LESSON 4 BASIC LIFE SUPPORT FOR CHILDREN AND INFANTS 40 QUESTIONS AND ANSWERS

CPR/AED protocol infant someone under the age of 1 CPR/AED protocol child age of 1 to the onset of puberty as evidenced by breast development in girls and underarm hair development in boys (usually around the age of 12). BUT be careful because the AED pad varies by age and weight. CPR/AED protocol adolescent someone from the onset of puberty through adulthood. Most common causes of cardiac arrest in pediatric? respiratory emergencies, congenital heart disorders and trauma. preventable injury (such as trauma, drowning, choking or electrocution). CPR, starting with compressions, should be initiated within 10 seconds of recognizing cardiac arrest. Early, high-quality CPR You initiate CPR on an 11-year-old female patient who shows signs of puberty, including breast development. Which BLS guideline should you follow? Adult A 4-year-old child is unresponsive. Her pulse rate is 65 bpm, but she is not breathing normally. Which of the following actions are appropriate? -Deliver 1 ventilation every 3 to 5 seconds -Check the pulse and breathing about every 2 minutes You would use pediatric AED pads for which children? -2-year-old weighing 27 lbs -5-year-old weighing 43 lbs An 8-year-old child experiences cardiac arrest. On which area would you would complete a pulse check? carotid artery (neck) You come upon a child who has collapsed. The child is not breathing normally and does not have a pulse. You are alone and have no immediate access to a phone or other form of communication. Which action would you do first? Perform about 2 minutes of CPR, starting with chest compressions. You and another provider are performing CPR on an infant who is in cardiac arrest. He does not have an advanced airway in place. You demonstrate appropriate technique for high-quality CPR by performing _____ compressions and 2 ventilations. 15 A child is unresponsive and not breathing. You and another provider are present. You stay with the child to begin CPR. Which actions would be appropriate for the second provider to do? -Retrieve the AED and BVM. -Activate EMS or the resuscitation team What is the first step of the Pediatric Cardiac Chain of Survival? Prevention of arrest A 5-year-old child experiences cardiac arrest and requires CPR. You ensure that high-quality CPR is administered when you compress the chest to which depth? about 2 inches You are performing CPR on an 11-month-old infant. A second provider prepares to apply the AED pads, placing the pads at which locations? -On the back between the scapulae -Middle of the infant's chest on the sternum You and another provider are performing CPR on a 6-month old infant. The provider performing chest compressions would use which technique? Encircling thumbs technique You initiate CPR on a 12-month-old male patient. Which BLS guideline should you follow? Child To open Theo's airway using the head-tilt/chin-lift technique, Amy should _________________ tilt his head slightly past a neutral position After determining that Theo is unresponsive, Amy must open the airway using the head-tilt/chin-lift technique and simultaneously check for breathing and a pulse. To accurately assess Theo's breathing, she should open the airway to a ________ position. Slightly past-neutral Next, Amy must simultaneously check for breathing and a pulse. Choose the recommended location to perform the pulse check. Neck Amy should simultaneously check for breathing and a _____pulse for at least ____seconds but no more than 10. carotid 5 Based on her rapid assessment findings, Amy recognized that Theo was in cardiac arrest and initiated CPR. If Theo were unresponsive and not breathing normally but had a pulse of ≤ 60 bpm with signs of poor perfusion, which action would Amy take? Tell Joe to get help and an AED. Begin CPR. Continue compressions and ventilations. Check the pulse and breathing about every 2 minutes. If Theo were unresponsive and not breathing normally (or only gasping) but had a pulse____with signs of poor perfusion, she would tell Joe get help and an AED. Then, she would begin CPR. She would continue compressions and ventilations checking the pulse and breathing about every 2 minutes. If during pulse checks Theo's pulse increased to greater than 60 bpm, Amy would stop chest compressions but continue providing 1 ventilation every ____seconds as long as Theo remained in respiratory arrest. If she did not find a pulse, she would continue CPR. ≤ 60 bpm 3 to 5