Pediatric emergency medicine trisk 0196 0196
Bạn đang xem bản rút gọn của tài liệu. Xem và tải ngay bản đầy đủ của tài liệu tại đây (134.77 KB, 1 trang )
conditions by assessing a child’s general appearance along with abnormalities in
their airway, breathing, circulation, and mental status (disability) (ABCDs) as
outlined in Chapter 7 : A General Approach to the Ill or Injured Child ( Fig. 9.2 ).
It is essential to identify patients who are at risk for failure of substrate delivery
as early intervention prevents respiratory failure and subsequent cardiovascular
collapse.
MANAGEMENT
Management Sequence
Figure 9.3 outlines an efficient tool to rapidly assess and manage critically ill or
injured patients.
C-A-B Versus ABC. For basic life support, the 2010 AHA guidelines
recommend that the rescuer begins chest compressions first in an effort to remove
barriers associated with airway interventions and decrease delays in resuscitation.
As adults most commonly present with cardiac etiologies for arrest, this sequence
immediately addresses cardiac flow. For children, who most commonly have a
respiratory etiology for arrest, rescue breaths may be more important. However, if
done correctly, the CAB approach only delays ventilation briefly, and having a
universal approach for bystander and first-responder CPR promotes earlier
initiation of CPR. Health care providers who practice in a multimember team
should tailor all resuscitation efforts to meet the needs of the individual patient;
thus, interventions occur simultaneously using ABC approach.
TABLE 9.4
OUTCOME FOR IN-HOSPITAL PEDIATRIC CARDIOPULMONARY
ARREST
