TAILIEUCHUNG - ADVANCED PAEDIATRIC LIFE SUPPORT - part 2

Nhi hỗ trợ sự sống cơ bản (BLS) KHÔNG Đơn giản chỉ cần một phiên bản thu nhỏ của Điều đó cung cấp cho người lớn. Mặc dù nguyên tắc chung là cùng, các kỹ thuật cụ thể được yêu cầu nếu sự hỗ trợ tối ưu là để trở thành Given. Các kỹ thuật chính xác để trở thành việc làm | CHAPTER 141 Basic life support Paediatric basic life support BLS is not simply a scaled-down version of that provided for adults. Although the general principles are the same specific techniques are required if the optimum support is to be given. The exact techniques employed need to be varied according to the size of the child. A somewhat artificial line is generally drawn between infants less than 1 year old and small children less than 8 years old and this chapter follows that approach. The preponderance of hypoxic causes of paediatric cardiorespiratory arrest means that oxygen delivery rather than defibrillation is the critical step in children. This underlines the major differences with the adult algorithm. By applying the basic techniques described a single rescuer can support the vital respiratory and circulatory functions of a collapsed child with no equipment. Basic life support is the foundation on which advanced life support is built. Therefore it is essential that all advanced life support providers are proficient at basic techniques and that they are capable of ensuring that basic support is provided continuously and well during resuscitation. ASSESSMENT AND TREATMENT Once the child has been approached correctly and a simple test for unresponsiveness has been carried out assessment and treatment follow the familiar A B C pattern. The overall sequence of basic life support in paediatric cardiopulmonary arrest is summarised in Figure . The SAFE approach Additional help should be summoned rapidly. Furthermore it is essential that the rescuer does not become a second victim and that the child is removed from continuing danger as quickly as possible. These considerations should precede the initial airway assessment. They are summarised in Figure . 21 BASIC LIFE SUPPORT Are you alright The initial simple assessment of responsiveness consists of asking the child Are you alright and gently shaking him or her by the shoulders. Infants and very small .

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