National Board Ex- 6 Book .pmd - National Board Of Examination

age 5 . AHA recommends abdominalthrust to be applied in rapidsequence until the obstruction isrelieved 2 . If abdominal thrustsare not effective, the rescuer mayconsider chest thrust. Chestthrust may also be primarily consideredin obese and pregnantvictims. If the adult victim withFBAO becomes unresponsive,the rescuer should carefully supportthe patient to the ground,immediately activate EMS, andthen begin CPR. During CPR,when airway is opened, the rescuershould look for an object inthe victim’s mouth and removeit finger sweep is to be done onlywhen the provider can see solidmaterial obstructing the airwayof an unresponsive patient.Paediatric BLSThe basic sequences of steps forCPR are almost similar to adultswith few exceptions. Asphyxialarrest is more common in childrenthan the cardiac cause forarrest, thus mandating 5 cycles ofCPR before activating EMS. Inchildren if 2 rescuers are presentthen cycles of compression toventilation changes to 15:2. If thevictim has perfusing rhythm (i.e.pulse present) but no breathing,then 12-20 breaths / minute (1breathe every 3-5 sec) is to begiven. The compression site forinfant is just below the nipple line(lower half of sternum) and use2-3 fingers or thumb encirclinghands for chest compression ininfants. The depth is approximately1/3 to ½ of the depth ofchest. For defibrillation, childpads are to be used. Infants