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AM 200 -- CPR for the Healthcare Provider Child CPR FBAO

The Pediatric Chain of Survival. Infants, Children and Adults. AdultsMany arrests are full arrests: no breathing nor pulse.Cause is often cardiac with ventricular fibrillation.Needs full CPR, and most require defibrillation.. Infants and ChildrenMost arrests are initially respiratory: due to choking, respiratory arrest, or shock.Causes include:Choking, suffocation, breathing problems, lung disease, near drowning and injuries.Need attention to airway, breathing and monitoring for signs of circulation..

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AM 200 -- CPR for the Healthcare Provider Child CPR FBAO

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    1. AM 200 -- CPR for the Healthcare Provider Child CPR & FBAO Phillip D. Hoberty, EdD, RRT Respiratory Therapy Division School of Allied Medical Professions College of Medicine and Public Health

    2. The Pediatric Chain of Survival

    3. Infants, Children and Adults Adults Many arrests are full arrests: no breathing nor pulse. Cause is often cardiac with ventricular fibrillation. Needs full CPR, and most require defibrillation. Infants and Children Most arrests are initially respiratory: due to choking, respiratory arrest, or shock. Causes include: Choking, suffocation, breathing problems, lung disease, near drowning and injuries. Need attention to airway, breathing and monitoring for signs of circulation.

    4. Check for Responsiveness and Activate EMS

    5. Open the Airway

    6. Check for Breathing

    7. Foreign Body Airway Obstruction (FBAO)

    8. Signs of Circulation and Pulse

    9. Hand Placement (Landmarks) for Compressions

    10. Compression Method

    11. Compression Depth and Rate

    12. Compression to Breathing Ratio

    13. During the Resuscitation Effort Most centers allow family members to be in close proximity to the victim during CPR. Someone needs to directly attend to the family members during and after CPR. Family members report that being present helps them in the grief and recovery processes.

    14. Participating or Not Participating in CPR in the Community Setting You are not required to perform CPR outside of your practice arena (hospital, clinic, office, etc.). You are generally protected from liability by the Good Samaritan statutes.

    15. Legal Issues In the community setting, you are functioning as a citizen, unless you are on duty and/or represent an agency. Still, you should follow the training you have received. In the professional setting, you are functioning as a HCP, and are subject to providing the accepted standard of care that appropriate for that setting.

    16. HCP Safety Issues During CPR Protective safety barriers are available. Use them. Mask-valves or mask-bags Gloves Gowns and aprons Masks Eye shields Healthcare institutions are required to provide these through OHSA guidelines.

    17. Withholding (Not Starting) CPR Advanced directives need to be discussed ahead of time with physician. These are not emergency decisions. Only DNR or No code orders are legal and these must be signed by a physician. Not appropriate to start CPR in: Rigor mortis Lividity Tissue decomposition Obviously fatal trauma Or legal DNR or No code order is present.

    18. Terminating (Stopping) CPR CPR can be terminated only if: Rescuers are totally exhausted or, if continued, there is genuine risk to their lives. MD or EMS (with MD permission) has determined CPR unsuccessful. Patient has been pronounced dead by an MD. Legal No code or DNR order is presented to rescuers.

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