Written by ULY CLINIC team
Cardiopulmonary Resuscitation (CPR)
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CPR is indicated in children with cardiac arrest. For older children a change to CA- B is currently recommended. * For the newborn the A-B-C (Airway, Breathing, Chest compressions) sequence should be retained
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CPR- flow chart
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DO A QUICK ASSESSMENT BASING ON AVPU SCORE
Note: Chest compressions are serial, rhythmic compressions of the chest that cause blood to flow to vital organs (heart, lungs, and brain) in an attempt to keep them viable until Advanced Life Support (ALS) can be provided
Standard Techniques for CPR
Infants
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There are two techniques which are Two-finger and Two-thumb-encircling,
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Two Finger technique - please click the picture no 2 on top
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Two thumb technique as shown in picture no 1 above
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Children aged 1 to 8 years
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One hand compression technique- click to view picture no 3 above
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The heel of one hand placed over the sternum at the nipple line in children and one finger breath below the nipple line in infants. Push hard and fast.
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Push hard: Compress the chest 1/3 to ½ the Depth of the chest.
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Push fast: Compress at a rate of 100 compression per min.
Ventilation to compression ratios for infant and child CPR:
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One rescuer: 30:2.
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Two-rescuer: 15:2.
Allow complete recoil of the chest in order to allow the heart to refill with blood before the next compression.
Minimize interruption of chest compression; perform uninterrupted CPR in 2- min intervals before reassessing the patient.
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Last updated on 20.08.2020
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References
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WHO. http://helid.digicollection.org/en/d/Jwho89e/8.4.10.html#Jwho89e.8.4.10. August 20.2020
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Tanzania pediatric standard treatment guidline 2017 edition page 37
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Redcros. CPR. http://www.nationsbestcpr.com/red-cross-cpr-in-pennsylvania.html. August 20.2020