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If ROSC is achieved, BLS airway is preferred but an approved alternate rescue airway device or endotracheal intubation can be considered. Placing advanced airways should not interfere with continuous chest compressions or defibrillation. End-tidal capnography should be used for evaluating the effectiveness of resuscitation, ROSC, and as a possible endpoint for the resuscitation. Medication administration should occur per protocol.
Each crew can then choose an itinerary that corresponds to its ability, and travel at its own pace.Our experience has proven that this is the best size for a Philmont crew.You will find handling crew chores more efficient, food distribution best, and program opportunities greater. If only 2 rescuers on scene, place a NRB mask with high flow O on patient for passive oxygenation until a third rescuer arrives. Two-handed 2 thumbs on BVM is essential for maintaining a good BLS airway. Choice of adjuncts, including nasal and oral airways should be based on the specific needs of the patient. Small tidal volume ventilations (approximately 100m L) should be administered on the upstroke of every 10I. An IO may be preferable limiting the interference with compressions. Medication administration should occur per protocol. Transport all ROSC patients to a STEMI Receiving Center if within a 30 minute transport time. Continuous compressions and defibrillation are more important than ventilation, vascular access and medications.
This rescuer should advise when at 200 compressions, as well as to charge the defibrillator at 2 minute intervals. Overall scene management should be coordinated and supervised using the precepts of the Incident Command System. Resuscitation time: pediatric arrests are to be transported to the nearest emergency department as soon as practical.
Defibrillation should be attempted as soon as possible during the resuscitation A.
Hover hands over chest during shock administration and be ready to compress as soon as shock delivered.
Continuous compressions and defibrillation are more important than ventilation, vascular access and medications.
When assembling a crew for a Philmont expedition, make sure to meet the specifications below.
During the resuscitation attempt to limit any pause to 3 seconds or less.