How do I assess the effectiveness of my resuscitation efforts in a paediatric patient?

Assessing the effectiveness of resuscitation efforts in a paediatric patient involves continuous monitoring of clinical signs and physiological parameters. Key indicators include the restoration of effective circulation, evidenced by a palpable pulse and improvement in skin colour and capillary refill time.

Monitor the child’s heart rate, respiratory rate, and oxygenation status closely, as these vital signs reflect the adequacy of resuscitation.

Improvement in consciousness level and responsiveness to social cues also indicates effective resuscitation.

Capillary refill time less than 3 seconds is a positive sign, while a prolonged refill time suggests ongoing circulatory compromise.

Regular reassessment is essential to guide ongoing resuscitation efforts and to decide when to escalate or cease interventions.

In paediatric patients with life-limiting conditions, always consider any existing Advance Care Plans or Do Not Attempt Resuscitation (DNAR) orders when assessing and continuing resuscitation efforts.

Effective communication with the child’s parents or carers about the goals and progress of resuscitation is also important.

These assessments align with paediatric advanced life support principles and NICE guidelines on paediatric care and end-of-life planning.