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update

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by

defne nayman

on 6 December 2012

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Transcript of update

PALS UPDATE 2012 DEFNE NAYMAN MD
DIRECTOR OF PEDIATRIC EMERGENCY DEPARTMENT
METROPOLITAN HOSPITAL MEDICAL CENTER -across the board (all ages)
-assess responsiveness, breathing and pulse
-quality compressions
100/min,
1/3 depth of chest
allow recoil
-2 full minutes prior to reassessment
-<10 seconds to assess C-A-B Ventilation
• Bag ventilation; 25-33% of normal
( 25-33% C.O. with chest compressions)


• 30/2 single rescuer; 15/2 for 2 rescuer (until adolescence) OPTIMAL O2 SATURATION
94-99% CO2 detector use recommended (Hyperoxia is a/w oxidative injury) AED (mostly biphasic since 2003)
Manual (better dose adjustment)
AED with pediatric dose attenuator
Adult AED when no alternative Defibrillate at 2-4j/kg; max 10j/kg No routine Ca use
No Etomidate use in sepsis
Consider therapeutic hypothermia in adolescents
Consider tissue analysis for channelopathy for sudden cardiac arrest
Quick tip for SVT treatment;
Use Diving reflex in pediatric population
maxillary zone (below eyes, paranasal section)
bag In the adult "pediatric" trauma room........ in the color coded drawers.... inside the drawers..... there are the; ET tubes, suction catheters, foleys, n/g or feeding tubes......... the Broselow tape and PALS algorithm strip ..... Not the target...........
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