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| PAEDIATRIC ADVANCED LIFE SUPPORT
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A Practical Guide
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By
Philip Jevon, RGN, BSc(Hons), PGCE, Resuscitation Training Officer, Manor Hospital, Walsall, UK
Kirsti Soanes, Paediatric Nurse Specialist, Manor Hospital, Walsall, UK
Description
In the event of a pediatric cardiac arrest, it is essential to be able to respond rapidly, and provide safe and effective care. Based
upon current research and evidence-based clinical guidelines, this concise reference offers a practical and systematic approach to the
rapid assessment and delivery of appropriate resuscitation to infants and children.
Contents
Introduction:
Background to ERC guidelines
Chapter 1:Pathophysiology of cardiopulmonary arrest in infants and children
chapter
objectives
causes
pathways leading to cardiac arrest and importance of early recognition of impending respiratory failure and
circulatory shock
relevant statistics
chapter summary
Chapter 2:Recognition of respiratory failure and shock
chapter
objectives
assessment of vital functions
respiratory: appearance; position; rate; mechanics; colour; air entry; conscious level;
cardiovascular: heart rate; blood pressure; perfusion (pulses, capillary refill, peripheral temperature, conscious level)
neurological:
conscious level; AVPU, Glasgow Coma Scale
chapter summary
Chapter 3:Airway & Ventilation
chapter objectives
importance
of early treatment of respiratory distress/failure
relevant A&P and significance in resuscitation, eg enlarged tongue, narrow cricoid
ring
compliance of ribs and intercostals cartilage, high oxygen consumption
assessment of airway – patency, partially obstructed,
obstructed – wheeze, grunting, gurgling, see-saw movements, stridor
simple interventions – position, eg upright with mother if conscious,
head tilt and chin lift, jaw thrust
airways, ET tube, tracheal intubation
chapter summary
Chapter 4 :I/V access in resuscitation
chapter objectives
options in an arrest – advantages/disadvantages
peripheral
intraosseous – sites, technique, complications,
etc
endotracheal – procedure, reliability, options, etc
drug administration via each routes
chapter summary
Chapter
5:Cardiac Monitoring
chapter objectives
principles of cardiac monitoring – electrode placement, monitoring lead, use of monitor
or defib monitor
monitoring through the paddles
recognition of sinus rhythm
cardiac arrest arrhythmias – recognition of
VF, asystole, EMD
chapter summary
Chapter 6:Basic Life Support
chapter objectives
priorities of management
assessment
of collapsed infant/child
airway management
mouth-to-mouth, mouth-to-mask ventilation
bag/valve/mask ventilation
chest compressions
chapter summary
Chapter 7:Advanced Life Support
chapter objectives
European Resuscitation Council
Guidelines
VF & non VF – asystole & EMD
Defibrillation
Intervention during arrest
When to stop
Chapter summary
Chapter
8:Post-resuscitation care and transfer
chapter objectives
post-resuscitation priorities
predicting outcome
investigations
preventing further arrest
transfer priorities
equipment required
communication issues
documentation – what to include,
UKCC regulations
chapter summary
Chapter 9: Bereavement
chapter objectives
relatives room
preparation
breaking
bad news
seeing the body
relatives witnessing resuscitation
staff support
chapter summary
Chapter 10:Resuscitation
equipment
chapter objectives
equipment inventory
crash trolley
checking and maintenance
chapter summary
Chapter
11:Professional and legal issues
chapter objectives
not for CPR
child and parents' rights
UKCC regulations
Duty
of care, negligence
Chapter summary
Chapter 12: Training issues
chapter objectives
why training is important
methods
of training
courses available
evaluation
manikins/models available
chapter summary
Chapter 13: Anaphylaxis
| Bibliographic details |
Paperback, 200 pages, publication date: SEP-2003
ISBN-13: 978-0-7506-5599-6
ISBN-10: 0-7506-5599-2
Imprint: BUTTERWORTH HEINEMANN
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Last update: 30 Nov 2009
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