Why do you achieve CPR on a child previously calling EMS and not so for adults?
I understand that cardiopulmonary arrest in children is most often the result of respiratory arrest and not a primary cardiac event (as is usually the overnight case in adults).
Why is the child's need for an immediate restoration of oxygenation, drying, and circulation addressed differently (AHA says 2 minutes of CPR before calling EMS system) than an fully fledged found unresponsive, apneic, and pulseless? Doesn't the body of the adult have the same requests regardless of the cause?
Answers:
I have not looked at the instruction book you are referring to, but ideally you would want one person on the phone to call for help while another is starting CPR (adult or child make no difference). The brain is highly sensitive to lack of oxygen and brain cells die past its sell-by date fairly quickly.
From what I understand contained by the news, the protocol is still under debate and review. See:
http://www.merck.com/mmpe/sec06/ch064/ch…
In kids, you might be able to able to actually resuscitate the child beside CPR; with adults, CPR is usually a bridge until ACLS can be used (defibrillator frequently needed for resuscitation).
Different causes = different treatments. Kids without underlying cardiac disease once in a blue moon have cardiac based arrest. Adult arrest is usually cardiac.
It's a question of probability - adults are more likely to be surrounded by cardiac arrest due to an underlying heath problem (i.e. heart disease) for which access to ACLS is more important and would be necessary for survival. A child would be unlikely to enjoy heart disease, and so chances are the arrest was caused by an twist of fate (choking, drowning, etc.) for which prompt CPR would be most useful. Though in practical terms, if it be a small child, you could probably carry the child with you to find a phone, if necessary as powerfully.
Successful resuscitation in adults, at tiniest statistically, is strongly tied to defibrillation, so the best guess is to minimize time to get the difibrillator on the chest. It doesn't always work out that way, but that's the mode to bet without additional information to guide differently.
If you are completely by yourself, you give 2 minutes of nurture in a variety of situations where the attention might help enough to justify the bottleneck in calling. Conscious choking, drowning child, child with no pulse, etc. are often given as examples.
And, no- they don't enjoy the same needs. Children burn through oxygen quicker than an adult does and have fewer reserves in their body.
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Why is the child's need for an immediate restoration of oxygenation, drying, and circulation addressed differently (AHA says 2 minutes of CPR before calling EMS system) than an fully fledged found unresponsive, apneic, and pulseless? Doesn't the body of the adult have the same requests regardless of the cause?
Answers:
I have not looked at the instruction book you are referring to, but ideally you would want one person on the phone to call for help while another is starting CPR (adult or child make no difference). The brain is highly sensitive to lack of oxygen and brain cells die past its sell-by date fairly quickly.
From what I understand contained by the news, the protocol is still under debate and review. See:
http://www.merck.com/mmpe/sec06/ch064/ch…
In kids, you might be able to able to actually resuscitate the child beside CPR; with adults, CPR is usually a bridge until ACLS can be used (defibrillator frequently needed for resuscitation).
Different causes = different treatments. Kids without underlying cardiac disease once in a blue moon have cardiac based arrest. Adult arrest is usually cardiac.
It's a question of probability - adults are more likely to be surrounded by cardiac arrest due to an underlying heath problem (i.e. heart disease) for which access to ACLS is more important and would be necessary for survival. A child would be unlikely to enjoy heart disease, and so chances are the arrest was caused by an twist of fate (choking, drowning, etc.) for which prompt CPR would be most useful. Though in practical terms, if it be a small child, you could probably carry the child with you to find a phone, if necessary as powerfully.
Successful resuscitation in adults, at tiniest statistically, is strongly tied to defibrillation, so the best guess is to minimize time to get the difibrillator on the chest. It doesn't always work out that way, but that's the mode to bet without additional information to guide differently.
If you are completely by yourself, you give 2 minutes of nurture in a variety of situations where the attention might help enough to justify the bottleneck in calling. Conscious choking, drowning child, child with no pulse, etc. are often given as examples.
And, no- they don't enjoy the same needs. Children burn through oxygen quicker than an adult does and have fewer reserves in their body.
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