By Kevin Mackway-Jones
A CD Rom containing details at the scientific administration of neonatal and paediatric emergencies. There are over 900 pages of administration together with greater than 500 scientific photos, x rays, ECGs. it is also over a hundred and twenty video clips related to young children experiencing emergency difficulties and receiving quite a few existence saving methods. Covers emergencies appropriate in either wealthy and bad international locations. There are algorithms for the administration of emergencies all through, in addition to a formulary of emergency medications.
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Additional resources for Advanced Paediatric Life Support, 3rd Edition
Infant chest compression: two-finger technique Infant chest compression: hand-encircling technique Small children The area of compression is one finger-breadth above the xiphisternum. 10). 10. Chest compression in small children Larger children The area of compression is two finger-breadths above the xiphisternum. 11). 11. Chest compression in older children Once the correction technique has been chosen and the area for compression identified, five compressions should be given. Continuing cardiopulmonary resuscitation The compression rate at all ages is 100/minute.
Younger children are more susceptible to the drying effect of a non-humidified oxygen supply. Although the pre-term infant is vulnerable to retrolental fibroplasia caused by highconcentration oxygen, high concentrations should never be withheld for immediate resuscitation. Face masks (for artificial ventilation) Face masks for mouth-to-mask or bag-valve-mask ventilation in infants are of two main designs. Some masks conform to the anatomy of the child’s face and have a low deadspace. Circular soft plastic masks give an excellent seal and are preferred by many.
Chest tubes These are included because haemothorax or pneumothorax may severely limit ventilation. They are described elsewhere. Gastric tubes Children are prone to air swallowing and vomiting. Air may also be inadvertently forced into the stomach during bag and mask ventilation. This may cause vomiting, vagal stimulation or diaphragmatic splinting. A gastric tube will decompress the stomach and significantly improve both breathing and general well-being. Withholding the procedure “to be kind to the child” may cause more distress than performing it.