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What are the paediatric resuscitation guidelines?
Would you know how to deliver CPR to a child or baby? Many children do not receive resuscitation because potential rescuers fear causing them harm.
Survival from witnessed ventricular fibrillation (VF) cardiac arrest for every minute without CPR decreases by 7–10%. That’s frightening.
In this blog, we will be defining the guidelines and steps you should take when resuscitating a child or baby.
What are the guidelines for paediatric rescue breaths?
The guidelines for rescue breaths on infants/babies and children are:
- Infants: 25 breaths per minute.
- Children 1-8 years old: 20 breaths per minute.
- Children 8-12 years old: 15 breaths per minute.
- Children > 12 years old: 10-12 breaths per minute.
What are the guidelines for paediatric chest compressions?
- To avoid compressing the stomach, find the point where the lowest ribs join in the middle, and then one finger's width above that. Compress the breastbone.
- Push down 4cm (for a baby or infant) or 5cm (for a child), approximately one-third of the chest diameter.
- Release the pressure, then rapidly repeat at about 100-120 compressions a minute.
- After 30 compressions, tilt the head, lift the chin, and give two effective breaths.
- Continue compressions and breaths in a ratio of 2 breaths for every 30 compressions.
Chest compressions for babies less than 1-year-old
- Compress the breastbone using the tips of two fingers rather than the entire hand or two hands.
- The quality (depth) of chest compressions is crucial. Use the heel of one hand if the depth of 4cm cannot be obtained with the tips of two fingers.
Chest compressions for children over 1-year-old
- Place the heel of one hand over the bottom portion of the breastbone.
- Make sure the pressure isn't put on the ribs by lifting the fingers.
- Position yourself vertically over the chest and compress the breastbone by pushing it down 5cm, or about one-third of the chest diameter, with your arm straight. The quality (depth) of chest compressions is crucial.
- This can be done more easily with both hands interlaced, preventing pressure on the ribs in larger children or if you're small.
Can you perform ‘adult style’ resuscitation on a child?
It is far better to perform ‘ adult style’ resuscitation on a child (who is unresponsive and not breathing) than to do nothing. First aiders can use the adult resuscitation sequence on a child or baby who is unresponsive and not breathing.
The following minor modifications to the adult sequence will, however, make it even more suitable for children:
- Give five initial rescue breaths before starting the chest compression (then continue CPR at 30:2).
- If you are on your own, give CPR for 1 minute before going for help.
- Compress the chest by at least one-third of its depth (4cm for a baby and 5cm for a child).
- For a baby, use two fingers.
- For a child, use 1 or 2 hands as required.
Where can I find online paediatric resuscitation guidelines training courses and qualification?
The Mandatory Training Group is the leading UK provider of accredited statutory and mandatory training courses for all sectors, including health and social care, education, local government, private companies, charitable and third sector organisations.Alternatively, you can contact our helpful Support Team byclicking hereto tell us your online paediatric resuscitation guidelines training courses and qualification.
Online paediatric resuscitation guidelines training courses and qualification
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Frequently asked questions about paediatric resuscitation guidelines
Here at The Mandatory Training Group, we receive many questions about the statutory and mandatory training courses for paediatric resuscitation guidelines. We have selected a few of these questions and answered them below.
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