You are working on a pre-hospital/retrieval service. You receive a notification at your base centre about the following: "Two siblings were being bathed together: a 2-month-old and a 3-year-old. The children were allegedly left alone, for a brief time, and their mother has returned to find the 2-month-old unresponsive"

1. State four basic life support instructions the emergency call taker would give. 4 marks

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When you arrive on the scene, effective basic life support is being delivered by the child’s mother and a neighbour.

2. List six additional immediate interventions to escalate to advanced life support. 6 marks

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3. State four predictors of poor outcome in drowning. 4 marks

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Your ongoing resuscitation efforts are unsuccessful and there is no return of spontaneous circulation (ROSC) on scene.

4. List four factors influencing the decision to transport despite lack of ROSC. 4 marks

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