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Semi-automatic defibrillator in children: The truth about your patches
Heart disease has no age, therefore, the use of defibrillator they may be necessary at all times and at all ages.
That's why defibrillators offer a lot of benefits for an entire community, also within the defibrillators, are the patches, which can be for children or adults, which will change mainly the size of the patch, being for adults much larger , and for children a smaller patch that adapts to the morphology of children, in the following article we will be breaking down a little more about the patches in children.
Before continuing we will differentiate 3 groups, with their respective patches:
1 group: Infants (under 1 year) = pediatric patch
2 group: Children (1 to 8 years) = pediatric patch
3 Group: Children (more than 8 years) = adult patch = a person who weighs more than 25 kg ie children over 8 years.
What child can a pediatric patch be placed on?
The heart is an important organ, which is basically covered by musculature, this musculature is handled based on electrical impulses, therefore, there are situations in which a lack of control of the natural electrical conductivity of the heart can cause great problems, so therefore, it is necessary to use the defibrillator, however, to make use of a defibrillator in children, we must have certain considerations that we will include below.
Placement of the defibrillator patch in infants and children.
The placement of defibrillator for children, may be the same as adults. However, if the electrodes are too large to prevent an electric arc from occurring through the electrodes, a patch may be placed on the back under the left scapula and the other on the front left of the sternum. Do not worry that, like adult patches, pediatric patches they contain indications of placement. The best position of the adhesive electrodes in children has not been defined, so both the anterior / posterior placement and the sternal / apical placement can be used interchangeably.
Measurement of defibrillator patches in children and infants.
Recommended patch measurements are 4,5 cm in diameter for infants (under one year of age) and children weighing less than 10 kg and 8 to 12 cm for those weighing more than 10 kg (over one year). However, it is not known what the ideal size is but what it does know is that there must be a good separation between the electrodes as we mentioned earlier.
Energy discharge in children and infants.
In children (1 to 8 years), it is advisable to use defibrillators with energy dose attenuator, to be more sure of the electric charge that will be sent to the child, however, if not, a normal charge with a patch can be sent adult (over 8 years).
In children under 1 year there is no evidence to support or discourage the use of AED. The experience of using DEA (with dose attenuator) in children under 1 year is small.
Keep in mind that most of the defibrillators come with the adult patches pre-connected to the defibrillator console. However, you can find defibrillators that by just moving a switch that indicates Adult / Pediatric, the console automatically activates the energy attenuators to give 50 - 75 joules (energy for patients from 1 to 8 years).
What patches of the defibrillator do I use then?
En infants younger than 1 year its use with energy attenuators is acceptable if there is no other alternative available (ERC 2015 guide).
En children from 1 to 8 years will be used pediatric patch, if you do not have them, it is acceptable to use an adult patch.
En older children of 8 years an AED with adult patch.
The use of a defibrillator is not only in the hands of health personnel, therefore, to know how to use it, is what can differentiate the life or death of a person.
For more detail of how a defibrillator works in children click here.
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