Pediatric BLS Providers Course

Bookings taken for 6 or more participants

The pediatric basic life support (PBLS) curriculum includes infant and child health and safety, the pediatric one-rescuer CPR module, including pediatric FBAO management, and other relevant pediatric resuscitation information. This course is designed for the lay public, especially parents of infants and small children, educators who work primarily with infants and children, day-care personnel, parents of infants at high risk, and the like.

Approximately half course time should be devoted to pediatric health and injury prevention. There is no written examination for this course and no skills testing. No course completion card may be issued, but a course participation card should be given to all students who attend the course regardless of their level of activity in the course.

Most participants will be able to complete instruction and practice in about 6 hours.

Module 2: Pediatric One-Rescuer CPR
A. Introduction
B. Causes of respiratory and cardiac arrest in infants and children
1. Motor vehicle-related injuries
2. Submersion
3. Firearm injuries
4. Burns/smoke inhalation
5. Poisoning
6. Airway obstruction
7. Other causes
C. Prevention of respiratory and cardiac arrest in infants and children
D. Basic principles of CPR
1. Effect of child’s size on technique
2. Determining responsiveness or respiratory difficulty.
3. Positioning
E. The airway
1. Opening the airway
2. Determining breathlessness
3. Giving rescue breaths
4. Preventing gastric distention
5. Relieving airway obstruction
F. Circulation
1. Checking pulse
2. Performing chest compressions
G. Review
H. Manikin practice .
1. Demonstration
2. Infant CPR practice
3. Child one-rescuer CPR practice (optional in BLS courses, not in PBLS courses)
I. Summary/questions and answers

Relief of Pediatric Foreign-Body Airway Obstruction

A. Introduction
1. Incidence
2. Causes
3. Precautions (prevention)
B. Recognition of FBAO
1. Infants
2. Children
C. Management of FBAO
1. Anatomical differences between infant, child, and adult
2. Manual manoeuvres
a. In children – Heimlich manoeuvre
(1) Victim sitting or standing
(2) Victim lying
b. In infants
(1) Back blows
(2) Chest thrusts
c. Foreign-body check
(1) Tongue-jaw lift
(2) Look into throat
(3) Remove object if seen
D. Sequencing
1. Rationale
2. Child
a. Conscious victim
b. Conscious victim becomes unconscious
c. Unconscious victim
3. Infant
a. Conscious victim
b. Conscious victim becomes unconscious
c. Unconscious victim
E. Review
F. Manikin practice
1. Demonstration
2. Infant
3. Child (optional in BLS courses, not in PBLS courses)
G. Summary/questions and answers

EVALUATION STATION

Criteria for Successful Course Completion

Pass-fail written and practical examinations are not part of the Heartsaver or PBLS courses. However, instructors should evaluate each student and provide feedback to participants on skills performance to allow each person to achieve the maximal level of proficiency.

In pediatric BLS courses, the general guidelines for evaluation are similar to those used in adult BLS courses. The instructor should remember that cardiorespiratory emergencies in children are usually caused by respiratory difficulties, so the focus of pediatric BLS should be on respiratory support. The major difference in the sequence of BLS skills is the provision of approximately 1 minute of rescue support to pediatric victims before activation of the Emergency Medical System. In addition, because normal heart and respiratory rates are higher for children than adults, more rapid rates of compression, ventilation, and rescue breathing should be provided.

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