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Human research has shown that diagnosis of CPA by pulse palpation is not reliable, with only 2% of professionals diagnosing a pulseless patient in less than 10 seconds. 5 For this reason, current human guidelines limit pulse palpation by health care professionals to less than 10 seconds before BLS measures are initiated. 5 Pinch the soft part of the nose closed with the index finger and thumb of your hand on their forehead.
Ventilation with 100% oxygen is reasonable ( IIa-B); however, use of room air may also be considered ( IIb-B). 2,4 When the airway is opened for attempted delivery of rescue breaths, look to see if the foreign body can be seen in the mouth. Rescuers are no longer taught to feel for a pulse as part of the assessment of need for chest compressions in BLS. The aim is to relieve the obstruction with each thrust rather than to give all 5 (hence you may not require all 5 if successful). the involvement of stakeholders from around the world including members of the public and cardiac arrest survivors.Therefore, immediate post-intubation EtCO 2 readings should not be used to diagnose CPA because elevated values may lead to the incorrect conclusion that the patient is not in CPA ( III-B). 2,5
The sequence of actions in paediatric BLS will depend upon the level of training of the rescuer attending: In experimental studies in dogs, high-dose atropine is associated with poor outcomes; therefore, doses above 0.04 mg/kg should be avoided. 6
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Running a CPR training event in your community or organisation is a great way to help save lives. We have a range of free resources to help you to get started. Our free resources Full guide on how to teach CPR
Some degree of hemodynamic instability related to vasopressor therapy during CPR or the underlying cause of CPA
In either case, continue with CPR as prompted by the AED. There will be a period of CPR (commonly 2 minutes) before the AED prompts for a further pause in CPR for rhythm analysis. Because CPA causes poor peripheral perfusion, peripheral venous or arterial blood gas analysis is not recommended to evaluate CPR effectiveness ( III-A). 2,5 Support the infant in a head-downwards, prone position, to enable gravity to assist removal of the foreign body. A lone bystander with a mobile phone should dial 999, activate the speaker or another hands-free option on the mobile phone and immediately start CPR assisted by the dispatcher. This should start with the first person on scene, who is often a bystander (i.e. a member of the public).