You are Firefighter and designated casualty carer on you watch. You’re working the night shift when the alarm goes off at 0300. The Watch Manager explains you are responding to a 3-month-old in possible cardiac arrest. There are no Ambulance resources currently available, and you are the only support in the area they can send.
You arrive on scene and are ushered into the property and upstairs. The child is lying limp on the bed and is pale and blue in colour. The mum is distraught, and explains she was co-sleeping with the child. She awoke to check the child, but saw he was not breathing and called 999.
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You assess the patient and review airway, breathing, and circulation. You confirm the airway is clear and cannot detect breathing or a pulse. Your colleague’s radio requesting ambulance back up as soon as possible. You look to start basic life support (BLS) efforts on the patient. In paediatric BLS, what procedure is sometimes taught in responder training to do prior to starting chest compressions
Which 2 compression techniques can be utilised for a patient this young
You start to do chest compressions on the patient as your colleagues start opening equipment and prepare the AED. For a 3-month-old patient, what is the depth of compressions required
You are passed the AED paediatric pads, where will you place them on the patient
The pads are placed, and the AED starts analyzing. It advises no shock. Your colleagues have the paediatric BVM set up and take over the chest compressions. You attempt to ventilate the patient but find it difficult. What simple action can be done to help with airway positioning
Placing support helps with ventilation of the patient. Along with a head tilt, chin lift, you are now getting good air entry. Depending on the responder training course, some teach a compression to ventilation ratio of 30:2 to keep training easier. What ratio is used for paediatrics by ambulance staff
You continue to ventilate the patient and come to the second AED analysis. Within a paediatric arrest scenario, how often should rhythm checks occur
The AED advises no shock, and you continue BLS. You notice the ventilations are becoming difficult, and even with support and positioning, the patient’s chest rise and fall is diminishing. Where trained, are you able to place further airway adjuncts
When placing any airway adjuncts in children, what can be used for safer and easier application
You place an airway adjunct and are able to ventilate the patient effectively again. You hear the ambulance crew enter the property and they take over the BLS efforts from you. You go to give them a handover, which of the following do you include and are correct
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