Signs of poor perfusion Temp Altered mental status Pulse Skin
Temperature: cool extremities
Altered mental state: continued decline in consciousness/responsiveness
Pulses: weak pulse
Skin: paleness, mottling, later cyanosis
Compression depth in adults vs children and infants
Adults and adolescents: at least 2 in (5 cm)
Children: at least 1/3 of the diameter (approx 2 in or 5 cm)
Infants: at least 1/3 of the diameter (1 1/2 in or 4 cm)
Teams can achieve key metrics and increase CCF by doing the following
- pre charge the defibrillator: 15 seconds before a 2-minute rhythm check, this will analyze and give a shock if needed within 10 seconds or less
- perform a pulse check during the pre charge phase, checks doing compressions is not reliable
- compressor hover over chest ready to start compressions again after rhythm is analyzed decreases unnecessary pauses
- have the next compressor ready to take over immediately
- intubate without pausing compressions
- deliver medication during compressions
Whether you’re a team member or a team leader, Nader standing your role and others roles will help you how
- Anticipate what actions will be performed next
- how to communicate and work as a member or as a leader of a high-performance team
CPR Coach Roles
The CPR coach role is designed to help a high-performance team achieve the key metrics of high-quality CPR by providing feedback about
- compressors rate, depth, and recoil
- delivery of ventilations (rate and volume)
- compression pauses
How long do you continue to use the Evaluate-Identify-Intervene concept
Continue using sequence until child is stable
- after each intervention
- when the child’s condition changes or deteriorates
Very slow or very fast respiratory rate is a warning sign
A consistent respiratory rate or less than 10 or more than 60 breaths per minute in a chid of any age is often abnormal and warrants further assessment for the presence of a potentially serious condition
What does bradypnea or irregular respiratory rate often signal
Impending arrest
Bradypnea and or irregular respiratory rate i an acutely ill infant or child is often an ominous clinical sign and often signals impending arrest
