2016EFRCareforChildrenInstructorGuideErrata

Revisionto01/12EFRCFCInstructorGuide(product#79190,English,Vision1.0)

Coverandinsidecover,bottomofpage,changeversionandcopyrightto2016,andadd(Rev
12/16)Version1.02

Pageiii
UnderAcknowledgements,changePatientCareStandardstoread:
EmergencyFirstResponsePrimaryCare(CPR)andSecondaryCare(FirstAid)coursesfollow
theemergencyconsiderationsandprotocolsasdevelopedbythemembersofthe
InternationalLiaisonCommitteeonResuscitation(ILCOR).MembersincludeAmerican
HeartAssociation(AHA),EuropeanResuscitationCouncil(ERC),AustralianandNew
ZealandCommitteeonResuscitation(ANZCORcurrentmembersincludeAustralian
ResuscitationCouncilandNewZealandResuscitationCouncil),HeartandStroke
FoundationofCanada(HSFC),ResuscitationCouncilofSouthernAfrica(RCSA),Inter
AmericanHeartFoundation(IAHF),ResuscitationCouncilofAsia(RCAcurrentmembers
includeJapan,Korea,Singapore,Taiwan,Philippine,Thai).
SourceauthorityforthedevelopmentofcontentmaterialinEmergencyFirstResponse
programsisbasedonthefollowing:
Circulation,JournaloftheAmericanHeartAssociation.Volume122,Number18,
Supplement3.November2010,andVolume132,Number18,Supplement2.
November2015.http://circ.ahajournals.org/content/vol132/18_suppl_2/and
https://eccguidelines.heart.org/index.php/circulation/cpreccguidelines2/
Resuscitation,JournaloftheEuropeanResuscitationCouncil.Volume95,October
2015.http://www.resuscitationjournal.com/
AustralianResuscitationCouncil,ANZCORandARCGuidelines,Version:January
2016.http://www.resus.org.au/guidelines/anzcorguidelines/
NewZealandResuscitationCouncilGuidelines,ANZCORandNZRCGuidelines,
Version:January2016.http://www.anzcor.org/guidelines/.
WhenregionalCareforChildrencareguidelinesdiffersignificantly,theEmergencyFirst
Responsecurriculumclearlyliststhosedifferences.Whenindoubtaboutaparticular
treatmentprotocolorprocedure,alwaysrefertotheactualguidelinesproducedbythe
councilororganizationhavingauthorityinyourregion.

Page3
UnderRegionalResuscitationCouncilsandOrganizations,thirdbulletpoint,replace
AustraliaandNewZealandResuscitationCouncils(ARC/NZRC)guidelineswithAustralia
andNewZealandCommitteeonResuscitation(ANZCOR)andARC/NZRCguidelines.

Page11
Replacethefourbulletpointsonthepagewith:
Circulation,JournaloftheAmericanHeartAssociation.Volume122,Number18,
Supplement3.November2010,andVolume132,Number18,Supplement2.November
2015.http://circ.ahajournals.org/content/vol132/18_suppl_2/and
https://eccguidelines.heart.org/index.php/circulation/cpreccguidelines2/
Resuscitation,JournaloftheEuropeanResuscitationCouncil.Volume95,October2015.
http://www.resuscitationjournal.com/
 AustralianResuscitationCouncil,ANZCORandARCGuidelines,Version:January2016.
http://www.resus.org.au/guidelines/anzcorguidelines/
NewZealandResuscitationCouncilGuidelines,ANZCORandNZRCGuidelines,Version:
January2016.http://www.anzcor.org/guidelines/.
Page13
UnderCorePerformanceRequirements,replacethe9+pointtoread:
+Performchildchestcompressionsatarateof100to120compressionperminute
anddepressingthechestonethirdthedepthofthechestapproximately5cm/2
inches.
Replacethe13th+pointtoread:PerforminfantCPRchestcompressionsatarateof
100to120compressionperminuteanddepressingthechestonethirdthedepthofthe
chestapproximately4cm/1.5inches.
Page15
UnderSupervisionandRatios,addthefollowingtwosentencesabovethethird
paragraph:TheseratiosapplyduringSkillsDevelopmentandScenarioPractice.During
KnowledgeDevelopmentsessionsthemaximumratioislimitedonlybyinstructorcontrol
andtheparticipantsabilitytohearandseeclearly,andinteractwiththeinstructor.
Page19
UnderIntegratingEmergencyFirstResponseCoursesdeletethesecondsentenceofthe
firstparagraphandreplaceitwiththefollowing:ThePrimaryandSecondaryCare
ParticipantManualisrequiredwhenteachingthecombinedcourses,however,both
manualsarerecommended.

Page210
UnderInstructorNotereplacealltextwiththefollowing:InAustraliaandNewZealand,
usethefollowingANZCORBasicLifeSupportFlowchart(Guideline8):
DRSABCD
D=Dangers? Checkfordanger(hazards/risks/safety)
R=Responsive? Checkforresponse(ifunresponsive)
S=Send Sendforhelp
A=Airway Opentheairway
B=Breathing? Checkbreathing(ifnotbreathing/abnormalbreathing)
C=CPR StartCPR
D=Defibrillator AttachanAutomatedExternalDefibrillator(AED)assoonasavailable
andfollowtheprompts
Page228
UnderInstructorNote,thirdpoint,replaceARC/NZRCwithANZCOR

Page310
UnderPerformanceRequirements,changethefirst+pointtoread:
+PerformchildCPRchestcompressionsatarateof100to120chest
compressionsperminuteanddepressingthechestonethirdthedepthofchest
approximately5cm/2inches.
Page311
UnderKeyPoints,point2c),changeARC/NZRCtoANZCOR

Page312
UnderCriticalSteps,point5,changethelast+pointtoread:
+Withsmallchildrenyoumayuseonehandtodeliverchestcompressions.Ifyou
cantpushthebreastbonedownonethirdthedepthofthechildschestor
approximately5cm/2inches,usetwohandslikeadultCPR.
Underpoint6changethethird+pointtoread:
+Toprovideeffectivechestcompressionsyoushouldpushhardandpushfast,
depressingthebreastboneonethirdthedepthofthechildschestapproximately
5cm/2inches.
Changepoint11secondsentencetoread:Minimizeinterruptionsinchestcompressions.
Page314
UnderKeyPoints,addtothird+point:Ifthepadsaretoolargeandthereisadangerof
padtopadarcing,usethefrontbackposition:onepadplacedontheupperback(between
theshoulderblades)andtheotherpadonthefrontofthechest,ifpossibleslightlytothe
left.
Page318
UnderPerformanceRequirements,changethefirst+pointtoread:
+PerforminfantCPRchestcompressionsatarateof100to120chest
compressionsperminuteanddepressingthechestonethirdthedepthofchest
approximately4cm/1.5inches.
Page319
UnderKeyPoints,point2c),changeARC/NZRCtoANZCOR
Page320
UnderCriticalSteps,point7,changesecond+pointtoread:
+Toprovideeffectivechestcompressionsyoushouldpushhardandpushfast,
depressingthebreastboneonethirdthedepthoftheinfantschest.Thisequates
toapproximately4cm/1.5inches.
Changesecondsentenceinfourth+pointtoread:Yourrateshouldbe100to120
compressionsperminute.
Page321
UnderKeyPointsaddaninth+pointthatreads:
+Asalastresortandonlywhenothermethodsofcontrollingbleedinghavefailed,
atourniquetmaybeappliedtoalimbtocontrollifethreateningbleeding(e.g.,
traumaticamputationofalimborinjurieswithmassivebloodloss.Tourniquet
shouldbeatleast5cm/2incheswide,placedhighabovethebleedingpointand
tightenedtostopbleeding.Timeofapplicationshouldbenoted.
Page321&22
ChangeAustraliaandNewZealandResuscitationCouncilsSpecificKeyPoints,to
AustraliaandNewZealand(ANZCOR)SpecificKeyPoints,andreplacefirstfour+points
with:
Toassistincontrollingbleeding,wherepossible:1)Usestandardprecautions(e.g.
gloves,protectiveglasses)ifreadilyavailable,2)Attempttostopthebleedingby
applyingsustaineddirectorindirectpressureonornearthewoundasappropriate.
3)Liethepatientdownifbleedingfromthelowerlimborseverebleeding.4)If
severebleedingisnotcontrolledbyabovemeasures,useahemostaticdressingif
availableandtrainedinitsuse.5)Ifseverebleedingisnotcontrolledbyabove
measures,useatourniquetabovethebleedingpointifavailableandtrainedinits
use.6)Callanambulance.7)Ifthevictimisunresponsiveandnotbreathing
normally,followtheBasicLifeSupportFlowchart(ANZCORGuideline8).
 8)Administeroxygenifavailable.9)Donotgivepatientanythingorally,including
medicationsand/oralcohol.10)Foranembeddedobject:a)donotremoveobject
asitcanrestrictbleeding;b)useindirectpressurebyplacingpaddingaroundor
above/belowtheobjectandapplypressureoverthepads.
Page330
UnderCriticalSteps,changeheaderAustraliaandNewZealandResuscitationCouncil
(ARC/NZRC)GuidelinestoAustraliaandNewZealand(ANZCORGuidelines)andchange
step1toread:
1. StartbyaskingaresponsivechildAreyouchoking?Assessforeffectivecough.If
effective,reassureandencouragechildtokeepcoughing.
UnderConsciousChokingBackBlowsreplacesteps13with:
1. Performuptofivesharpbackblowswiththeheelofonehandinthemiddleofthe
backbetweentheshoulderblades.
2. Checktoseeifeachbackblowhasrelievedtheairwayobstruction.Theaimisto
relievetheobstructionwitheachblowratherthantogiveallfiveblows.
3. Ifbackblowsdonotcleartheobstruction,switchtochestthrusts.
UnderConsciousChokingChestThrustsreplacesteps17withthefollowing:
1. Stand,sitorkneelbehindthechildandplaceyourarmsaroundthebody,underthe
armpits.Placeyourchestagainstthechildsback.
2. IdentifythesamecompressionpointasforCPRandgiveuptofivechestthrusts.
Thesearesimilartochestcompressionsbutsharperanddeliveredataslowerrate.
3. Witheachchestthrust,checktoseewhethertheairwayobstructionhasbeen
relieved.Theaimistorelievetheobstructionratherthandeliverallfivechest
thrusts.
4. Iftheobstructionisstillnotrelievedandthechildremainsresponsive,continue
alternatingfivebackblowswithfivechestthrusts.
5. Iftheobstructionclears,encouragethechildtobreatheandmonitorthechild.
6. Ifthechildbecomesunconscious,beginCPR.
Page333
UnderConsciousChokingInfant,KeyPoints,changethefifth+pointtoread:
+ When checking an infants mouth for objects or obstructions;donotperformblind
fingersweepbecauseitmaypushobstructingobjectsinfurther,makingexpulsion
moredifficult.

Page334
UnderConsciousChokingBackBlows,changepoint1toread:
1. Positioninfantfacedownonyourforearm(orheaddownwards,acrossyourlap)
andsupporttheinfantsheadandneckwithyourhand.

PageA8FinalExam,changequestion27toread:
27. During CPR the rate of chest compressions per minute should be:
A 200 to 220
B 50 to 80
C 100 to 120
D 150 to 170
Page A-22 Knowledge Review, change question 15 to read:
15. True or False. During CPR, chest compressions for a child or infant should be at a rate of 100 to
120 compressions per minute.