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

3.11.2010
Wednesday

10.00-10.45h

DM 4ab

29.10.2010
Friday

KAIM

12.00- 12.45h

Substitute date

3.12.2010
Friday

TEST

14.00- 14.45 h

Substitute date

Substitute date is for students, who were not able to arrive for normal date.
3.12.2010 14.00h 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,
www.erc.com,
Moule P., Albarran J., 2009: Practical resuscitation for healthcare professionals
www. books.google.com

Paediatric
basic life
support
Monika Grochov MD, PhD
Klinika anestziolgie a intenzvnej
medicny LF UPJ a UNLP Koice

 www.erc.edu
www.resus.org.uk

Resuscitation (2005, 2010) 67

Supplement
Resuscitation (2005, 2010) 67

Basic life support

A
B
C

irway airways opening

reathing arteficial ventilation

irculation recovery of
circulation

CBA adults

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

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

30
3
0

BASIC LIFE SUPPORT (BLS)

Approach safely
Check response
Shout for help
Open airway

Campbell

head tilt
and chin lift,

BASIC LIFE SUPPORT (BLS)

Approach safely
Check response
Shout for help
Open airway
Check breathing

Look, listen and feel for NORMAL breathing

Breathing
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 infants
mouth and nose over 11.5 s,
sufficient to make the chest
visibly rise
Take another breath and
repeat this sequence
five times

Breathing
No effective breathing:
- the airway may be
obstructed
Open the childs 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

Breathing, circulation

look for signs of a circulation

any movement, coughing
normal breathing=circulation is
present
(not agonal gasps, which are infrequent, irregular
breaths)

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)

Chest compression

Chest compressions
to depress the
sternum by
approximately one
third of the depth
of the chest
and repeat at a
rate of about 100
min1

Chest compressions :
breaths
30:2

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

AED
DEFIBRILLATION

ATTACH PADS TO CASUALTYS BARE

CHEST

ANALYSING RHYTHM - DO NOT TOUCH

VICTIM

SHOCK INDICATED

Stand clear
Deliver shock

SHOCK DELIVERED FOLLOW AED

INSTRUCTIONS

30

Recovery position

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

Anatomical diferencies of airwais

by children

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

ETICS and CPR

Start not start
Parentspresens during CPR
Decision to stp CPR- team leader,
not parents

CPR of
newborn

Newborn resuscitation
Lungs distension- ambu- bag with face mask,
in term newborn f: 30-60/min
if bradycardia persists - increase oxygen
concentration
Mecnium desuflation by weak newborns
Compressions- breathing ratio 3:1
90 compressionsi and 30 breaths
Adrenaln, if despite art. Vent.with O 2 bradycardia
<60/min
dose 0,01-0,03 mg/kg i.v., into ETT 5-7 x more
Check HR every 30 seknd, STOP if HR > 60/min
Circulation support evective only by lungs distension
Temperature of body core maintenance

Foreign body airway

obstruction
Combination of methods needed
5 hits back blows
5 chest compressions (till 1year) /
abdominal thrusts over 1 year
Horisontal ribs position abdominal organs
damage risk

ANY QUESTIONS?