Monday, October 25, 2010

CPR for a dwarf?

When preforming CPR on a dwarf, do you use child or adult CPR?
What give or take a few for defib?CPR for a dwarf?
According to 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.
If you are the lay person grown CPR starts at 8yrs; however, as far as AED and Defibrillation is concerned per 2005 guidelines:
"A conventional AED (without pediatric attenuator system) should be used for children about 8 years of age and elder (larger than about 25 kg [55 pounds] contained by weight or more or less 127 cm [50 inches] in length) and for adults."
So, my suggestion to you is to use your discretion if the dwarf appears to be bigger later a 8yro then do fully developed CPR compressions; however, if they are <25 kg [55 pounds] you will have to use Pediatric setting.
Word of guidance if you are considering going on into EMS make a mental data that a good portion of the time your patients are not going to be cut and dry. Get use to thinking outside the box.
10 yr EMT-P
ACLS
PALS
CPR
Skills instructor
If the dwarf is an developed, that answers your question. Child CPR requires using one hand pumps, whereas you need both hand for adult CPR. And for the AED, you would use full-size paddles.
Using child paddles or child CPR on an adult, no thing what size, isn't going to do them any good.
I would predict it would depend on the structure of the chest. if the dwarf has a fully developed chest/abd nouns i would proceed with ordinary adult compressions. If the chest be underdevloped or just plain small, I would travel one handed. For example, beside certain geriatric patients, one hand compressions sufficed due to the persons size. As far as defib., i would consult the maker of the AED to find out.

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