 Electrical injuries

PEDIATRIC BASIC LIFE  Firearm injuries

CHILDREN’S ROOM SAFETY

SUPPORT  Crib injuries & Falls
Course Outline  Safety in the Playroom
 Choking and suffocation
 CARDIOVASCULAR & RESPIRATORY SYSTEM
REVIEW POISONING
 BASIC LIFE SUPPORT
 CHAIN OF SURVIVAL  Poisonous household products
 PREVENTION  Poison information
 EARLY CPR  Syrup of ipecac
 EMS ACCESS  Safe storage
 ADVANCED LIFE SUPPORT  Practice safety
 Poisonous plants
 Lead Poisoning
CARDIOVASCULAR & RESPIRATORY SYSTEM
REVIEW BATHROOM SAFETY

HEART  Drowning
 Falls
o Size: Fist  Electrical injuries
o Location: Midclavicular lane 4th to 5th intercoastal  Cuts
spaces
o Pumps oxygenated blood to all body parts. OUTDOOR SAFETY INFORMATION
o 5qts/minute
o 2 upper chambers (atria)  Drowning
o 2 lower chambers (ventricle)  Playground safety
o Coronary Arteries: supply heart with blood  Sports
 Fireworks
LUNGS  Animal bites

o Right have three lobes and the left have only 2 loves EARLY CPR
o Bring in air and get rid of carbon dioxide
o Inhaled air= 21% oxygen CABG – Compression, Airway, Breathing

BASIC LIFE SUPPORT AIRWAY

 Cardiac Arrest > Breathing problem > Heart Problem  Partial

 Arrest prevention = high quality CPR > EMS > - Person is able to speak, cough, breath, or
Advanced Life Support > Post CA Care wheeze
- Encourage person to cough
CHAIN OF SURVIVAL  Complete
- Person is unable to speak or cough
1 Prevention - May give the universal choking sign
2 Early CPR - Hemlich Maneuver
3 EMS Access
4 Advanced Life Support UNCONSCIOUS INFANT FBAO

 Identify complete obstruction

PREVENTION
 Perform abdominal thrusts until foreign body is
PRUDENT HEART LIVING expelled or victim loses consciousness
 Activate EMS
 Limit exposure to cigarette smoking  Deliver 5 back blows & 5 chest thrusts
 Lower blood pressure  Check for foreign body
 Lower blood cholesterol levels o Tongue-jaw lift
 Get exercise o Look into throat
 Control diabetes o Remove object if seen
 Eliminate obesity  Open airway
 Attempt to ventilate
MOTOR VEHICLE SAFETY  Reattempt to ventilate
 Repeat steps until successful
 Air bags  Activate EMS system after approximately 1 minute
 Safety seats & belts (single rescuer)
 Setting an example
 Pedestrian safety CONSCIOUS CHILD FBAO
 Bicycle and tricycle
 Identify complete obstruction
GENERAL INDOOR SAFETY  Perform abdominal thrusts until foreign body is
expelled or victim loses consciousness
 Emergency telephone numbers
 Fires BREATHING
 Scalding burns
 Contact burns Give 2 rescue breaths over mouth and nose

@NurseMD_
Observe the rise of the chest with each breath  No lawsuit if you are performing CPR to the best of
your ability.
CIRCULATION  Note: Many people will still die with CPR, you are
reducing their chance of death not eliminating it.
Infant:

 Check for brachial pulse

 If absent, begin compression
o 2 fingers on the sternum below the nipple
line
o Compress chest down ½ to 1 inch
o 30 compressions

Child:

 Check for carotid pulse

 If absent, begin compressions
o Heel of the hand on lower left of the
sternum (not the xiphoid)
o Compress chest down 1 to 1 ½ inches
o 30 conpressions

CPR

Infant:

 Open airway – look, listen, and feel

 Make seal over mouth and nose
 2 rescue breaths
 Check circulation
 Compression: 2 fingers ½ to 1 inch
 30:2 CPR
 After 2 cycles of 30:2 reassess
 Activate EMS

Child:

 Open airway – look, listen, and feel

 Pinch nose make a seal over mouth
 2 rescue breaths
 Check circulation
 Compressions: heel of the hand 1 to 1 ½ inches
 30:2 CPR
 After 20 cycles reassess
 Activate EMS

EMS ACCESS
 The sooner EMS activated, the sooner it will arrive.
 If aline, activate EMS after approximately 1 minute.
 If someone else is available, activate EMS as soon as
unresponsiveness is determined

ADVANCED LIFE SUPPORT

AUTOMATED EXTERNAL DEFIBRILLATION (AED)

 Delivers electrical shock to heart

 Restart the heart
 Can be found all over
 Follow directions on AED & those given by the AED

STOPPING THE CPR

 The patient is already resuscitated

 EMS arrives
 Rescuer is physically exhausted and cannot continue

GOOD SAMARITAN LAW

 Chance of lawsuit is low IF:
o Do what you are thought
o Keep certification up-todate
o Acting in “Good faith” and not willfully
being negligient

@NurseMD_