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    Pals 2020 Nuevas Consideraciones

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    francia perez

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    Pals 2020 Nuevas Consideraciones

    Uploaded by

    francia perez
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    PALS 2020 NUEVAS CONSIDERACIONES

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    Pals 2020 Nuevas Consideraciones

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    2020 American Heart Association Guidelines for CPR and ECC:

    Pediatric Basic and


    Advanced Life Support
    Just the Facts: Recap

    High-quality CPR is Give early epinephrine Use naloxone in


    the foundation of for patients in opioid overdose.
    resuscitation. nonshockable rhythms. •  Naloxone will reverse
    •  Make sure you have adequate •  Early epinephrine in only respiratory arrest
    compression rate and depth. patients with nonshockable due to opioid overdose.
    •  Allow for full chest recoil. rhythms improves the •  There is no evidence for
    •  Minimize interruptions. likelihood of survival. use in cardiac arrest.

    Airway Management
    1.  Aim for a rate of 20 to 30 breaths per minute.
    Why? New guidelines suggest that this is the ideal rate for all infants and
    children receiving CPR with advanced airway in place or rescue breathing.

    2.  Do not underestimate bag-mask ventilation.


    Why? For out-of-hospital cardiac arrest, bag-mask ventilation results in
    the same resuscitation outcomes as advanced airway interventions such
    as endotracheal intubation.

    3.  Consider a cuffed endotracheal tube.


    Why? A cuffed endotracheal tube decreases the need for endotracheal
    tube changes.

    4.  Do not routinely use cricoid pressure.


    Why? The routine use of cricoid pressure does not reduce the risk of regurgitation
    during bag-mask ventilation and may impede intubation success.

    Post–Cardiac Arrest Care


    Resuscitation does not end with ROSC.
    For all, ensure prevention For children who do not regain
    and treatment of consciousness, consider

    Targeted temperature
    Hypotension
    management

    Hypercapnia and hypocapnia Continuous EEG monitoring

    Delaying prognosis decisions


    Hyperoxia and hypoxia until at least 72 hours after
    return to normal temperature

    After cardiac arrest, survivors can have physical, cognitive, and emotional
    challenges and may need ongoing therapies and interventions.

    Guidelines provided by
    Infographic by Kara Tastad, MD candidate.
    Template designed by Sparsh Shah, MD.
    Edited and reviewed by Sparsh Shah; Alvin Chin, MD,
    MSc; and Comilla Sasson, MD, PhD.

    CPR.heart.org KJ-1461 09/20 © 2020 American Heart Association

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