Zusammenfassung
Die kardiopulmonale Reanimation (CPR) bei Kindern ist ein emotionsbehaftetes Ereignis. Laienhelfer ergreifen aus Angst, etwas falsch zu machen, oft nur verzögert oder gar keine lebensrettende Sofortmaßnahmen. Aber auch dem medizinischen Personal fehlt zuweilen die Routine im Umgang mit dem kindlichen Notfallequipment – unkoordiniertes Handeln in der Akutsituation ist die Folge. Dieser Beitrag stellt die Grundlagen der aktuellen ERC-Richtlinien einschließlich Basic und Advanced Life Support dar. Darüber hinaus nennt er Empfehlungen zur Postreanimationstherapie und zur Einbindung der Eltern.
Abstract
Cardiopulmonary resuscitation of a child is a rare, emotionally affective, challenging and potentially frightful event. Current guidelines have been largely simplified to facilitate teaching and retention, to encourage bystander resuscitation, and to improve the quality of resuscitation by healthcare professionals. This article is a practical approach to the current European guidelines (ERC), including basic and advanced life support algorithms, as well as recommendations on the post-resuscitation period and parental presence.
Schlüsselwörter
Reanimation - pädiatrisch - Kinder - Wiederbelebung - Notfall
Key words
resuscitation - paediatric - children - life support - emergency
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1 Erstveröffentlichung des Beitrags in der Anästhesiol Intensivmed Notfallmed Schmerzther 2008; 43: 8 – 17 Die vorliegende Fassung ist geringfügig überarbeitet.
Dr. med. Roland Francis
Klinik für Anästhesiologie und operative Intensivmedizin Campus Virchow Klinikum Charité – Universitätsmedizin Berlin
Augustenburger Platz 1
13353 Berlin
Email: roland.francis@charite.de