m4240175 pediatric ready reference

7/28/2019 m4240175 Pediatric Ready Reference

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Pediatric First Aid/CPR/AEDREADY REFERENCE


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AFTER CHECKING THE SCENE FOR SAFETY, CHECK THE CHILD OR INFANT:

CHECK FOR RESPONSIVENESSTap the shoulder and shout, Are you OK?

For an inant, you may ick the bottom

o the oot.

CALL 9-1-1

I no response, CALL9-1-1 or the local emergency number.

I an unconscious child or inant is ace-down, roll ace-up, supporting the head,

neck and back in a straight line.

IALONEGive about 2 minutes o CARE, then CALL9-1-1.

I the child or inant responds, CALL 9-1-1 or the local emergency number or any

lie-threatening conditions and obtain consent to give CARE. CHECKthe child rom

head to toe and ask questions to fnd out what happened.

TIPS:

Use disposable gloves and other personal protectiveequipment whenever giving care.

Obtain consent from parent or guardian, if present.

CHECKING AN INJUREDOR ILL CHILD OR INFANT

APPEARS TO BE UNCONSCIOUS

PANEL2


3/12

OPEN THE AIRWAYTilt head back slightly, lift chin.

CHECK FOR BREATHINGCHECKquickly for no more than 10 seconds. Occasional gasps are not breathing.

Infants have periodic breathing, so changesin breathing pattern are normal for infants.

GIVE 2 RESCUE BREATHS

If no breathing, give 2 rescue breaths.

Tilt the head back and lift the chin up.

Child: Pinch the nose shut, then make acomplete seal over childs mouth.

Infant: Make complete seal over infantsmouth and nose.

Blow in for about 1 second to make thechest clearly rise.

Give rescue breaths, one after the other.

QUICKLY SCAN FOR SEVERE BLEEDING

WHAT TO DO NEXT

IF THE CHEST STILL DOES NOT CLEARLY RISE AFTER RETILITING HEADGo toUnconscious Choking, PANEL 6.

IF NO BREATHINGGo to CPR, PANEL 7 or AED, PANEL 8 (if AED is immediatelyavailable).

IF BREATHINGMonitor breathing and for any changes in condition.

TIPS:

If you witnessed the child or infant suddenlycollapse, skip rescue breaths and start CPR(PANEL 7).

Ifthechestdoesnotrisewithrescuebreaths,retilt the head and give another rescue breath.

PANEL3


4/12

CONSCIOUS CHOKINGCHILDCANNOT COUGH, SPEAK OR BREATHE

AFTER CHECKING THE SCENE AND THE INJURED OR ILL CHILD, HAVE SOMEONECALL 9-1-1 AND GET CONSENT FROM THE PARENT OR GUARDIAN, IF PRESENT.

GIVE 5 BACK BLOWSBend the child orward at the waist andgive 5 back blows between the shoulder

blades with the heel o one hand.

GIVE 5 ABDOMINAL THRUSTS

Place a fst with the thumb side againstthe middle o the childs abdomen, justabove the navel.

Cover your fst with your other hand.

Give 5 quick, upward abdominal thrusts.

CONTINUE CARE

Continue sets o 5 back blows and 5abdominal thrusts until the:

Object is orced out.

Child can cough orceully or breathe.

Child becomes unconscious.

WHAT TO DO NEXT

IF CHILD BECOMES UNCONSCIOUSCALL9-1-1, i not already done. Careullylower the child to the ground and give CARE or an unconscious choking child,beginning with looking or an object (PANEL 6, Step 3).

TIP: Stand or kneel behind the child, depending on his or her size.

PANEL4


5/12

CONSCIOUS CHOKINGINFANTCANNOT COUGH, CRY OR BREATHE

AFTER CHECKING THE SCENE AND THE INJURED OR ILL INFANT, HAVE SOMEONECALL 9-1-1 AND GET CONSENT FROM THE PARENT OR GUARDIAN, IF PRESENT.

GIVE 5 BACK BLOWS

Give frm back blows with the heel o one handbetween the inants shoulder blades.

GIVE 5 CHEST THRUSTSPlace two or three fngers in the center o theinants chest just below the nipple line and

compress the breastbone about 1 inches.

CONTINUE CARE

Continue sets o 5 back blows and 5 chest thrusts until the:

Object is orced out.

Inant can cough orceully, cry or breathe.

Inant becomes unconscious.

WHAT TO DO NEXT

IF INFANT BECOMES UNCONSCIOUSCALL9-1-1, i not already done. Careullylower the inant onto a frm, at surace and give CARE or an unconscious

choking inant, beginning with looking or an object (PANEL 6, Step 3).

TIP: Support the head and neck securely whengiving back blows and chest thrusts. Keep thehead lower than the chest.

PANEL5


6/12

UNCONSCIOUS CHOKINGCHILD

AND INFANT

CHEST DOES NOT RISE WITH RESCUE BREATHS

AFTER CHECKING THE SCENE AND THE INJURED OR ILL CHILD OR INFANT:

GIVE RESCUE BREATHS

Retilt the head and give another rescue breath.

GIVE CHEST COMPRESSIONS

If the chest still does not rise, give 30 chest

compressions.

LOOK FOR AND REMOVEOBJECT IF SEEN

GIVE2

RESCUE BREATHS

WHAT TO DO NEXT

IF BREATHS DO NOT MAKE THE CHEST RISERepeat steps 2 through 4.

IF THE CHEST CLEARLY RISESCHECK for breathing. Give CARE basedon conditions found.

TIP: Child or inantmust be on rm, fatsurace. RemoveCPR breathing barrierwhen giving chestcompressions.

PANEL6


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CPRCHILD AND INFANT

NO BREATHING


GIVE 30 CHEST COMPRESSIONSPush hard, push ast in the middle o the chest.

Child: Push about 2 inches deep.

Inant: Push about 1 inchesdeep.

Push ast, at least 100compressions per minute.

GIVE 2 RESCUE BREATHS

Tilt the head back and lit the chin up.

Child: Pinch the nose shut, then make a completeseal over childs mouth.

Inant: Make complete sealover inants mouth and nose.

Blow in or about 1 second tomake the chest clearly rise.

Give rescue breaths, one aterthe other.

DO NOT STOP

Continue cycles o CPR. Do not stop CPR except in one o these situations:

WHAT TO DO NEXT FOR CHILD AND INFANT

IF AN AED BECOMES AVAILABLEGo to AED, PANEL 8. IF BREATHS DO NOT MAKE CHEST RISEGive CARE or unconscious choking

(PANEL 6).

TIP: Child or inant mustbe on rm, fat surace.

TIP: I at any time you notice an obvious sign o lie, stopCPR and monitor breathing and or any changes in condition.

PANEL7

You fnd an obvious sign o lie,such as breathing.

An AED is ready to use.

Another trained responder or EMSpersonnel take over.

You are too exhausted to continue.

The scene becomes unsae.


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AEDCHILD AND INFANTYOUNGER

THAN AGE 8 OR WEIGHING LESS THAN 55 POUNDS

NO BREATHING


TURN ON AEDFollow the voice and/or visual prompts.

WIPE BARE CHEST DRY

ATTACH PADS

If pads risk touching each other,

use front-to-back pad placement.

PLUG IN CONNECTOR,

IF NECESSARY

PANEL8

TIP: When available, use pediatric settings or pads when caring or children andinants. I pediatric equipment is not available, rescuers may use AEDs confguredor adults.


9/12

TIPS:

Iftwotrainedrespondersarepresent,oneshouldperformCPRwhilethe second responder operates the AED.

Ifatanytimeyounoticeanobvioussignoflife,stopCPRandmonitorbreathing and for any changes in condition.

STAND CLEARMake sure no one, including you,is touching the child or infant.

Say, EVERYONE, STAND CLEAR.

ANALYZE HEART RHYTHM

Push the analyze button, if necessary. Let AED analyze the heart rhythm.

DELIVER SHOCKIF A SHOCK IS ADVISED: Make sure no one, including you,

is touching the child or infant.

Say, EVERYONE, STAND CLEAR.

Push the shock button, if necessary.

PERFORM CPR

After delivering the shock, or if no shock is advised:

Perform about 2 minutes (or 5 cycles) of CPR.

Continue to follow the prompts of the AED.

PANEL9


10/12

CONTROLLING

EXTERNAL BLEEDING

AFTER CHECKING THE SCENE AND THE INJURED CHILD OR INFANT:

COVER THE WOUND

Cover the wound with a sterile dressing.

APPLY DIRECT PRESSURE

UNTIL BLEEDING STOPS

COVER THE DRESSING

WITH BANDAGE

Check for circulation beyond the injury(check for feeling, warmth and color).

APPLY MORE PRESSURE AND CALL 9-1-1If the bleeding does not stop:

Apply more dressings and bandages.

Continue to apply additional pressure.

Take steps to minimize shock. CALL9-1-1 if not already done.

TIP: Wash hands with soap and water after giving care.

PANEL10


11/12

BURNS


REMOVE FROM SOURCE OF BURNCOOL THE BURN

Cool the burn with cold runningwater at least until pain is relieved.

COVER LOOSELY WITHSTERILE DRESSING

CALL 9-1-1

CALL9-1-1 or the local emergency number if the burn is severe

or other life-threatening conditions are found.

CARE FOR SHOCK

PANEL11


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POISONING


CALL 9-1-1 OR POISON CONTROL HOTLINEFor life-threatening conditions (such as if the child or infant is unconscious or is notbreathing or if a change in the level of consciousness occurs),CALL9-1-1 or thelocal emergency number.

OR

If conscious and alert, CALL the National Poison Control Center (PCC) hotline at

1-800-222-1222 and follow the advice given.

PROVIDE CAREGive CARE based on the conditions found.

SEIZURE


CALL OR HAVE SOMEONE CALL 9-1-1REMOVE NEARBY OBJECTS

Q DO NOT hold or restrain the child or infant.

Q DO NOT place anything between the teeth or in the mouth.

AFTER SEIZURE PASSESMonitor breathing and for changes in condition.

WHAT TO DO NEXTQ Comfort and reassure the child or infant. If

fluids or vomit are present, roll the child orinfant to one side to keep the airway clear.

Q Provide CARE based on conditions found.

12Copyright 2011 by The American National Red Cross

m4240175 pediatric ready reference

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