Pediatric CPR resuscitation maneuver from a bystander thanks to pre-arrival guidance by a dispatcher: a case report

Abstract

The working group that deals with the drafting and revising of the Pre-arrival Instructions in the 118 Emilia Est Operations Center has decided to publish this article that deals with an event that occurred in December 2020 as it fully expresses the entire activity of the headquarters nurse. On 23 December 2020, at 6:44 pm, the parents of P, a two-year-old boy, called 118 because the little boy had lost consciousness following the ingestion of a small piece of mozzarella cheese. The dispatcher quickly identified the target of the call and conducted the health interview. From the mother’s information, the child appeared unconscious, with cyanotic lips and no respiratory activity. The nurse recorded the event on the operating system as K3 Advanced Red Blue, i.e., a respiratory pathology in the home was identified, and the code of maximum severity was assigned, which requires the simultaneous dispatch of an ambulance and self-medication, so the nurse in charge at 18:47 sent a BLSD vehicle and the ALS vehicle of territorial competence. The operator who recorded the distress call continued the call with the little one’s parents, providing them with pre-arrival instructions for pediatric obstruction: given the condition, he had the father begin CPR. The nurse asked the mother if she had a smartphone, and upon her affirmative response, she sent a text message that enabled the activation of the video call through the Flagmii platform: in less than three minutes from the beginning of the call, she was “on the scene” thanks to the video camera activated by the mother.