1 LBT Metronome

Dr. Peter Antevy and Chief Charlie Coyle share how to handle pediatric cardiac arrest. Always confirm a child's size with a length-based tape before dosing, and use a metronome to keep chest compressions in sync. High-quality compressions matter most.
Chapters
Hi everyone, it's Dr. Peter Antevi and I'm here with Chief Charlie Coyle and we're here to talk today about some tips in pediatrics. We're going to go through some things that we've looked at, looking at all the pediatric cases, the cardiac arrest cases over the last several years. We've determined that there are some things that are important to just let you all know about. You guys have done an amazing job. We really appreciate all the work that you've done. We're just trying to make it better, more refined and more detailed.
So, Chief Coyle, yeah, we just, again, I like to echo Dr. Anteve's comments and just say what a great job you guys are doing out there. You know, when we look at these calls, we look at the code stats, we look at the time on scene and everything is getting better. Our ROSC rates are increasing, our time on scene is increasing and our compressions are actually getting more synchronized to make sure that we do timely defibrillation. So great job to everyone and we hope by the conclusion of this video we give you some tips to make it even better.
What happens when you get to the call and perhaps you heard two year old coming over the radio and you get there and the kid's not 2 years old, or you get there and they told you 70 year old and now it's a 7 year old. What I would really recommend and something that we maybe haven't emphasized enough is the use of the length based tape. So just understand that the age is great, but if you have any doubts or if the child's bigger or smaller than what you expected or what you heard on the radio, please pull out the length based tape. If you have any doubt whether you should use age or length when you get to the scene, make sure to emphasize the use of the tape.
You know, think of the psychology behind what's going on on scene. So you could just imagine how chaotic it is. You could imagine the dispatcher trying to give CPR coaching techniques as well as trying to obtain an accurate age while there's just mere chaos in these bystanders or parents life. So please, again, whenever in doubt, just double check yourself with the tape.
So the second tip that we want to cover today is using the metronome during pediatric cardiac arrest. So just imagine this. You're on scene, you're doing compressions, you're swapping out every two minutes and you have to make sure that you're doing accurate chest compressions. If we wanted to say the most important thing that you need to get right on these particular calls is the chest compressions, right? There's overwhelming literature that says that is the most imperative thing that we have to get right during the cardiac arrest case. So do yourself a favor. Use your tools. On the LifePak 15, you have the metronome feature, right? You would just hit CPR and then you would scroll down to your youth with an airway or. Or we've now added the feature in safety pad where you can just go to your quick links during cardiac arrest and use your metronome.
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