MCQ – 66680

In an unresponsive child with no pulse palapable,the following procedure is done as shown in the image.What would be the rate of chest compression in this procedure?

A.	30:2 in one rescuer
B.	15:2 in two rescuer
C.	15:2 in one rescuer
D.	30:2 in two rescuer

Show Answer

Correct Answer � A:B Explanation

Ans:A & B-30:2 for i rescuer or 15:1 for 2 rescuers

Cardiopulmonary resuscitation in a child is performed in the image.

Cardiopulmonary resuscitation (CPR)

The major Highlight of the 2010 AHA Guidelines for CPR is the Change from “A-B-C” to “C-A-B”. The newest development in the 2010 AHA Guidelines for CPR and ECC is a change in the basic life support (BLS) sequence of steps from “A-B-C” (Airway, Breathing, Chest compressions) to “C-A-B” (Chest compressions, Airway, Breathing) for adults and paediatric patients (children and infants, excluding new-borns). However the A-B-C (Airway – Breathing –Compression) sequence is still retained for neonates since cardiac arrests in neonates are nearly always from asphyxia.

 

CPR	Adult and Older Children (puberty and Older)	Child (1 year to Puberty)	Infant(Less than  1 year old)
Indication	Unresponsive	Unresponsive	Unresponsive
Open the Airway	Head tilt-chin lift(Suspected Trauma:Jaw thrust)	Head tilt-chin lift(Suspected Trauma:Jaw thrust)	Head tilt-chin lift(Suspected Trauma:Jaw thrust)
Check Breathing If the victimis not breathing,give 2 breathes that make the chest rise	Take atleast 5 seconds and no more than 10 seconds.	Take atleast 5 seconds and no more than 10 seconds.	Take atleast 5 seconds and no more than 10 seconds.
First 2 breaths	Give 2 breaths(1 second each)	Give 2 breaths(1 second each)	Give 2 breaths(1 second each)
Check Pulse At least 5 seconds and no more than 10 seconds	Carotid pulse (if no pulse,start CPR)	Carotid pulse(if no pulse or pulse is less than 60 bpm with signs of poor perfusion,start CPR)	Brachial Pulse(if no pulse or pulse is less than 60 bpm with signs of poor perfusion,start CPR)
Start CPR
Compression Location	Centre of sternum between nipples	Centre of sternum between nipples	Just below nipple line on Sternum
Compresssion method: push hard & fast and allow complete recoil	Hands interlaced	Heel of one hand	Two-Three fingers or two thumbs encircling hands
Compression Depth	2 inches	1/3 to 1/2 depth of chest	1/3 to 1/2 depth of chest
Compression Rate	100 per minute	100 per minute	100 per minute
Compression-Ventilation  ratio	30:2	30:2 for 1 rescuer CPR (15:2 for 2 rescuer CPR)	30:2 for 1 rescuer CPR (15:2 for 2 rescuer CPR)
Foreign body obstruction	Back blows & Chest thursts	Heimlich maneuver	Heimlich maneuver