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A 2 month old infant is brought to the emergency department by paramedics after his mother found him not breathing in his crib.He is apneic and cyanotic,no pulses are palpable, but he is warm.After manually stabilizing his neck and positioning the airway,which of the following is the
most appropriate next step in management?
a.positive pressure ventilation and oxygenation
b.Two chest thrusts followed by chest compressions
c.Establishing vascular access
d.Administration of epinephrine
e.electrical defibrillation
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Thanks bhindi.can u plz explain.
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E - defibrilate
You don't do chest thrust in infant . And don't do chest compression in hospital settings as 1st step ( only in TV like in ER show ) !
Oxygene could be the answer , but not a positive pressure ventilation.
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Answer :
this is a case of asystole
if it is witnessed .....................> defib
if not as in this case ...............> CPR ( 5 compressions/1breath ) with Atropine or epinephrine
Chest thrust for choked infants
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i thot it was B...but gusmle is right B is for choking infants..
not E : asystole....not C, D: vascular acess and drugs shud be after intial resuscitation...
it turns out the resuscitation guidelines i found online for newborns (though this is an infant) says PPV and oxygenation...so ans shud be A
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can anyone share the link to download nbmes offline?? Thanks n GL everyone..
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isn't option A tempting?
why dunt we go for breathing after maintaining airway........now we are in emergency dept
pls some more input
