You are working as a solo Technician on an RRV when you receive a call to a query 4-year-old cardiac arrest. You start making your way to the property when control give you an update that further Paramedic back up and clinicians are on route. They will be 8 minutes behind you.
You arrive at the property where a woman is holding a 4-year-old in her arms, she is extremely distressed, and you see that the child is limp and unresponsive. You grab your kit and enter the property, asking mum to place the child on the floor and ask what’s happened. She explains she put her son to bed half an hour ago. She went up to check on him and found him unresponsive, not breathing. You quickly investigate the airway and check for breathing and a pulse. The airway is clear, and you cannot detect breathing or a palpable pulse. You confirm that the patient is in cardiac arrest and quickly tab an open call on the radio.
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What are your first actions in the management of Paediatric BLS
You grab your BVM and give 5 rescue breaths to the child with a head tilt chin lift manoeuvre. These don’t seem to get effective ventilations. What basic initial step can you do to help improve airway patency in paediatrics
You grab a nearby blanket and fold it, placing it under the patients’ shoulders. You attempt another 5 rescue breaths and have now have adequate inflation. You recheck the patient for any positive response but find none. What do you start next
What defib energy settings should you have for a 4-year-old patient
You start chest compressions with BVM ventilation. What is the ration of CPR you should conduct for a 4-year-old
What depth should you do chest compressions on a paediatric
As you continue to manage CPR at 15:2, you are still maintaining good ventilations with the blanket under the shoulders and patient positioning. You start to wonder whether you should upgrade the airway adjunct. What is the recommended first-line method for achieving airway control and ventilation in children
You continue to manage airway and ventilation with positioning and BVM. You can start to hear sirens in the distance and have now completed a 2-minute cycle. You assess the rhythm again and see the following on the screen without a pulse. What rhythm is this
As you continue CPR, back up is arriving and a Paramedic crew walks through the door. You quickly handover the events and what you’ve been doing. Within a Paediatric arrest scenario, you should extricate and transport to hospital while conducting further ALS on route, True or False