Intensive Care Medicine

PBLS - Paediatric Basic Life Support

As was already announced in Lesson 1, it is necessary to know Basic Life Support (BLS) to pass the Intensive Care Medicine course. If you are not confident about providing BLS, an online.

PBLS issues can be found in Lesson 3

As we assume that students are proficient in basic resuscitation, the text below is an overview.

First aid procedures for sudden cardiac arrest in children without the use of medical devices.

Similar to adult patients, we follow the SSS ABC acronym.

S – SAFETY

  • providing safety for both rescuers and the affected person

S - STIMULATION

  • verbal stimulation followed by tactile stimulation

S - SHOUT FOR HELP

  • loud shouting for help

A - AIRWAYS

  • children up to 1 year - neutral head position and till the chin up
  • children over 1 year - slight head tilt, with increasing age the required head tilt increases

B - BREATHING

  • checking the patient's breathing for 10 seconds

C - CIRCULATION

  • if breathing is not normal, call EMS and initiate CPR - provide 5 attempts of initial rescue breaths

CPR

  • BLS in a child always includes ventilation
  • CPR starts with 5 initial breaths, followed by checking for signs of life
  • the compression:ventilation ratio is 15:2
  • compressions:
    • using both thumbs for infants, one hand for larger children
    • compression depth is 1/3 of anteroposterior chest diameter
    • frequency is 100-120/min
    • minimal interruption of compressions 

If the cardiac arrest occurs in a medical facility, we follow the same algorithm with several modifications until the provision of extended resuscitation:

- instead of calling EMS, we call a MET call/resuscitation team

- we use a bag-mask ventilation, always connected to an O2 source
(bag-mask ventilation is covered in Lesson 2)



Approach to the unresponsive child

PBLS - Paediatric Basic Life Support
ERC Guidelines 2021
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