CPR in children, pediatric resuscitation

CPR in nadons i nens

CPR in children, pediatric cardiopulmonary resuscitation


Nowadays and fortunately it is very unusual for a child to have a cardiorespiratory arrest, for endavant PCR. The interruption, normally unexpected and potentially reversible, of respiration and mechanical activity of the heart is understood by PCR.

Cardiopulmonary resuscitation (CPR) is a life-saving technique used to resuscitate a person who has stopped breathing or whose heart has stopped breathing. When it is practiced in children, CPR is lleugerament different than when it is practiced in adults. For example, the compressions are applied on both sides, one of them in the center of the pit in the direction of the dues mans.

Furthermore, the pace and depth of compressions are also different from adults: compressions should be 100-120 per minute and 1/3 to 1/2 of the depth of an adult. Rescue respirations are also administered more frequently than in adults: after every 5 compressions, a rescue respiration is administered.

Finally, pay special attention to avoiding excessive force when performing CPR on children, since the chest wall can be easily injured due to its fragility.


Why use pediatric cardiopulmonary resuscitation?


Basic CPR is an essential technique for saving lives and it is important to know how to use it in a child. It can be used in various emergency situations, such as when a child has stopped breathing or her body has stopped breathing.

Cardiopulmonary resuscitation maneuvers help restore the flow of oxygenated blood to the cervix and other vital organs, helping to prevent potentially serious neurological damage. Furthermore, it can also help resuscitate a person who has suffered cardiorespiratory arrest.

Knowing how to perform CPR correctly on a child is crucial for any caregiver, as it can mean the difference between life and death in an emergency situation. Furthermore, having CPR knowledge guarantees that it is necessary to take the necessary measures quickly and correctly when trying to save a child's life.


Basic cardiopulmonary resuscitation to pediatrics


Basic resuscitation (CPR) is an important procedure to save lives that must be understood and practiced by any person who works in children or in some care. It can save a child's life in case of cardiac arrest, which is how the heart needs to return to normal. When applying CPR to a pediatric patient, be sure to perform compressions appropriate to their age and age.

The rate of compressions must be at least 100-120 per minute for a smaller number than 1 or at least 80-100 per minute for a larger number. Record also administer rescue breaths between each series of 30 chest compressions. These breaths must also be adjusted depending on the size of the nen. If you ever find yourself in a situation where you are performing CPR on a pediatric patient, it is important that you remain calm and follow these guidelines to ensure that you provide the best care possible.


Pediatric cardiopulmonary resuscitation (CPR in children). How are you a fan of the maneuvers?


CPR is an important life-saving technique that can be used to resuscitate children and children who have stopped breathing or have no breathing. Cardiopulmonary resuscitation of children and children is performed slightly differently from that of adults. In the case of infants, the person practicing CPR must perform two daily chest compressions at a rate of 100-120 per minute and give breaths for one second of the duration of the death.

For between 1 and 8 years, compressions must be carried out by both men using the heel of one more at a rate of at least 100 per minute. Depending on the child's age, it may be necessary to administer breaths with a mask using a mouth valve or mouth-to-mouth. It is essential that any person who practices CPR on a swimmer or child receive adequate training so that he or she can perform it correctly and safely.

The clinical signs for identifying a CRP situation in a child are unconsciousness, apnea or agonal breathing (gasping) and absence of vital signs or signals (it's not mou, it's not breathing, it's not yours).

There have been studies that demonstrate that 43% to 64% of pediatric patients who present with CPA recover spontaneous circulation with the application of CPR maneuvers (Pediatric Cardiopulmonary Resuscitation).

Pediatric CPR

The maneuvers of cardiopulmonary resuscitation (CPR) are a set of measures and actions that allow identifying the situation of CRP and, also, intended to replace and attempt to recover, breathing and circulation, constituting the essential tract of CRP. Its main objective is to ensure sufficient distribution of oxygen to the cervix and all three vital organs.

In basic CPR, resuscitation maneuvers are carried out without including specific equipment, including the incorporation of defibrillators, to improve ventilation, the treatment of defibrillator rhythms and the safety of the resuscitator (material of protection and biosecurity).

On the other hand, advanced CPR is compatible with the aid of specific material, such as: oxygen, airway instrumentation material or pharmaceuticals, and is to be applied by health personnel especially trained and qualified. .

Step by step pediatric CPR

As we look at it on a country-by-country basis, it is important to determine what is considered an infant for minors (except for newborns) and for children who have more than one child until puberty (in children presence of mammary and axillary development).

The continuation will detail the sequence of maneuvers that correspond to a basic CPR according to current recommendations.

  1. Ensure the safety of the child and the rescuer: if necessary, move the victim to a safe place and the rescuer will protect all the measures that are available (gloves, safety gloves, etc.)
  2. Check the response to the stimulation: first parley at high speed and if not, you have responded to the tactile stimulation (pessics). Avoid sacsejades. If you have responded to the stimuli, maintain the position and assess whether you receive medical attention. Otherwise, continue with CPR.
  3. Request help and activate the emergency medical services (SEM): click “help”, dial 112 or 061 and obtain a defibrillator.
  4. Optimize the position of the nen: place it on a flat, hard surface in supine position with the cap, the neck, the trunk and the limbs aligned.
  5. Open the airway: One more time to the front and the other side raise the chin, keep the cap in a neutral position for the infant, and one more leg in the “olfacto” position, in the baby. Do not press on the teeth under the jaw. Inspect the oral cavity and remove clearly accessible foreign objects.
  6. Check if he has breathed spontaneously: lay the cock to the baby's mouth, to “watch” if he has thoracic excursions, “escort” if he has respiratory sores and “feel” the cock the movement of the air. Do not invest more than 10 seconds. If you are unconscious but breathing, you should be placed in a safe position as long as there are no injuries that prevent you from doing so. In case of no exhalation or gasping, 5 rescue ventilations must be administered.
  7. Fer 5 rescue insufflations to demonstrate the patency of the airway: maintain the opening of the airway, with the “mouth-to-mouth” technique for the infant or “mouth-to-mouth” for the child, or with a facial mask and bossa self-inflating (basic instrumented CPR). After each ventilation, the rescuer must completely separate his or her mouth from that of the baby, performing a deep breath before the next breath. The insufflations are approximately 1 second, with the intensity to produce an obvious excursion of the chest of the child.
  8. Check if there is spontaneous circulation “signs of life”: if it is, detect with safety or a pulse with a frequency greater than 60 per minute continue to maintain the open airway administered between 12 and 20 ventilations per minute until more qualified personnel arrive. the SEM.
  9. Chest compressions: apply them in case there are no signs of life. Compress “rapidly and forcefully”, about 100 compressions/minute, depressing one third of the anteroposterior thoracic diameter (about 4 cm in infants and 5 cm in children). After every 30 compressions, administer 2 ventilations. Compressions in infants are carried out 2 times to the lower third of the mind (sota the intermillary line). In this case, use one arm or the two superpositions, with the right arms to administer the pressure with the heel of the arm on the lower third of the chest.
  10. Check the effectiveness of CPR maneuvers: Every 2 minutes from the beginning of CPR, the sequence of compressions-ventilations will be briefly interrupted to reassess the presence of breathing and spontaneous circulation, starting at the lowest possible time (no more of 10 seconds).

It is recommended to use the AED during CPR of any minor. In children larger than 1 years (8 Kg), it is recommended to purchase an adult AED, but in children from 25 to 1 years, it is recommended to use a pediatric AED, with an energy attenuator.

If you do not have an AED to start CPR, administer 1 minute of CPR before searching for it and if available, always administer XNUMX minute of CPR without monitoring. To maintain the quality of CPR, maintain compressions while placing the electrodes on the chest.

En Neosalus We offer the best protection to provide prompt attention to these types of problems. We request more detailed information at 900 52 56 78 and resolve all your doubts and questions.