{"id":161,"date":"2020-06-11T03:59:07","date_gmt":"2020-06-11T03:59:07","guid":{"rendered":"https:\/\/blogs.rch.org.au\/clinicalguide\/?p=161"},"modified":"2020-06-17T03:14:46","modified_gmt":"2020-06-17T03:14:46","slug":"resuscitation-hospital-management-of-cardiopulmonary-arrest-covid-19","status":"publish","type":"post","link":"https:\/\/blogs.rch.org.au\/clinicalguide\/resuscitation-hospital-management-of-cardiopulmonary-arrest-covid-19\/","title":{"rendered":"Resuscitation: Hospital Management of Cardiopulmonary arrest (COVID-19)"},"content":{"rendered":"<p><a href=\"https:\/\/www.rch.org.au\/clinicalguide\/guideline_index\/Resuscitation__Hospital_Management_of_Cardiopulmonary_Arrest_COVID-19\/\">Resuscitation: Hospital Management of Cardiopulmonary arrest (COVID-19)<\/a> was adapted from the newly revised <a href=\"https:\/\/www.rch.org.au\/clinicalguide\/guideline_index\/Resuscitation__Hospital_Management_of_Cardiopulmonary_Arrest\/\">Resuscitation: Hospital Management of Cardiopulmonary arrest<\/a> CPG. It will be considered for Statewide endorsement on 18 June \u2013 NSW are unable to endorse it as it does not match their State guidance.<\/p>\n<p>&nbsp;<\/p>\n<p><em>NB Text in italics relates to CPR in the context of COVID-19. This applies to any child in whom COVID-19 is\u00a0<\/em><a href=\"https:\/\/www1.health.gov.au\/internet\/main\/publishing.nsf\/Content\/cdna-song-novel-coronavirus.htm\"><em>suspected or confirmed<\/em>\u00a0<\/a><em>. Given the current low prevalence of COVID-19 in Australia (May 2020), particularly in children, resuscitation of children should be as per usual protocols. Individual State policies should be followed.<\/em><\/p>\n<p><strong>Key Points<\/strong><\/p>\n<ol>\n<li>Cardiac arrest should be suspected in an infant or child who is unresponsive and not breathing normally &#8211; pulse check should not delay cardiopulmonary resuscitation (CPR)<\/li>\n<li>CPR should be commenced if cardiac arrest is suspected<\/li>\n<li>Ongoing management should be directed by the cardiac rhythm identified<\/li>\n<li>Effective resuscitation relies on a coordinated team and good communication<\/li>\n<li><em>Children appear to be less likely to transmit COVID-19 to healthcare workers than adults<\/em><\/li>\n<li><em>CPR may cause aerosolisation of virus;\u00a0<\/em><strong>airborne precautions<\/strong><em>(PPE including N95 mask) must be initiated as soon as possible and management must occur in the\u00a0<\/em><a href=\"https:\/\/www.rch.org.au\/clinicalguide\/guideline_index\/Resuscitation__Hospital_Management_of_Cardiopulmonary_Arrest_COVID-19\/#iso\">highest level of isolation available<\/a><em>. This should be discussed with a senior clinician and\/or ICU<\/em><\/li>\n<li><em>Ideally, CPR should not be delayed for donning of airborne precautions PPE; decisions on providing airway support in the absence of PPE need to be made with the understanding that there may be a small but as yet undefined risk of COVID-19 exposure<\/em><\/li>\n<li><em>If arrest is anticipated, PPE should be donned in advance. If arrest is unanticipated, initial resuscitation, including airway opening, bag valve mask (BVM) ventilation and chest compressions, may be provided by a first responder wearing a mask, gloves and eye protection (at minimum), who should hand over to a staff member in airborne precautions PPE as soon as possible<\/em><\/li>\n<li><em>Staff at increased risk from COVID-19 should consider not working in the resuscitation room<\/em><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This adapted RCH CPG will be considered for Statewide endorsement on 18 June.<\/p>\n","protected":false},"author":165,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[11797,28,9503],"tags":[],"class_list":["post-161","post","type-post","status-publish","format-standard","hentry","category-individual-cpg-posts","category-news","category-newsletter"],"acf":[],"_links":{"self":[{"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/posts\/161","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/users\/165"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/comments?post=161"}],"version-history":[{"count":1,"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/posts\/161\/revisions"}],"predecessor-version":[{"id":162,"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/posts\/161\/revisions\/162"}],"wp:attachment":[{"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/media?parent=161"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/categories?post=161"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/tags?post=161"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}