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How Do You Resuscitate A Child Over One Year?
Children over one year are prone to accidents like drowning, suffocation or choking. These accidents often cause the child's breathing or heartbeat to stop. In this case, resuscitation needs to be performed.
This blog will discuss how important resuscitation is and will help you learn how to resuscitate a child over one year old.
What is resuscitation?
Resuscitation is the action or process of reviving someone from unconsciousness or apparent death. It is an integral part of intensive care medicine, trauma surgery and emergency medicine. Well-known examples are cardiopulmonary resuscitation and mouth-to-mouth resuscitation.
It is a lifesaving technique useful in many emergencies, such as a heart attack or near drowning, in which someone's breathing or heartbeat has stopped. It aims to keep oxygen flowing in and out of the lungs and oxygenated blood flowing through the body. The aim is to restore a person’s heartbeat and blood pressure to normal and restore life.
Why do we resuscitate?
Resuscitation is done when a child's breathing or heartbeat has stopped. Resuscitation includes rescue breathing, which provides oxygen to a child's lungs, and chest compressions, which keep the child's blood circulating. The aim is to restore the child's heartbeat and blood pressure to normal.
CPR should be done if the child has any of the following symptoms:
- No breathing
- No pulse
How do you resuscitate a child over one year?
In resuscitating a child over one year, you should remember the acronym DRABC.
These are the steps on how to resuscitate a child over one year:
- D - Danger
- Make sure that you, the child and any bystanders are safe.
- R - Response
- Gently tap the shoulders and ask loudly, ‘are you all right?’
- A - Airway
- Turn the child onto their back if necessary and open the airway:
- Place your hand on the forehead and gently tilt the head back.
- Using your fingertips, lift the chin to open the airway
- B - Breathing
- Look, listen and feel for normal breathing for no more than 10 seconds.
- A child can barely breathe or take infrequent, slow and noisy gasps in the first few minutes after the arrest. DO NOT confuse this with normal breathing. If you are in any doubt, prepare to start CPR.
- Call 999/112 and send for a defibrillator (AED).
- Ask a helper to call 999/112. If you make the call, stay with the child and activate the speaker function on your phone.
- Send someone to get an AED if available.
- Give rescue breaths:
- Keep the airway open using head tilt and chin lift.
- Pinch the nose and seal your mouth around the child’s mouth.
- Give five initial rescue breaths (blow in just enough air to make the child’s chest visibly rise).
- C - Circulation
- Combine rescue breaths with chest compressions:
- Use 1 or 2 hands to depress the chest at least a third of its depth (5cm).
- Give 30 chest compressions at a rate of 100-120 per minute.
- Open the airway again by tilting the head and lifting the chin, then give two more rescue breaths.
- Continue with chest compressions and rescue breath at a ratio of 30:2
DO NOT interrupt CPR unless: A health professional tells you to stop, or you become exhausted, or the child is definitely waking up, moving, opening eyes and breathing normally.
NOTE: If there is more than one rescuer, change who does CPR every 2 minutes to prevent fatigue. Minimise delay when changing and do not interrupt chest compressions.
When do you stop resuscitation?
When someone's life is at risk, we always focus on helping them recover by doing resuscitation. We often forget when to stop resuscitation or when resuscitation becomes inappropriate.
Do not stop CPR except in one of these situations:
- You see an obvious sign of life, such as breathing.
- An AED is ready to use.
- Another trained responder or EMS personnel take over.
- You are too exhausted to continue.
- The scene becomes unsafe.
If you notice the child or infant begin to breathe at any time, stop CPR, keep the airway open and monitor breathing and any changes in the child's or infant's condition until EMS personnel take over.
When should you not attempt resuscitation?
According to Section 11 of The European Resuscitation Council Guidelines for Resuscitation 2015, the ethics of resuscitation and end-of-life decisions states that 'Resuscitation is inappropriate and should not be provided when there is clear evidence that it will be futile’.
A decision not to attempt resuscitation may be appropriate when:
- The patient's condition indicates that effective CPR is unlikely to be successful.
- CPR is not in accord with the recorded wishes of a mentally competent patient.
- CPR is not in accord with an applicable advance directive (living will).
Where can I find online training courses and qualifications about resuscitation for children over one year?
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 about your online training courses for resuscitation for children over one year.
Online training courses and qualifications about resuscitation for children over one year
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