This video is designed to walk you through the key stages of basic pediatric life support that you will need to know for your osc. Please note that this is for osc. purposes only. You will need to look into this area in greater detail for you to become fully competent as a clinician. And this will be backed up by your own background reading and clinical assessment. For all details you are advised to refer to the UK Resuscitation Council guidelines on the subject. This video will cover the following areas, initial scene assessment, initial approach to the patient, basic airway management, identifying cardiac arrest and cardiopulmonary resuscitation or CPR for short. We will cover main points here and go into a little more detail later on. So initial scene assessment, for this you will be using a smart approach. So first we are looking at scene safety and this includes appropriate personal protective equipment or PPE, infection prevention and control and any dangers to you or those around you. For mechanism of injury we need to include sea spine and catastrophic hemorrhage. You will also need to look at additional resources so at this point you should request help in whatever form you deem necessary. Regulatory includes any DNARs, advanced directives or recognition of life extinct situations that may be present and triage is this your only patient. So if we take an initial approach to the patient we need to check for a response and for that we are going to look at the alert, verbal, pain or unresponsive scale or av-pu for short. We will then move on to basic airway management. So first thing we need to do is look in the airway, are there any foreign body obstructions. Then we will open the airway, we will size up and place an OPA and we will look, listen and feel for breathing for up to 10 seconds. We are then going to provide 5 rescue breaths and then reassess breathing and check for a pulse. It is at this point that we are probably going to identify cardiac arrest if it exists and that will mean that there is no breathing, there will be absent pulses or pulse of less than 60 beats per minute in the pediatric algorithm. We will then start CPR and for this you are going to use an appropriate technique dependent on the patient's age, have a ratio of 15 compressions to 2 effective ventilations, a rate of 100 to 120 per minute and a third of the depth of the chest. So now let us examine some of those areas in more detail. So here we have a patient estimated to be around about 6 months old and we are going to assume that we have been through the standard scene assessment, smart approach etc and we are looking at the initial approach. So remember we need to check for a response looking at the AVPOO scale. Hello, hello, hello can you hear me? Hello, can you hear me? Hello, can you hear me? So there we have checked for a response from the child in a couple of different ways. We have used an auditory response both through speaking to the child and through hand claps and we have checked for a pain or physical response by squeezing the child's earlobe or by tickling the feet. There are of course other methods that you can use but remember that the objective is to check the child's response without causing any injury to the child. So now we are going to look in the patient's airway and check for any foreign body obstruction and we need to open the patient's airway so we need to consider patient positioning in this instance. Now because of the child's age it means that their oxypert is going to be a lot larger relative to the size of their body and what that does is it takes the airway out of alignment. So we need to bring that airway back into as good an alignment as we can and to do that we are going to place something under the patient's shoulders. We are then going to size up and place an aurofire and GL airway or OPA and remember that we need to size this from the angle of the jaw to the level of the incisors or to the gums depending on the age of your patient. And unlike adults we are going to insert it in a way that follows the anatomy of the aurofire. So we are going to do that so that we avoid damaging the soft pallets at the roof of the mouth. So if we look at this in real time we are going to look in the patient's airway we are then going to reposition the patient so that we put the airway in neutral alignment. We are then going to size up an OPA and we are going to insert it anatomically to maintain that airway. So next we need to expose the patient's chest and then we are going to look, listen and feel for breathing up to 10 seconds. In the absence of breathing we are then going to perform five rescue breaths and that is ensuring that we have a good seal on the mask and are getting good rise and fall of the chest. We are then going to reassess breathing while simultaneously checking for a break heel pulse in this age child but we would check for a corroded pulse in any child over the age of one. And this check is also for no more than 10 seconds. Now here we are going to diagnose cardiac arrest and remember to do this we need an absent pulse or a pulse of less than 60 beats a minute according to the pediatric algorithm. In the event of cardiac arrest we are going to start CPR and we are going to use an age appropriate technique. For this age child we will be using two fingers although for an older child we may use one hand or two hands depending on the size of the child concerned. And remember that we are going to use a ratio of 15 to 2 at a rate of 100 to 120 beats a minute and a third of the depth of the chest. So that concludes our basic pediatric life support procedure. Remember that for all details you need to look at the UK Resuscitation Council guidelines 2015. And when it comes to your oschi have a look at your oschi sheet and ensure that you pay particular attention to everything that is double starred as that is essential for you to be able to pass. We hope you found this useful. If you have any questions or concerns as always please do contact one of the lecturing team.