Preface
According to the Bangladesh Bureau of statistics (BBS), cardiac arrest is the number one killer in Bangladesh in 2020 claiming lives of 180,408 people which is 20% of the countries total 854253 deaths during the year.
There is no separate statistics available for children.
More than 20,000 infants and children have cardiac arrest per year in United States. Among them out hospital cardiac arrest (OHCA) occurred in more than 7000 infants and children. in hospital cardiac arrest (IHCA) incidence was 12.66 events per 1000 infants and child. Survival is more in inhospital cardiac arrest (IHCA) than out Hospital cardiac arrest (OHCA).
In Bangladesh, a report published in Dhaka Tribune on 8th july 2021 documented 1402 death from drowning out of which 1164 (83%) were children. They were not resuscitated properly.
Electrocution is also very common in Bangladesh but no data available so far on children. Dhaka medical college burn unit treat nearly 35000 people with electricution every year but distribution of children is unknown.
Aspiration or choking is a common cause of mortality in children but no statistics is available. In Combined Military hospital Dhaka, average 6-8 cases report to paediatric Department every month with choking and many of them die.
Considerng above scenario, it is very important to know Basic Paediatric life support by all and advanced Paediatric Life support by physician specially pediatricians.
Aim of this manual is to educate students on Basic and advanced life support in brief so that they can manage emergency situation with confidence.
Sources:
1. American heart Association (AHA) guideline.
2. European resuscitation council guideline
3. Australia Newzland resuscitation guideline (ANZCOR)
Brigadier General Professor Nurun Nahar Fatema, SBP
MBBS, FCPS, FRCP, FACC, FSCAI
Independence Day Awardee 2019
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