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Not SICKSICK

Stable potential unstable. UnStable Level 1 Resuscitative Level 2 Emergent Level 3Urgent Level 4Less urgent Level 5Non-urgent

*MENENTUKAN ANAK SAKIT GAWAT PAT MELIHAT KEADAAN ANAK GENERAL ASSESSMENT

PENILAIAN ABCDE INITIAL ASSESSMENT

For the purpose of resuscitation, children are divided into 3 age groups:Infants: under one year of ageSmall children:1 to 8 years of ageOlder children/adults: 9 years and over

Circulation, Circulation, Circulation

If you see someone down in the parking lot, ask them if they are ok, if they don't respond, just start chest compressions.NO mouth to mouth. No more "look, listen, and feel" for breathing. Just start compressions.

This doesn't apply to hospitalized patients or ER patients. In the hospital, you can have someone bag them right away and intubate them. You don't have to ignore airway

Advanced airways, central lines, and drug delivery should not interupt chest compressions

Atropine is gone.

Atropine is no longer part of ACLS protocols at all.If they are slow or bradycardic, epinephrine will work just fine. Use an epinephrine drip or dopamine drip if needed.

Determine ResponsivenessGently tap on shoulder and speak loudly.If responsive, place in position of comfort*

AirwayAirway may be obstructed by tongue.Use head tilt-chin lift technique or jaw-thrust maneuver to open the airway.Jaw-thrust maneuver is safer if possibility of neck injury exists*

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BreathingProvide rescue breathing if needed.Perform Sellick maneuver to prevent gastric distention*

CirculationAssess circulation after airway is open and two rescue breaths have been given.Check for pulses.Evaluate for other signs of circulation.Do not spend more than 10 seconds trying to find a pulse*

Infant CPR *Place infant on firm surface and maintain airway.Place two fingers in the middle of the sternum.Use two fingers to compress the chest about 1" at a rate of least 100/min

Allow sternum to return briefly to its normal position between compressions.Coordinate rapid compressions and ventilations in a 15:2 or 30 :2 ratio.*

Child CPR *Place child on firm surface and maintain airway with one handPlace heel of other hand over lower half of the sternum.Avoid the xiphoid process.Compress chest about 1" to 1 1/2" at a rate of 100/min.

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should be performed 5 times - 30 compressions and 2 breathscheck the victim's artery for pulse (for no longer than 10 seconds) and other signs of consciousness. If you not feel a pulse within 10 seconds, you should begin cycles of chest compressions and ventilations. *

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