EL TRIAGE

<p>Definición de triage. Objetivos <br />Triage o clasificación es el conjunto de procedimientos asistenciales que ejecutados sobre una víctima orientan sobre sus posibilidades de supervivencia inmediata, determinan las maniobras básicas previas a su evacuación y establecen la prelación en el transporte <br />El triage no es una técnica. Es una necesidad determinada por: <br />El número de víctimas <br />Naturaleza de las lesiones <br />Rendimiento de los recursos sanitarios <br />Distancia a los hospitaless <br />Esperanza asistencial <br />Principios para la clasificación <br />Los diferentes tipos de clasificación están basados en la noción de plazo terapéutico y amparados en los siguientes principios: <br />La salvación de la vida tiene preferencia sobre la de un miembro, y la conservación de la función sobre la corrección del defecto anatómico <br />Las principales amenazas para la vida están constituidas por la asfixia, la hemorragia y el shock <br />La clasificación debe conseguir identificar ante todo, aquellos pacientes críticos que necesitan reanimación inmediata, y separarlos de los demás; además , de aquellos que no deberán recibir asistencia bien por ser leves y solo precisar auto-cuidados, bien porque sufran lesiones objetivamente mortales <br />Características de la clasificación <br />Dinámica: sin solución de continuidad <br />Permanente: en toda la cadena asistencial, re-evaluando de manera continuada a cada víctima <br />Adaptada al número de pacientes, la distancia a los centros asistenciales, el número de medios de transporte y la capacidad asistencial de la zona <br />Rápida, para no retrasar la atención de las víctimas que esperan su turno. No debe retomarse una víctima ya clasificada y estabilizada demorando su evacuación. <br />30 segundos para clasificar una víctima como muerta <br />1 minuto para clasificar una víctima como leves <br />3 minutos para clasificar una víctima como grave o muy grave <br />Completa: ninguna víctima debe evacuarse antes de ser clasificada, con las excepciones de oscuridad, condiciones meteorológicas adversas, o existencia de riesgo potencial importante <br />Precisa y segura, ya que todo error inicial puede ser fatal para una urgencia grave, pues no siempre es posible rectificar. Ante la duda de en qué categoría incluir a un paciente es recomendable hacerlo siempre en la categoría superior <br />Tradicionalmente se definen dos tipos de triage. <br />Primer triage, realizado por personal no facultativo en el lugar del incidente, utilizando para ello alguno de los métodos indicados ( START o MRCC ). En dicha fase no debe ser necesario emplear nunca más de un minuto por víctimas <br />Segundo triage, realizado en el Puesto Medico Avanzado, o en el Puesto de Evacuación, realizado por personal facultativo <br />Etiquetado y clasificación <br />El proceso de etiquetado ( la identificación del paciente mediante el uso de tarjetas) es un proceso asociado y necesario en el triage para asegurar un cuidado continuado <br />Existen varios tipos de tarjeta de triage, las más empleadas y conocidas son las de colores que siguen un criterio cromático internacionalmente establecido. <br />Las tarjetas deben ir atadas a la muñeca o tobillo del paciente, nunca a los vestidos o al calzado <br />Se recuerda que durante la fase del primer triage, las únicas maniobras sanitarias a realizar son aquellas que permitan restablecer las condiciones vitales: desobstrucción de vía aérea y hemostasia en hemorragias severas. La resucitación cardiopulmonar se desaconseja salvo en el caso de parada presenciada y sólo cuando el número de víctimas lo permita <br />Se establecen las clasificaciones: <br /><strong>Pacientes de primera categoría</strong> <br />Sinónimos: prioridad uno, extrema urgencia, etiqueta roja <br />Lesiones que deben ser asistidas en el lugar en el que se identifican y sólo para resolver la lesión mortal de necesidad <br />Paro cardiorespiratorio presenciado y reversible, según disponibilidades ( a menudo habrá que clasificar a estos pacientes con etiqueta negra ) <br />Asfixia, obstrucción mecánica, aguda de vía aérea, herida maxilofacial que produce o puede producir asfixia <br />Lesión penetrante de tórax <br />Hemorragia activa. Shock hipovolémico severo <br />Grandes quemados <br /><strong>Pacientes de segunda categoría</strong> <br />Sinónimos: prioridad dos, urgentes, etiqueta amarilla <br />Lesiones cuya primera asistencia puede demorarse en unas horas y permite trasladar al lesionado hacia áreas de socorro y unidades quirúrgicas de urgencia vital: <br />Heridas viscerales, incluyendo perforación del tracto gastro-intestinal, genito-urinario. <br />heridas torácicas sin asfixia <br />Heridas vasculares que exigen cirugía reparadora. Todas las lesiones que hayan exigido el uso de torniquete <br />Pacientes en coma, TCE focalizados, politraumatizados. Heridas abdominales abiertas <br />Dificultad respiratoria controlada <br />Quemados con extensión del 20% <br /><strong>Pacientes de tercera categoría</strong> <br />Sinónimos: prioridad tres, no urgentes, etiqueta verde <br />Víctimas cuya primera asistencia puede demorarse varias horas, sin riesgo de muerte <br />Heridas musculares, polifracturados, contusiones, fracturas de huesos largos <br />Lesionados menores que pueden ser asistidos incluso 24 horas después en unidades de SVB</p> <p><a name="_GoBack"></a> <br /><strong>Pacientes de cuarta categoría</strong> <br />Sinónimos: prioridad cero, muertos, etiqueta negra <br />Víctimas sin ninguna posibilidad de sobrevivir, paros cardiorespiratorios no presenciados, TCE con salida de masa encefálica, destrucción multiorgánica, etc <br />En estas víctimas no debe efectuarse ningún esfuerzo terapéutico <br />Algunos manuales incluyen una quinta categoría: etiqueta azul, en la que se incluyen los pacientes con riesgo de muerte inmediato. En función de las características de la catástrofe, y de la disponibilidad de recursos, lo normal es que sean clasificados directamente con etiqueta negra <br />Artículo publicado por Luis Roberto Jiménez Guadarrama</p> <p>Triage. Método START <br />Elegir quién precisa atención inmediata, quién puede esperar 2 horas, quién puede esperar más, quién está tan mal que no tiene remedio y quién ya está muerto. <br />Así podríamos simplificar la explicación del triage. Esto permite reducir a proporciones “humanas” lo que inicialmente era inabarcable. Si nos dicen que vamos a un choque de trenes con unas cien víctimas... por el camino iremos llorando en el hombro de nuestro compañero, pero si sabemos que hay diez pacientes muy graves o rojos, 15 graves o amarillos y 75 leves o verdes... el lloro se quedará en sollozo. <br />El triage nos permite priorizar el orden de atención. Priorizar el uso de medios materiales y humanos. Priorizar la evacuación. Es una de esas herramientas que utilizamos en la atención a múltiples víctimas con la finalidad de aportar orden al caos. <br />Una de las características del triage es que debe ser repetido constantemente: en escena, en área de tratamiento, tras tratamiento, antes de evacuación, en el hospital... <br />Las manos son pocas y es posible que la escena comprenda varios sectores (dentro y fuera del edificio o en la carretera y bajo el puente, p.e.) de modo que sea preciso formar varios equipos de triage. </p> <p>one a la descontaminación, que es la prioridad absoluta. Recordemos que, salvo mejor criterio sobre el terreno, no se inicia tratamiento hasta que todos hayan sido triados, así que es una prioridad completar el triage antes que iniciar el tratamiento en el Puesto Sanitario Avanzado. <br />Hay clasificaciones en 2, 3, 4 y 5 categorías : <br />Vivos y muertos <br />Ambulantes, no ambulantes, muertos (muy útil en áreas de rescate de gran peligro: es prioritario buscar y sacar a los vivos que no pueden andar) <br />Rojos, amarillos, verdes, negros (en esta clasificación bajo la tarjeta de negro se incluyen muertos y moribundos) <br />Rojos, amarillos, verdes, azules (también llamados grises: moribundos, irrecuperables, morituri) y negros. <br />Hay varios modos de hacer esta asignación de categorías: métodos lesionales en los que según las lesiones más o menos graves o potencialmente graves se hace la asignación. Una variante de estos que es el que yo llamo “lesional-intuitivo-de-fortuna”, que es el que aplicaríamos casi sin darnos cuenta, uh!, este tiene una fractura bilateral de fémur: este es rojo... no es malo, pero hay que ser experto y revisar muy bien al paciente para no equivocarnos y además deja demasiado al criterio del sanitario, quizá afectado por el nerviosismo o la falta de experiencia. <br />En los métodos funcionales, nos fijamos en el estado del paciente, más que en las lesiones concretas. Uno de ellos es el método START (Simple Triage and Rapid Treatment) es un método validado y reconocido internacionalmente como útil y es el que vamos a aprender. Es especialmente útil como primer triage. DEBEMOS APRENDERLO TODOS: técnicos, enfermería y médicos. El</p> <p>Perfusión <br />Mental <br />Solo se permiten 2 tratamientos durante el triage: abrir vía aérea, cohibir hemorragias (gestos que salvan vidas) con cánulas orofaríngeas o de Mayo y vendajes o con tracción mandibular y compresión por otros intervinientes distintos del encargado de triage. <br />Para abrir vías aéreas sería aceptable, la posición lateral de seguridad aún en pacientes traumatológicos. <br />Durante el triage no se sugieren ni ordenan otros tratamientos. <br />¿pueden andar?, si el paciente entiende y es capaz de cumplir la orden entonces es verde, puede esperar y le ordenamos “siga a este señor de cruz roja y no se separe de él”, los verdes deben ser agrupados, apartados y supervisados por un sanitario por si se complican, y deberan ser evaluados nuevamente en cuanto esto sea posible. La función del señor de la cruz roja, o quien quiera que hayamos elegido, es acompañarlos y cuidar de ellos hasta que sean evacuados, previa filiación, por ambulancia colectiva, furgoneta o bus. <br />Con esta sencilla operación ya hemos aclarado la escena. Algún ileso puede, no obstante, incluso convertirse en voluntario de las norias de camilleo. O ayudar a cohibir una hemorragia. <br />Contamos las Respiraciones: si son 0, se hace un intento por abrir la vía aérea (tracción mandibular). <br />2.1. Si comienza la respiración el paciente es rojo, se le pone cánula orofaríngea o se deja en posición de seguridad (esto es nada ortodoxo, pero si el número de víctimas es elevado y aún no hay suficiente personal es lo único que podemos hacer que nos permita abrir vía aérea, prevenir aspiraciones y continuar el triage). No se continúa la evaluación, ya está triado ya sé que es rojo, no continúo la evaluación de este paciente. <br />2.2. Si no respira a pesar de abrir Vía Aérea es negro. No se continúa evaluación, ya está triado. Este paciente no se moverá del lugar, a no ser que estorbe. Es un cadáver judicial.</p> <p>23. Si las ventilaciones son >30 es rojo. No se continúa la evaluación, ya está triado. <br />2.4. Si son <30 pasamos al siguiente punto. <br />Recordemos: Aquí llegamos si no puede andar y tiene menos de 30 respiraciones por minuto. Evaluamos la Perfusión: ¿tiene pulso radial? Si no lo tiene es rojo. No se continúa la evaluación, ya está triado. Si tiene pulso radial continuamos. El método START original considera la valoración del relleno capilar, pero este es poco fiable en condiciones de escasa luz y en bajas temperaturas. de modo que preferimos el pulso radial como indicador de la tensión arterial sistólica. </p> <p>Evaluamos estado mental con dos preguntas simples (p.e. ¿cómo se llama? tóquese la nariz): si no responde o está confuso es rojo. Si responde es amarillo. A cada paciente triado le ponemos su tarjeta y seguimos avanzando. No nos paramos en ninguno más que para efectuar las maniobras salvadoras. El movimiento entre los heridos debe ser fluido, continuo y ordenado. <br />START no tiene la categoría de moribundo. Estos son considerados Rojos, serán dados por moribundos tras valoración más detenida en el Puesto Sanitario Avanzado. El segundo triage es, por definición, el previo a la evacuación y que marca la prioridad de esta, debe realizarse, preferentemente con métodos lesionales, teniendo en mente que es la necesidad de cirugía urgente y salvadora la que marca la pauta.</p> <p>FUENTE: E=EMERGENCIAS.COM</p>

EL TRIAGE

Definición de triage. Objetivos Triage o clasificación es el conjunto de procedimientos asistenciales que ejecutados sobre una víctima ori...

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PARO CARDIO RESPIRATORIO EN PEDIATRIA

<p style="line-height: 13pt; margin: 0cm 0cm 10pt" class="MsoNormal" align="left"><b style="mso-bidi-font-weight: normal"><span style="mso-ansi-language: es-mx" lang="ES-MX"><span style="mso-spacerun: yes"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></span></b><span style="font-family: "><font face="Verdana"><font style="font-size: 10pt">El Paro Cardiorespiratorio se puede definir como "El fracaso de la actividad cardíaca para mantener una circulación cerebral adecuada, en ausencia de una enfermedad causal irreversible" (Milstein).</font></font></span></p> <p style="line-height: normal; text-indent: 2cm; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Para Peter Safar "Es el cuadro clínico producido por el cese de la circulación (ausencia de pulsos en las grandes arterias, inconsciencia, apnea y cianosis), en una persona que no se esperaba que muriese en ese momento.</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: 18pt; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><b><i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Etiología:</font></font></span></i></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: 18pt; margin: 0cm 0cm 0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Hipoxia y anoxia</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: 18pt; margin: 0cm 0cm 0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Reflejo vagal</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 0pt 36pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Estimulación del seno carotídeo</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 0pt 36pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Anestesia</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 0pt 36pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Modificaciones del equilibrio hidroelectrolítico y Acido-base</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 0pt 36pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Intoxicación digitálica</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 0pt 36pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Reacciones anafilácticas</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 0pt 36pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Contusiones del tórax</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 0pt 36pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Cateterismo cardíaco          </font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: 18pt; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">La Reanimación Cardiopulmonar y Cerebral (RCP) consiste en técnicas sencillas destinadas a restaurar la ventilación funcional y circulación en una persona quien de otra manera se esperaría que muriera.</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: 18pt; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">La ventilación usualmente concluye antes que los latidos cardíacos, generalmente hay suficiente oxígeno en circulación para mantener la vida por varios minutos, sin embargo después de 6 minutos ocurre daño cerebral, a menos que el paciente esté hipotérmico (menos de 32 ºC). Al cesar la acción cardíaca concluye la circulación periférica, ocurre relajación muscular profunda, pérdida del conocimiento y el metabolismo cambia a anaerobio produciéndose ácido láctico.</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: 18pt; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">El objetivo de la RCP es la entrega rápida de oxígeno a los tejidos, especialmente el corazón y el cerebro, lo cual se logra al restablecer la ventilación, la circulación efectiva y las anormalidades metabólicas debidas al paro.</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><b><i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">                  Identificación de los pacientes  a riesgo</font></font></span></i></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: 2cm; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><b><i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">A.- Situaciones de mayor riesgo</font></font></span></i></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: 2cm; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><b><i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">* Pacientes con estado cardiovascular inestable</font></font></span></i></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.25pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l5 level1 lfo1; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">o       Hemorragias</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.25pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l5 level1 lfo1; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">o       Insuficiencia cardíaca congestiva</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.25pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l5 level1 lfo1; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">o       Hipotensión</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.25pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l5 level1 lfo1; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">o       Disrritmias recurrentes.</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: 35.4pt; margin: 0cm 0cm 10pt 20.85pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><b><i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">* Pacientes con enfermedad pulmonar rápidamente progresiva</font></font></span></i></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.25pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l1 level1 lfo2; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">o       Status asmático</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.25pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l1 level1 lfo2; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">o       Croup</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.25pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l1 level1 lfo2; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">o       Neumonía severa</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.25pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l1 level1 lfo2; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">o       Enfermedad de membrana hialina</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: 2cm; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><b><i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">* Pacientes en el post-operatorio inmediato</font></font></span></i></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: 2cm; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><b><i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">* Pacientes con vía aérea artificial</font></font></span></i></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: 2cm; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><b><i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">* Pacientes con estado neurológico deteriorándose.</font></font></span></i></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: 2cm; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><b><i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">B.- Procedimientos que incrementan los riesgos</font></font></span></i></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.7pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l8 level1 lfo3; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">o       Succión (hipoxemia, atelectasias, bradicardia refleja)</font></font></span></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.7pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l8 level1 lfo3; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">o       Fisioterapia Respiratoria</font></font></span></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.7pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l8 level1 lfo3; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">o       Suspensión de cualquier tipo de soporte respiratorio</font></font></span></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.7pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l8 level1 lfo3; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">o       Adición de sedación</font></font></span></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.7pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l8 level1 lfo3; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">o       Procedimientos asociados con maniobra de valsalva o apnea ( PL, sujeción)</font></font></span></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.7pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l8 level1 lfo3; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">o       Procedimientos asociados con estimulación vagal y bradicardia</font></font></span></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: 2cm; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><b><i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Técnicas de Reanimación</font></font></span></i></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: 2cm; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><b><i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">A.- Soporte Básico de la vida</font></font></span></i></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.7pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l4 level1 lfo4; tab-stops: list 36.0pt" class="MsoNormal" align="left"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt"> Asegúrese de que el niño está inconsciente</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.7pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l4 level1 lfo4; tab-stops: list 36.0pt" class="MsoNormal" align="left"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt"> Pedir ayuda (colocar cuidadosamente al paciente en una posición adecuada)</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.7pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l4 level1 lfo4; tab-stops: list 36.0pt" class="MsoNormal" align="left"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt"> Manejar el paciente con cuidado para lograr acceso a la vía aérea y al tórax. mover la cabeza y el cuello como una unidad total.</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.7pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l4 level1 lfo4; tab-stops: list 36.0pt" class="MsoNormal" align="left"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt"> Asegurar la permeabilidad de las vías aéreas (eliminar secreciones, cuerpos                                 extraños, etc.)</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.7pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l4 level1 lfo4; tab-stops: list 36.0pt" class="MsoNormal" align="left"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt"> Revisar la ventilación</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.7pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Comenzar la ventilación: Lactante 1 respiración cada 3 segundos (20/min.)                                     Mayorcito: 1 respiración cada 4 segundos (15/min.)</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.7pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Revisar evidencias de circulación adecuada</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 146.7pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l2 level1 lfo5; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Si no hay signos de circulación, comenzar compresiones cardíacas externas: <b><i>Lactante</i></b>s: Trazar imaginariamente una línea intermamaria, realizar la compresión 2 cms. Por debajo de esta línea, comprimiendo 1,5 – 2,5 cms., con una frecuencia de 100 x min. <b><i>Preescolares</i></b>: Se localiza el apéndice xifoides y se coloca el talón de la mano en forma paralela sobre el esternón, se comprime 2,5 – 4 cms. A una frecuencia de 80 – 100 x min. <b><i>En > de 8 años:</i></b> se realiza la compresión  4 cms. Por encima del apéndice xifoides, con ambas manos con una frecuencia  de 60 x min. En todos los casos la compresión debe ser rítmica liberando la presión al final de cada compresión, sin separar las manos del tórax del paciente</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 146.7pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l2 level1 lfo5; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Las compresiones cardíacas deben estar siempre acompañadas de ventilación artificial, con una relación recomendada para niños de 5:1</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 146.7pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l2 level1 lfo5; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Las pausas en la RCP puede incluir: 5 seg. para revisar pulsos y pupilas, 15 seg. para movilizar al niño y 15 seg. para la intubación.</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; margin: 0cm 0cm 10pt 92.7pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt"> </font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <div style="line-height: normal" align="center"> <table style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; background: #ccffcc; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; mso-cellspacing: 2.2pt; mso-yfti-tbllook: 1184; mso-padding-alt: 0cm 0cm 0cm 0cm" class="MsoNormalTable" border="1" cellspacing="3" cellpadding="0"><tbody> <tr style="mso-yfti-irow: 0; mso-yfti-firstrow: yes"> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; background: #009999; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="506" colspan="4"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Cuadro comparativo de intervenciones de resucitación según la edad</font></font></span></i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> </tr> <tr style="mso-yfti-irow: 1"> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="123"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt"> </font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="125"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">< 1 año</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="125"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">De 1 a 8 años</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="124"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">> 8 años</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> </tr> <tr style="mso-yfti-irow: 2"> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="123"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Chequear pulsos</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="125"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Braquial</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="125"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Carotídeo</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="124"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Carotídeo</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> </tr> <tr style="mso-yfti-irow: 3"> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="123"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Compresiones torácicas.</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Posición</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="125"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Un dedo por debajo de la línea intermamilar</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="125"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Un dedo por encima de la apéndice xifoides</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="124"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Mitad inferior del esternón</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> </tr> <tr style="mso-yfti-irow: 4"> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="123"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Compresiones torácicas.</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Método</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="125"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Dos dedos o ambas manos rodeando el tórax y compresión con ambos pulgares</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="125"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt"> </font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Talón de una mano</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="124"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Talón de una mano abierta, la otra sobre la primera</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> </tr> <tr style="mso-yfti-irow: 5"> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="123"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Compresiones torácicas.</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Profundidad</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="125"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">1/3 de la profundidad del tórax</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="125"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">1/3 de la profundidad del tórax</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="124"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">1/3 de la profundidad del tórax</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> </tr> <tr style="mso-yfti-irow: 6"> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="123"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Compresiones torácicas.</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Frecuencia</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="125"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt"> </font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">100/min</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="125"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt"> </font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">100/min</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="124"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt"> </font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">100/min</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> </tr> <tr style="mso-yfti-irow: 7"> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="123"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Compresiones Torácicas</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Rel.: Compres/Vent.</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="125"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt"> </font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">5:1</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="125"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt"> </font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">5:1</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="124"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">15:2 (1 resucitador)</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">5:1 (2 resucitadores)</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt"> </font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> </tr> <tr style="mso-yfti-irow: 8; mso-yfti-lastrow: yes"> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="123"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Compresiones torácicas</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Rel.: Insuflac/relaja.</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="125"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt"> </font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">1:1</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="125"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt"> </font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">1:1</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> <td style="border-bottom: windowtext 1.5pt double; border-left: windowtext 1.5pt double; padding-bottom: 0cm; padding-left: 3.5pt; padding-right: 3.5pt; border-top: windowtext 1.5pt double; border-right: windowtext 1.5pt double; padding-top: 0cm" valign="top" width="124"> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt"> </font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="center"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">1:1</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> </td> </tr> </tbody></table> </div> <p style="line-height: normal; text-indent: 2cm; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><b><i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">B.- Soporte avanzado de la vida</font></font></span></i></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: 2cm; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><b><i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">1.- Asignar las personas responsables de:</font></font></span></i></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.7pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l0 level1 lfo6; tab-stops: list 36.0pt" class="MsoNormal" align="left"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Ventilación</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.7pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l0 level1 lfo6; tab-stops: list 36.0pt" class="MsoNormal" align="left"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Masaje cardíaco a tórax cerrado</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.7pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l0 level1 lfo6; tab-stops: list 36.0pt" class="MsoNormal" align="left"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Anotar los esfuerzos realizados</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.7pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l0 level1 lfo6; tab-stops: list 36.0pt" class="MsoNormal" align="left"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Ayudar con medicamentos, monitores y administración endovenosa de                                  soluciones</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: 2cm; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><b><i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">2.-  Pasos Posteriores</font></font></span></i></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: 2cm; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><b><i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">*  Monitoreo:</font></font></span></i></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.7pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l3 level1 lfo7; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Evaluar pupilas</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.7pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l3 level1 lfo7; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Palpar pulsos centrales</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.7pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l3 level1 lfo7; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Registrar ECG</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 110.7pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l3 level1 lfo7; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Evaluar eficacia de la ventilación</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: 2cm; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">·        </font><b><i><font style="font-size: 10pt">Comenzar la fluidoterapia endovenosa</font></i></b></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 72pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">·        </font><b><i><font style="font-size: 10pt">Corregir la hipoxia y la acidosis administrando oxígeno y bicarbonato de sodio</font></i></b></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 72pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">·        </font><b><i><font style="font-size: 10pt">Otros:</font></i></b></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 108pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l6 level1 lfo8; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Tratar las arritmia</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 108pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l6 level1 lfo8; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Determinar Gasometría arterial y Ph.</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 108pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l6 level1 lfo8; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Medir las variables metabólicas: Ca, K, Cl, Na, Glicemia, urea y creatinina, temperatura corporal</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 108pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l6 level1 lfo8; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Intubación: Para calcular el tubo endotraqueal a usar, se le suma a la edad del  niño 16 (constante) y se divide entre 4</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 108pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l6 level1 lfo8; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Vaciar el estómago</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 108pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l6 level1 lfo8; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Catéter vesical </font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 108pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l6 level1 lfo8; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Rx de tórax</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: 2cm; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><b><i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">3.- Consideraciones sobre las Drogas a Utilizar</font></font></span></i></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: 2cm; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><font face="Verdana"><b><i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font style="font-size: 10pt">     Adrenalina: </font></span></i></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font style="font-size: 10pt">Catecolamina endógena con efecto alfa y beta adrenérgico. El efecto alfa produce aumento de la resistencia vascular periférica y elevación de la PA, tanto sistólica como diastólica. El efecto beta aumenta la contractilidad miocárdica y la frecuencia cardíaca y relaja el músculo liso del lecho vascular del músculo y bronquio. El efecto más importante en el paro cardíaco es el alfa, aumentando la presión de perfusión coronaria y con esta la disponibilidad de O2 para el corazón. <i>Dosis Inicial</i>:  0,01 mg/kg VIV de la solución 1:10000. <i>Segunda dosis</i>: 0,1 mg/kg VIV de la solución 1:1000. Se debe repetir su administración cada 3 a 5 minutos de paro. La dosis ET: 0,1 mg/kg</font></span></font><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><font face="Verdana"><b><i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font style="font-size: 10pt">Atropina:</font></span></i></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font style="font-size: 10pt"> Es un fármaco parasimpaticolítico, aumenta el marcapaso auricular o del nódulo sinusal y la conducción AV. Dosis: 0,02 mg/kg con una mínima de 0,1 mg y máxima de 0,5 mg en niños y de 1 mg en adolescentes VIV.</font></span></font><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><font face="Verdana"><b><i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font style="font-size: 10pt">Bicarbonato de sodio</font></span></i></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font style="font-size: 10pt">: No es un fármaco de primera línea para la reanimación y tiene por el momento indicaciones precisas: </font></span></font><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 36pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Acidosis metabólica severa comprobada asociada a paro cardíaco prolongado (> 10 min.) o estado hemodinámico inestable y luego de que el siguiente tratamiento inicial se haya establecido: vía aérea segura y permeable, hiperventilación, compresión torácica y la administración de adrenalina.</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 36pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Hipercalemia.</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 36pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Sobredosis de antidepresivos tricíclicos.</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: 35.4pt; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Dosis: 1 mg/kg, se puede administrar cada 10 minutos durante las maniobras de RCP.</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><font face="Verdana"><b><i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font style="font-size: 10pt">Calcio:</font></span></i></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font style="font-size: 10pt"> No se recomienda para tratar la asistolia ni la actividad eléctrica sin pulso (disociación electromecánica), se indica solo si el paro fue por Hipercalemia o con hipocalcemia documentada, tiene también indicación en el tratamiento de la sobredosis de bloqueantes de calcio, hipocalcemia comprobada y de la hipermagnesemia. Dosis: Gluconato de Calcio 0,5 mg/kg/dosis</font></span></font><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><font face="Verdana"><b><i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font style="font-size: 10pt">Adenosina:</font></span></i></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font style="font-size: 10pt"> Es un nucleósido de purina endógena que produce enlentecimiento de la A-V y causa bradicardia sinusal, es secuestrada rápidamente por los glóbulos rojos, lo que determina una vida media de 10 segundos y duración de acción de 2 minutos, es la droga de primera elección en la taquicardia supraventricular. Dosis: 0,1 mg/kg en bolo seguido de 2-5 ml de solución fisiológica en bolo para evitar el secuestro antes mencionado, su administración debe realizarse por acceso venoso central, preferentemente periférico lo más cercano al corazón. Dosis siguientes: 0,2 mg/kg y máxima de 12 mg o 0,3 mg/kg. Nombre comercial: Adenocor: 6 mg/2 m</font></span></font><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; margin: 0cm 0cm 10pt 35.4pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><b><i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">4.- Manejo de arritmias potencialmente mortales.</font></font></span></i></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 107.4pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l7 level1 lfo9; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><font face="Verdana"><b><i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font style="font-size: 10pt">Bradicardia sinusal profunda</font></span></i></b><font style="font-size: 10pt"><b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es">:</span></b></font><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font style="font-size: 10pt"> Atropina a 0,01 mg/kg VIV , IM o ET, Adrenalina: 0,1 mg/kg VIV o ET</font></span></font><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 107.4pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l7 level1 lfo9; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><font face="Verdana"><b><i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font style="font-size: 10pt">Extrasístoles ventriculares multifocales  frecuentes</font></span></i></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font style="font-size: 10pt"> (> 5/min.) o pareadas: Lidocaína 1 mg/kg VIV. O VET<b><i>Taquicardia Ventricular:</i></b> Lidocaína 1 mg/kg VIV ó Cardioversión a 2                                                  Joules/kg.</font></span></font><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 107.4pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l7 level1 lfo9; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">§         <b><i>Taquicardia Supraventricular:</i></b>  Adenosina: 0,1 mg/kg en bolo seguido inmediatamente de 2 a 5 ml de solución fisiológica en bolo.</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 107.4pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l7 level1 lfo9; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><font face="Verdana"><b><i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font style="font-size: 10pt">Fibrilación Ventricular:</font></span></i></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font style="font-size: 10pt"> Adrenalina 1 : 10.000 a dosis de 0,1 mg/kg VIV o  ET.  Desfibrilación: 2 Joules/kg, en primer intento 4 Joules/kg en  intentos posterior</font></span></font><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 107.4pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l7 level1 lfo9; tab-stops: list 36.0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol; mso-fareast-language: es; mso-bidi-font-size: 12.0pt"><span style="mso-list: ignore"><font face="Symbol"><font style="font-size: 10pt">·</font></font><span style="line-height: normal; font-family: "><font face="Times New Roman"><font style="font-size: 7pt">         </font></font></span></span></span><b><i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Disociación auriculoventricular completa</font></font></span></i></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Times New Roman"><font style="font-size: 12pt"> </font></font></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 124.8pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Atropina o Isoproterenol a dosis de 0,1 - 1 mg/kg/min. VIV</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 10pt 124.8pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Marcapaso eléctrico transvenoso o directo.</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal" align="justify"><b><i><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font face="Verdana"><font style="font-size: 10pt">Bibliografía:</font></font></span></i></b><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 0pt 36pt" class="MsoNormal" align="justify"><font face="Verdana"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font style="font-size: 10pt">1.      </font></span><font style="font-size: 10pt"><span style="font-family: ; mso-ansi-language: es-mx; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es" lang="ES-MX">M. Berrueta, A. Saporiti. Consenso de Reanimación Cardiopulmonar. </span></font><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font style="font-size: 10pt">Arch Argent Pediatr 2000; 98 (4): 258-276.</font></span></font><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 0pt 36pt" class="MsoNormal" align="justify"><font face="Verdana"><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font style="font-size: 10pt">2.      Ileana Rojas M., María E. Socorro M. Reanimación cardiopulmonar en pediatría. </font></span><span style="font-family: ; mso-ansi-language: en-us; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es" lang="EN-US"><font style="font-size: 10pt">Arch Venez Puer Pediatr 1988; 51 (1 y 2): 55-69</font></span></font><span style="font-family: ; mso-ansi-language: en-us; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es" lang="EN-US"></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 0pt 36pt" class="MsoNormal" align="justify"><font face="Verdana"><span style="font-family: ; mso-ansi-language: en-us; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es" lang="EN-US"><font style="font-size: 10pt">3.      Joseph Greensher, Pramod Narula. Pediatric Basic and Advanced Life Support. </font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es"><font style="font-size: 10pt">Primary Pediatric Care. 4º Ed. 2001</font></span></font><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: -18pt; margin: 0cm 0cm 0pt 36pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-ansi-language: es-mx; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es" lang="ES-MX"><font face="Verdana"><font style="font-size: 10pt">4.      Mario Arellano Penagos. Paro Cardíaco. Cuidados Intensivos en Pediatría. Tercera Edición. México Interamericana McGraw-Hill 1994</font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: normal; text-indent: 2cm; margin: 0cm 0cm 0pt" class="MsoNormal" align="justify"><span style="font-family: ; mso-ansi-language: es-mx; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: es" lang="ES-MX"><font face="Verdana"><font style="font-size: 10pt"> </font></font></span><span style="font-family: ; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: es"></span></p> <p style="line-height: 13pt; margin: 0cm 0cm 10pt" class="MsoNormal" align="left"><b style="mso-bidi-font-weight: normal"><span style="mso-ansi-language: es-mx" lang="ES-MX"><font face="Calibri"><font style="font-size: 11pt"> </font></font></span></b></p>

PARO CARDIO RESPIRATORIO EN PEDIATRIA

  El Paro Cardiorespiratorio se puede definir como "El fracaso de la actividad cardíaca para mantener una circulación cerebral adecuada...

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