
• look for signs of a circulation
any movement, coughing
normal breathing=circulation is present
(not agonal gasps, which are infrequent, irregular breaths)

13. Basic life support Chest compressions
To 1. year 2 fingers (2 thumbs circular)
Over 1. yer one hand/two hands
Low part of sternum
Thumb over processus xiphoideus
Compression by 1/3 of antero-posterior distance
AED
Children > 1 year
Smaller size of pads for children to 8 years
50 – 75 J (4 J/kg)

14. Chest compression

15. Chest compressions
to depress the sternum by approximately one third of the depth of the chest
and repeat at a rate of about 100 min−1

16. Chest compressions : breaths 30:2

17. AED IN CHILDREN Age > 8 years use adult AED Age 1-8 years
use paediatric pads / settings if available (otherwise use adult mode)
Age < 1 year
use only if manufacturer instructions indicate it is safe

18. AED DEFIBRILLATION

19. ATTACH PADS TO CASUALTY’S BARE CHEST

20. ANALYSING RHYTHM - DO NOT TOUCH VICTIM

21. SHOCK INDICATED
Stand clear
Deliver shock

22. SHOCK DELIVERED FOLLOW AED INSTRUCTIONS

23. Recovery position

24. Approach safely Approach safely Check response Check response
Shout for help
Shout for help
Open airway
Open airway
Check breathing
Check breathing
Call 112
Call 112
5 rescue breaths
Attach AED
30 chest cmpressions
Follow voice prompts

25. Anatomical diferencies of airwais by children

26. Postresuscitation care
Aproppriate tissue perfusion
Cooling – if unconsiousness after CPR
32 – 34°C of body core 12 – 24 hours
Warming 0,25 – 0,5°C / hour
AE- infection, koagulopathy, glykémia, ións, circulation
Avoid hyperthermia - antipyretics

27. ETICS and CPR Start – not start Parents´presens during CPR
Decision to stp CPR- team leader, not parents

28. CPR of newborn

29. Newborn resuscitation
Lungs distension- ambu- bag with face mask, in term newborn f: 30-60/min
if bradycardia persists - increase oxygen concentration
Mecónium – desuflation by weak newborns
Compressions- breathing ratio 3:1 90 compressionsií and 30 breaths
Adrenalín, if despite art. Vent.with O2 bradycardia <60/min dose 0,01-0,03 mg/kg i.v., into ETT 5-7 x more
Check HR every 30 sekúnd, STOP if HR > 60/min
Circulation support evective only by lungs distension
Temperature of body core maintenance

30. Foreign body airway obstruction
Combination of methods needed
5 hits back blows
5 chest compressions (till 1year) / abdominal thrusts over 1 year
Horisontal rib´s position – abdominal organs damage risk

32. KLINIKA ANESTÉZIOLÓGIE a INTENZÍVNEJ MEDICÍNY
ANY QUESTIONS?
KLINIKA ANESTÉZIOLÓGIE a INTENZÍVNEJ MEDICÍNY
UPJŠ LF a UNLP KOŠICE