Part 13: Neonatal resuscitation guidelines The following guidelines are intended for practitioners is allotted to complete each step, reevaluate, and decide responsible for resuscitating neonates. They apply pri- whether to progress to the next step(see the Figure) marily to neonates undergoing transition from intrauterine to extrauterine life. The recommendations are also applicable to Anticipation of Resuscitation Need

Part 12: Pediatric Advanced Life Support contrast to adults, sudden cardiac arrest in children is with other signs and symptoms consistent with inadequate ncommon, and cardiac arrest does not usually result from tissue oxygen delivery a primary cardiac cause. More often it is the terminal event The most common cause of shock is hypovolemia, one of progressive respiratory failure or shock

For best survival and quality of life, pediatric basic life support(BLS) should be part of a community effort that includes prevention, basic CPR, prompt access to the emer- gency medical services(EMS) system, and prompt pediatric advanced life support (PALS). These 4 links form the American Heart Association(AHA)

Electric shock and lightning strike injuries result from the Lightning can also have widespread effects on the cardio- direct effects of current on the heart and brain and on cell vascular system, producing extensive catecholamine release membranes and vascular smooth muscle. Additional injuries or autonomic

D urovidertemapve es usfeation aiea p rege m r and Defibrillation Defibrillate using standard ACls defibrillation doses the fetus. The best hope of fetal survival is maternal survival. Class Ila).5 Review the ACLS Pulseless Arrest Algo- For the critically ill patient who is pregnant

lectrolyte abnormalities are commonly associated with inflammatory agents). Additional treatment is based on the cardiovascular emergencies. These abnormalities may everity of the hyperkalemia and its clinical consequences cause or contribute to cardiac arrest and may hinder resusci-

Anaphylaxis is a severe, systemic allergic reaction char- fatal reaction occurs within 10 to 15 minutes. Cardiovas- acterized by multisystem involvement, including cular collapse is the most common mechanism. 3-5 skin, airway, vascular system, and gastrointestinal trac

Asthma accounts for >2 million emergency department Primary Therapy visits and 5000 to 6000 deaths annually in the United Orygen States, many occurring in the prehospital setting. Severe Provide oxygen to all patients with severe asthma, even those

intentional hypothermia is a serious and preventable Severe(30C <30C [86. is associated with marked depression of (86F), provide active internal rewarming

wning is a leading preventable cause of unintentional been found to be clinically significant. The most important morbidity and mortality. Although this chapter focuses factors that determine outcome of drowning are the duration on treatment, prevention is possible, and pool fencing has and severity of the hypoxia