Pediatric Basic Life Support(BLS) classification: Difference between revisions

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==NOTOC==
__NOTOC__
{{Pediatric BLS}}
{{CMG}}; {{AE}} {{Neepa Shah}}  
 
{{CMG}}; {{AE}} {{Neepa Shah,M.D}}  
==Overview==
==Overview==
Pediatric Basic Life Support is a life-saving skill comprising of high quality [[CPR (Cardiopulmonary Resuscitation)]] and Rescue Breadths with [[Artificial External Defibrillator (AED)]].  
Pediatric Basic Life Support is a life-saving skill comprising of high quality [[CPR]] (Cardiopulmonary Resuscitation) and Rescue Breadths with Artificial External Defibrillator ([[AED]]).  
* Bystander CPR - Bystander resuscitation plays a key role in out of hospital CPR. A study by Maryam Y Naim et all <ref name="pmid27837587">{{cite journal| author=Naim MY, Burke RV, McNally BF, Song L, Griffis HM, Berg RA | display-authors=etal| title=Association of Bystander Cardiopulmonary Resuscitation With Overall and Neurologically Favorable Survival After Pediatric Out-of-Hospital Cardiac Arrest in the United States: A Report From the Cardiac Arrest Registry to Enhance Survival Surveillance Registry. | journal=JAMA Pediatr | year= 2017 | volume= 171 | issue= 2 | pages= 133-141 | pmid=27837587 | doi=10.1001/jamapediatrics.2016.3643 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27837587  }} </ref> found out communities, where bystander CPR is practiced, have better survival outcomes in children less than 18 years from out of hospital cardiac arrest(CA)
* Bystander [[CPR]] - Bystander resuscitation plays a key role in out of hospital [[CPR]]. A study by Maryam Y Naim et all found out communities, where bystander [[CPR]] is practiced, have better survival outcomes in children less than 18 years from out of hospital [[Sudden cardiac death|cardiac arrest]](CA)<ref name="pmid27837587">{{cite journal| author=Naim MY, Burke RV, McNally BF, Song L, Griffis HM, Berg RA | display-authors=etal| title=Association of Bystander Cardiopulmonary Resuscitation With Overall and Neurologically Favorable Survival After Pediatric Out-of-Hospital Cardiac Arrest in the United States: A Report From the Cardiac Arrest Registry to Enhance Survival Surveillance Registry. | journal=JAMA Pediatr | year= 2017 | volume= 171 | issue= 2 | pages= 133-141 | pmid=27837587 | doi=10.1001/jamapediatrics.2016.3643 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27837587  }} </ref>


* Two studies (Total children 781) concluded that about half of the Cardio-Respiratory arrests in children under 12 months occur outside the hospital.
* Two studies (Total children 781) concluded that about half of the [[Cardio-Respiratory arrests]] in children under 12 months occur outside the hospital.
*Good Prognostic Factor upon arrival at the emergency department-
*Good [[Prognosis|Prognostic]] Factor upon arrival at the [[emergency]] department-
**The short interval between arrest and arrival at the hospital.
**The short interval between arrest and arrival at the hospital.
**Less than 20 minutes of resuscitation in the emergency department.
**Less than 20 minutes of [[resuscitation]] in the emergency department.
**Less than 2 doses of epinephrine.<ref name="pmid20930968">{{cite journal| author=Sahu S, Kishore K, Lata I| title=Better outcome after pediatric resuscitation is still a dilemma. | journal=J Emerg Trauma Shock | year= 2010 | volume= 3 | issue= 3 | pages= 243-50 | pmid=20930968 | doi=10.4103/0974-2700.66524 | pmc=2938489 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20930968  }}</ref>
**Less than 2 doses of [[epinephrine]].<ref name="pmid20930968">{{cite journal| author=Sahu S, Kishore K, Lata I| title=Better outcome after pediatric resuscitation is still a dilemma. | journal=J Emerg Trauma Shock | year= 2010 | volume= 3 | issue= 3 | pages= 243-50 | pmid=20930968 | doi=10.4103/0974-2700.66524 | pmc=2938489 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20930968  }}</ref>
 
==References==
==References==
<references />
<references /><br />
{{Reflist|2}}
<references />{{Reflist|2}}
 
{{WH}}
{{WS}}
[[Category: (Pediatrics)]]


{{WH}}
{{WH}}
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[[Category: (Pediatrics)]]
[[Category: (Pediatrics)]]
==Classification==
==Classification==
* Pediatric Basic Life Support is classified according to age<ref name="pmid29114009">{{cite journal| author=Atkins DL, de Caen AR, Berger S, Samson RA, Schexnayder SM, Joyner BL | display-authors=etal| title=2017 American Heart Association Focused Update on Pediatric Basic Life Support and Cardiopulmonary Resuscitation Quality: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. | journal=Circulation | year= 2018 | volume= 137 | issue= 1 | pages= e1-e6 | pmid=29114009 | doi=10.1161/CIR.0000000000000540 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29114009  }}</ref>  
* Pediatric Basic Life Support is classified according to [[age]]<ref name="pmid29114009">{{cite journal| author=Atkins DL, de Caen AR, Berger S, Samson RA, Schexnayder SM, Joyner BL | display-authors=etal| title=2017 American Heart Association Focused Update on Pediatric Basic Life Support and Cardiopulmonary Resuscitation Quality: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. | journal=Circulation | year= 2018 | volume= 137 | issue= 1 | pages= e1-e6 | pmid=29114009 | doi=10.1161/CIR.0000000000000540 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29114009  }}</ref>  
** Age - Less than 1 year - Infant Basic Life Support
** Age - Less than 1 year - [[Infant]] Basic Life Support
** Age - 1 year to Puberty - Child Basic Life Support  
** Age - 1 year to [[Puberty]] - [[Child]] Basic Life Support
** Age - After Puberty - Adult Basic Life Support
** Age - After Puberty - [[Basic Life Support|Adult Basic Life Support]]
 
*[[Basic life support|BLS]] can be classified as
**BLS in Out of hospital cardiac arrest (OHCA)
**BLS inpatient cardiac arrest (IHCA)
 
==References==
==References==
<references />
<references />

Latest revision as of 14:48, 10 July 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Neepa Shah, M.B.B.S.[2]

Overview

Pediatric Basic Life Support is a life-saving skill comprising of high quality CPR (Cardiopulmonary Resuscitation) and Rescue Breadths with Artificial External Defibrillator (AED).

  • Bystander CPR - Bystander resuscitation plays a key role in out of hospital CPR. A study by Maryam Y Naim et all found out communities, where bystander CPR is practiced, have better survival outcomes in children less than 18 years from out of hospital cardiac arrest(CA)[1]
  • Two studies (Total children 781) concluded that about half of the Cardio-Respiratory arrests in children under 12 months occur outside the hospital.
  • Good Prognostic Factor upon arrival at the emergency department-
    • The short interval between arrest and arrival at the hospital.
    • Less than 20 minutes of resuscitation in the emergency department.
    • Less than 2 doses of epinephrine.[2]

References

  1. ↑ Naim MY, Burke RV, McNally BF, Song L, Griffis HM, Berg RA; et al. (2017). "Association of Bystander Cardiopulmonary Resuscitation With Overall and Neurologically Favorable Survival After Pediatric Out-of-Hospital Cardiac Arrest in the United States: A Report From the Cardiac Arrest Registry to Enhance Survival Surveillance Registry". JAMA Pediatr. 171 (2): 133–141. doi:10.1001/jamapediatrics.2016.3643. PMID 27837587.
  2. ↑ Sahu S, Kishore K, Lata I (2010). "Better outcome after pediatric resuscitation is still a dilemma". J Emerg Trauma Shock. 3 (3): 243–50. doi:10.4103/0974-2700.66524. PMC 2938489. PMID 20930968.


Template:WH Template:WS

Template:WH Template:WS

Classification

  • BLS can be classified as
    • BLS in Out of hospital cardiac arrest (OHCA)
    • BLS inpatient cardiac arrest (IHCA)

References

  1. ↑ Atkins DL, de Caen AR, Berger S, Samson RA, Schexnayder SM, Joyner BL; et al. (2018). "2017 American Heart Association Focused Update on Pediatric Basic Life Support and Cardiopulmonary Resuscitation Quality: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care". Circulation. 137 (1): e1–e6. doi:10.1161/CIR.0000000000000540. PMID 29114009.

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