Paediatric Arrest; Roadside to Resus

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8 • 678 Ratings

🗓️ 21 May 2018

⏱️ 74 minutes

🔗️ Recording | iTunes | RSS

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Summary

The management of a cardiac arrest can be stressful at the best of times, but add into that the patient being a child and you have the potential for an overwhelmingly stressful situation.

Fortunately the major resuscitation bodies have some sound guidance on the management of paediatric arrests. In this episode we run through some of those guidelines and also the evidence base on the topic (scant at best!). We also touch on conveyance of the prehospital paediatric arrest, bringing familiy into the resuscitation area and knowing when to cease resuscitation.

We hope the podcast helps you prepare that little bit more for the next case you might see and that it may also ease the stress of such an emotive case.

Simon, Rob & James

Transcript

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0:00.0	Welcome to the recess room podcast.
0:03.9	Five, four, three, two, one, fire.
0:13.4	So hi, and welcome back to the recess room podcast.
0:16.7	I'm Simon Lang, and I'm Rob Fenwick.
0:18.9	And I'm James Yates.
0:19.8	And we're back with another
0:21.5	Roadside Teresa's topic so this time we're tackling what is definitely a really difficult topic
0:30.3	of pediatric cardiac arrests and we know this is a hugely emotive topic and it is most importantly
0:37.4	a really stressful situation that you can find yourself in.
0:40.8	So we want to give you an overview of paediatric arrests.
0:44.1	We want to give you a framework to go by, which is pinned down by some huge international guidelines.
0:49.6	And then we want to talk about the really difficult points.
0:52.5	Some of the evidence base that exists out there
0:54.4	and some of the difficult decisions we've got to make regarding treatment, transporting patients
0:59.8	in arrest, and when resuscitation is deemed to be futile and stopping the management of that arrest
1:05.8	is appropriate. Before we go any further, a huge thanks to AbPrak the sponsors of the podcast. They provide
1:11.9	high quality advanced clinical practitioners up and down the country. And if you want to be
1:16.6	part of their superb setup, then get in touch with them via the link on our website. So without
1:21.9	further ado, let's crack into the topic. So all of us have been involved in paediatric arrests and have got a vested interest
1:30.6	in being prepared for the next arrest that we see. And on such an infrequent presentation as
1:36.2	pediatric cardiac arrest, a lot of this has got to be mentally modelling situations such as arrest
1:42.3	and being ready for those difficult decisions that we're
	...

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