| A | B |
|---|
| Take this amount of time to check for a pulse | 5-10 seconds |
| Best location for pulse check on a child | Carotid artery (side of neck immediately lateral to trachea) |
| Best location for pulse check on an infant up to 1 year | Brachial artery (found on the inner aspect of the bend of elbow on the pinky finger side) |
| Compression to ventilation rate | 30:2 |
| This technique with chest compressions maximizes the return of blood to the heart after each compression | full chest recoil (allow chest to come back to original position completely after each compression) |
| Rate of chest compressions (for ANY age) | 100 per minute |
| Compression depth on a child | 2 inches |
| Compression depth on an infant | 1 1/2 inches |
| Rotation of 2-man CPR should be... | every 2 minutes (5 cycles of 15:2 for two person 30:2 |
| Minimizing this will increase the chance of survival | interruption of chest compression |
| Do not do this when giving breaths as it will decrease venous return to the heart. | over-inflate the lungs - give breath over 1 second) |
| For the best chance of survival CPR and defibrillation should occur... | No more than 3-5 minutes |
| The primary assessment consists of which steps? | ABCDE |
| A child may be able to maintain this in spite of respiratory distress... | adequate pulse ox reading |
| Limit intubation attempts to this long... | 30 seconds |
| What is low flow oxygen defined as? | <10 L/min (patient's inspiratory flow will exceed O2 flow |
| Nasal cannula from 1-4 L will deliver this... | an increase in oxygen by 4% for each liter |
| Face Mask without reservoirs will to this... | increase oxygen by 10% for each liter (do not give more than 40-60% without reservoir) |
| High flow is defined as | >10 L/min; O2 flow exceeds patient inspiratory flow |
| Determine effectiveness of bag-mask ventilation by doing this... | observe for visible chest rise |
| Confirmation of ETT placement includes all of these... | mist in the tube, auscultation of lungs for bilateral breath sounds, ausculation of gastric area revealing no gurgling sounds, confirmation by ETCO2 detector |
| Do not use ETCO2 detector on this patient... | Those weighing less than 20 kg |
| Once ETT is in place this should be done with compressions and breaths... | 100 compressions per minute without pausing for breaths; and 1 breath every 6-8 seconds |
| Use this mneumonic to help assess deterioration in respiratory status of the intubated peds patient. | DOPE (D-displacement; O-obstruction; P-pneumothorax; E-equipment failure |
| Treatment for tension pneumothorax... | 18-20 gauge needle decomprssion (insert over the top of the 3rd rib) |
| First shock of defibrillation... | 2J/kg |
| Subsequent shocks of defibrillation | 4J/kg (max 10J/kg) |
| Monophasic maximum | 360 J |
| Biphasic maximum | 150 J to 200 J |
| Appropriate pad sizes are... | Infant size for <1yr or <10kg; adult size for >1yr or >10kg |
| After a shock, immediately do this... | resume CPR starting with compressions (DO NOT CHECK FOR A PULSE AT THIS TIME) |
| After a shock and resumption of CPR, do this before checking a rhythm and pulse... | 2 minutes of CPR |
| Never stop chest compressions longer than... | 10 seconds |
| CPR is started on a child if the heart rate is... | <60 bpm |
| Bradycardia algorithm (in order)... | oxygen, CPR if HR is <60 bpm, epinephrine 0.01 mg/kg IV/IO (1:10,000; 0.1mL/kg);Atropine 0.02 mg/kg IV/IO (minimum dose 0.1 mg) |
