2. WHAT IS CPR ????.........
Cardio pulmonary resuscitation is a series of
steps used to establish artificial ventilation
and circulation in the patient who is not
breathing and has no pulse.
3. BLS for infant &children
Infant are less
than one year of
age (except
newborn)
Childern are
from one year to
puberty
4. WHEN YOU HAVE TO START CPR ????.......
1-No response
2-If the victim is not breathing
normally such as gasping for
breath or not breathing at all
3-No pulse
4- heart rate less than 60 beatm
11. Activate emergency response
• If the infant not respond
Immediately call for help
and get automated
external defibrillator
(AED)
12. pulse&Check breathing
• Look for chest rise
• Hear agonal breathing
• Check pulse in
brachial artery within
10 seconds
• Or pulse less than 60No breathing
Agonal breathing
No pulse or less than 60
13. Signs of poor perfusion
cool
extremitie
s
Altered
mental
status
Weak
Pulse
Skin : pale
mottling
then
cyanosis
15. Two rescuer
Encircle the chest
by both hands
15 compression to
2 breaths
Switch every 2
minutes or 10 cycle
16. Hand placement
Infant:
compress the sternum with 2
fingers placed just below the inter-
mammary line
Child:
compress the lower half of the
sternum at least one third of the AP
diameter of the chest (2 inches)
with one or two hands
Note: do not compress over
the xiphoid or ribs
17. Compression depth
Infant at least one third of
A P diameter of chest
or about4 cm
Children at least one third
of A P diameter of chest
or about 5 cm
18. High quality C P R
Start chest compression within 10
second of recognition
Push hard about 4 cm, push fast from
100-120 compression in minute
Avoid interruption
Give effective breath
Avoid excessive ventilation
Count out loud
20. Defibrillation
• Defibrillators are either
manual or automated (AED).
• AED can be used for infants
and children up to
approximately 25 kg (8 years
of age).
• In infants 1 year of age a
manual defibrillator is
preferred.
21. Paddle Size
Two sizes of hand-held paddle
“Adult” size : 8 to 10 cm for
children > 10 kg
( approximately 1 year)
“Infant” size :4-5 cm for
infants < 10 kg
22. Paddle Position:
Place over the right
side of the upper chest
and the apex of the
heart (to the left of the
nipple over the left
lower ribs) so the heart
is between the two
paddles.
Apply firm pressure
23. Defibrillation sequence
Switch ON the device
Apply Paddles
Clear the patient for
analyzing the rhythm
Charging if shock
needed
Clear patients before
applying the shock
Continue CPR
26. Manual Defibrillation Dosing
The recommended
first energy dose for
defibrillation is 2 J/kg.
If second dose is
required, it should be
doubled to 4 J/kg.
AED with pediatric
attenuator is preferred
for children < 8 years of
age.
29. If you heard “you will forgot”
If you saw “you will remember”
If you did “you will become
perfect”
SO you must practice
CPR
33. Take home
message
Infant not small adult
C A B not A B C nothing delay compression
HIGH QUALITY C P R is mandatory
CPR is so easy only you want 2 hands &training
CPR before defibrillation improving outcome
You must follow the new guidlines