Paediatric ILS abd SUDICA

Age definitions

Infants - under 1

Children 1-12

Adolescents 13 - 18

Differences in Childrens anatomy

Reduced tracheal diameter

Large prominent occiput

Higher anterior Larynx until 5

Large epiglottis and tongue

Funnel shaped larynx

Breathing:

Nasal breathers until 6 months

Small resting lung volume - less oxygen reserve

Under 8 cricoid ring is narrowest point

Circulation:

80ml/kg blood volume compared to 65-70ml in adults

Compensate hypovolemia longer than adults

Infants and children compensate well until they don’t

Infant and Child ILS

5 rescue breaths

CPR 15:2

Dont use 180 turn on OP tubes

NP tubes contraindicated under 12

Brachial pulse in infants (inner arm)

Carotid pulse in children

Defib pads in AP for all under 8 year olds

Antero Lateral for over 8

Lifepak 1000 for all paed arrests

SUDICA

40 children in the UK each year

4th leading category of death in 1-4 tears

Of all infant deaths 30% suddenly and unexpectedly

64% had no apparent cause