Structured Teaching Programme On

Basic Life Support in Paediatric

Emergencies
 Lesson plan on Basic Life Support In Paediatric Emergencies

Name of the student teacher: Mr. Anshul Mangal

Topic : Basic Life Support In Paediatric Emergencies

Group : Mothers at Anganwari Centre

Place : Selected Anganwari Centres of Bikaner District

Duration : 50 minutes

Method of teaching : Lecture cum discussion

Medium of instruction : Hindi

Teaching aids : Chart

Black board

GENERAL OBJECTIVES : At The End Of The Video Assisted Teaching Programme; The
Mothers Will Acquire Adequate Knowledge On Basic Life Support.

SPECIFIC OBJECTIVES : THE MOTHERSS WILL BE ABLE TO:

1. BRIEFLY DESCRIBE THE PAEDIATRIC EMERGENCIES.

2. DESCRIBE THE CONCEPTS OF BASIC LIFE SUPPORT.

3. LIST OUT THE CAUSES INDICATION OF BASIC LIFE SUPPORT

4. EXPLAIN BRIEFLY ABOUT THE STEPS OF BASIC LIFE SUPPORT

S.NO. TIME SPECIFIC CONTENTS TEACHING/ A.V. EVALUATION

OBJECTIVES LEARNING AIDS

ACTIVITIES

1. 1mnts INTRODUCTION Explain / Listen

Paediatric emergency can take

place in wide variety of

Environments; however, the

home is the most likely location.

Emergencies are the major cause

of death and contribute

Substantially to potential years

of life lost. The most common

emergencies occur at homes.

There are potential hazards in

every home, such as hot water,

household chemicals, fire places

and sharp objects. Young

children are not able to assess

the risks all these things pose.

Their perception of the

environment around them is

often limited and their lack of

experience and development,

 such as their poor co-ordination

and balance, ca n lead them to

being injured. Mother plays a

vital role in caring of children.

Educating mother is lighting

lamp in the house. She

nourishes, protects & supports

the children. The safety

environment helps and unsafely

environment dangers the health

of the child.

2. 5mnts Define DEFINITION :- Explain / Listen Lecture Define the

paediatrics with paediatric

Paediatric emergency
Portable
emergency. emergency.
It refers to cardiac arrest and
black
respiratory arrest or
board
unconsciousness caused by any
and chalk
unexpected events such as

drowning, falls, poisoning, burns,

electric shock and foreign body

aspiration etc. among children.

In paediatric emergency occur

sudden heart stops, respiration

stops and unconsciousness

occur.
3. 5mnts Lists the Types of paediatric Explain / Listen Lecture List the types of

types with paediatric

emergency
Portable emergencies.
Of
The most common type of black
paediatrics
emergencies that are :- board
emergencies.
 Heart attack and chalk

 Burns

 Falls

 Drowning

 Poisoning

 Foreign body aspiration

or chocking

 Electric shock

 Trauma.

 Suffocation etc.

4. 5mnts Brief Brief description Explain / Listen Lecture Briefly describe

description BURNS/SCALDS with about paediatric

about Burns are injury to tissues caused chart emergencies.

paediatric by the contact with

emergency heat, fire or flame,

Chemicals, electricity, or

radiation.

Causes :

 Unaware of

consequences of heat

and fire.

 Touch on hot objects

such as cooking utensils,

etc.

FALL

Falls are common type of

accidents which occur while child

is playing. Falls leads to injuries,

trauma, dislocations & fractures.

Causes:

 Unstable gait of the

toddler

 presence of objects on

floor

 slippery floor

 lack of supervision

 curiosity of the children

 Hurrily climbing up the

stairs

 leaning on the higher

 ends

DROWNING

It is a form of asphyxia in which

death results

from submersion of mouth or

nostrils of a living person under

Water.

Sources of Danger: open small

tanks, bucket of water, playing at

the bank of the rivers, wells &

Lakes.

POISONING

Ingestion of toxic substances

causes accidental poisoning. In

most cases, a child is exposed to

poison without knowing that it

may be harmful. Young children

do not know the difference

between what is safe and what is

dangerous. Parents and care

givers must take responsibility

for making the home safe for

children.

Common sources:-

Most poisoning materials involve

accidentally intake of medicines,

stored kerosene, petrol &

insecticides, hazardous toxic

chemicals and cosmetics. These

all are toxic substances for

human body.

FOREIGN BODY ASPIRATION/

CHOKING

Babies and young children can

easily swallow, inhale or choke

on small items such as marbles,

buttons, peanuts and small toys

via mouth.

Cause: Accidental swallowing of

foreign body.

TRAUMA DUE TO SHARP OBJECTS

Trauma (injury) due to playing

with sharp objects like knife,

scissors, needle etc.

Causes :

Playing with sharp objects

Improper handling

Lack of attention
5. 5mnts Explains the Causes of paediatric Explain / Listen Lecture Explain the

Causes of with cause of

emergencies :-
Portable paediatric
paediatric
 Lack of safety knowledge.
black emergencies
emergencies.
 Lack of attention by
board
parents. and chalk

 The design of some

homes, such as those

with balconies and open

staircases, can also

contribute to accidents.

 Inadequate supervision.

 Ignorance & negligence

of parents.

 Poor housing and

overcrowded conditions

lead to increased

numbers of accidents.

 They are not aware of the

consequences of the

many new situations that

they encounter daily.

 Unsafe home

environment.

 Increased curiosity.
6. 5mnts Define Basic BASIC LIFE SUPPORT:- Explain/Listen Lecture Define the BLS

Life Support. DEFINITION: with

Portable
Basic Life Support has been
black
defined by the Australian
board
Resuscitation Council (ARC) as
and chalk
“…the preservation of life by the

initial establishment of and /or

maintenance of airway,

breathing and Circulation and

related emergency care.

7. 5mnts Concept of BASIC LIFE SUPPORT : Explain/Listen Lecture Describe the

Basic Life It is the phase of emergency with concept of

Portable
Support. cardiac care which includes a BLS.
black
series of assessment and
board
intervention that support cardiac
and chalk
and respiratory function proper

and prompt BLS serves to:

1. Maintain cardio pulmonary

function, by providing oxygen to

brain and heart during

respiratory or cardiac arrest until

Basic life support can be

provided.

2. Prevented cardiac arrest and

 restore the cardio pulmonary

function.

3. Basic Life Support can help to

save life.

4. The aim of BLS is restore heart

and lung function.

List out the The common causes for sudden

8. 5mnts Explain / Listen Lecture
Enlist the
causes and death include the following:
with
causes
Indication for  Heart attack Portable
and indications
BLS.  Drowning black
of BLS.
 Electric shock Choking board

 Suffocation and chalk

 Trauma

 Drug reaction

Indication of Basic Life Support:

Respiratory arrest: Refers to the

absence of breathing when

breathing stops first, the heart

can continue to pump for several

minutes. Opening the airway and

providing rescue breathing

maybe all that is needed because

airway obstruct by the falling

back of tongue.
 Cardiac arrest: when the heart

sudden stops, there is no pulse.

Blood is not circulated, and vital

store of oxygen will be depleted

in a few seconds.

Explain The steps of BLS:

9. 15mnts Explain / Listen Lecture Explain briefly
briefly In Basic Life Support mainly three
with about the
about the steps are here i.e.
chart
different
steps  Airway
steps of BLS.
of BLS.  Breathing

 Chest compression

1. Check for

responsiveness.

Shake or tap the child gently. See

if the victim moves or makes a

noise, it means he is breathing

and conscious.

2. Call emergency number if

there is no response.

Shout for help and send

Someone to call emergency

number (108), even if you have

to leave the person.

3. Carefully place the child on

their back. If there is a chance

the child has a spinal injury,

carefully should move the child

to prevent the head and neck

from twisting.

4. Open the airway.

Lift up the chin with two fingers.

At the same time, tilt the head

by pushing down on the

forehead with the other hand.

5. Look, listen, and feel for

breathing.

Place your ear close to the child`s

mouth and nose. Watch for chest

movement. Feel for breath on

your cheek.

Now Perform CPR( cardio

pulmonary resuscitation)

6. Perform chest compressions:

 Kneel near or at side of

the victim.

 The best position of the

 victim, performing CPR is

flat on the floor.

 Place the heel of one

hand on the breastbone -

- right between the

nipples.

 Place the heel of your

other hand on top of the

first hand.

 Position your body

directly over your hands.

 Give 30 chest

compressions.

 While giving chest

compression in child (1-

8yr.) place the heel of

one with second on top

or heel of one hand only,

for infant 1 rescuer

compress the chest with

2 fingers and 2 rescuers

compress with 2 thumb

encircling hand.

 These compressions

should be FAST and

 recommended rate is 80-

100/mnt. Press down

about 1/3 or 1/2 inches

into the chest.

Each time, let the chest

rise completely. Count

the 30 compressions

quickly.

 If during chest

compression

fracture of the rib

bones than should

continue CPR until

victim`s pulse and

breathing regain.

7. If the child is not breathing or

has trouble breathing:

 Cover their mouth tightly

with your mouth.

 Pinch the nose closed.

 Keep the chin lifted and

head tilted.

 Give two rescue breaths.

Each breath should take

 about a second and make

the chest rise.

 Normal breathing should

be checked for 5 to 10

seconds.

8. Continue CPR (30 chest

compressions followed by 2

breaths, then repeat) until the

person recovers or help arrives.

Indications for the effective

artificial breathing are rise and

fall the chest.

If the person starts breathing

again, place them in the recovery

position (side lying position).

Periodically re-check for

breathing until help arrives.

2RESCUER :

When a second rescuer is

available to help. The second

rescuer has to activate the

emergency response.

The first rescuer has to remain

with the victim and start the CPR

immediately, beginning with

chest compression. The rescuers

will then give compression and

breaths but should switch their

roles after every 5 cycle of CPR

or about every 2 minutes

Rescuer 1:

Perform chest compression:

Compress the chest at least 1/3

or 1/2 inches Compress at the

rate of at least 100/minute.

Allow the chest to recoil

completely after each

compression Ratio of

compression breath ratio is 15: 2

Count compression aloud

Switch the roles with the 2nd

rescuer after every 5cycle

completion or every 2 minutes.

Rescuer 2:

Maintain an open airway

Give breaths, and watch for

chest rise.

Encourage the first rescuer to

perform compression that is

deep.
CPR should be stopped when the

victim regain pulse and breathing

and give side lying position.

Switch the duties with the first

rescuer.

CONCLUSION:

Prompt action in danger can save

many lives and can give rebirth

for the victim.