Pediatric emergency medicine trisk 0206 0206

FIGURE 9.8 Anesthesia bag.

Mechanical Ventilators
Children who require prolonged or relatively high-minute ventilation, inspiratory
pressures, or positive end-expiratory pressures (PEEPs), benefit from mechanical
ventilation as it is more effective than manual ventilation. Care must be taken to
assure that the appropriate tidal volumes and pressures are set for patient size and
treatment goals. We recommend the use of mechanical ventilator if the providers
are skilled in the use of the device or in consultation with a pediatric expert with
support from Respiratory Therapy.

CIRCULATION
The 2015 AHA Guidelines Update continues to emphasize the importance of
immediate, high-quality chest compressions. Adult cardiac arrest survival has
improved with immediate chest compressions and rapid defibrillation. Pediatric
primary asphyxial arrest requires a different strategy including rapid recognition
of prearrest signs and well-executed airway management and immediate chest
compressions at the onset of circulatory arrest.

Evaluation
The 2010 AHA guidelines minimize the importance of the pulse check by health
care providers as it is neither quickly nor reliably assessed. A clinician should
take no more than 10 seconds to determine the presence of a brachial, femoral, or