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Questions and Answers
What is the recommended chest compression rate for infants during resuscitation?
What is the correct depth for chest compressions in infants?
During rescue breaths, what is the maximum duration to ventilate an infant?
Which airway management technique is appropriate when a spinal injury is suspected?
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What ratio of chest compressions to rescue breaths is advised for infants?
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What should be monitored to confirm effective ventilation during rescue breaths?
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In a pediatric cardiac arrest, which rhythm is considered non-shockable?
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What is the potential consequence of hyperventilation during a cardiac arrest?
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What is the appropriate age range for size 00-1 airway intervention?
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What is the correct approach to confirm signs of life in a child during resuscitation?
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Study Notes
Open Airway
- Head tilt, chin lift is used to open the airway for infants and children
- Jaw thrust is an alternative method if there is a suspected neck injury
- If using an airway device, size 00-1 for infants and children will require a tongue depressor
Assess Breathing
- There are no specific instructions on assessing breathing in this text. Focus on observing the rise and fall of the chest during ventilation.
5 Rescue Breaths
- Deliver breaths over 1-1.5 seconds with 100% oxygen
- Use the two-person technique - one rescuer providing breaths and the other performing chest compressions
- Aim for a visible rise and fall of the chest with each breath
- Hyperventilation can be harmful, avoid excessive breaths
- Keep monitoring for signs of life
Assess Signs of Life
- Continue to assess breathing and pulse after delivering 5 rescue breaths
- If there are no signs of life, move on to chest compressions
Chest Compressions
- Rate of chest compressions should be 100-120 per minute
- Compression to ventilation ratio is 15:2 (15 compressions to 2 breaths)
- Compress to 1/3 depth of the chest, but do not be afraid of pushing too hard for infants under 1 year old
- Allow full recoil of the chest wall after each compression
- Activate the metronome function on the LP15 to ensure the correct compression rate for the age of the patient
Cardiac Arrest Rhythms
- The most common cardiac arrest rhythms in children are asystole and PEA (pulseless electrical activity)
- While children are more likely to present with asystole and PEA, they can also present with shockable rhythms such as VF/pulseless VT
- Children presenting with shockable rhythms are more likely to have sudden collapses or underlying cardiac disease
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Description
This quiz focuses on the critical steps in CPR specifically for infants and children. It covers airway opening techniques, the delivery of rescue breaths, and the importance of assessing signs of life. Understanding these procedures can be vital in emergency situations involving young patients.
