Brain Injury?The breathing center that controls respirations is found within the pons and medulla of the brain stem. Panchal AR, Bartos JA, Cabaas JG, et al. What is BLS? Pediatric Basic Life Support Algorithm for Healthcare Providers2 or More Rescuers. National Center 0000010778 00000 n courses are accepted in North America and internationally. Vital signs cause patient to become symptomatic with chest pain, shortness of breath, or confusion. Overview. If the airway is partially obstructed snoring or stridor may be heard. Confirming equal bilateral breath sounds with auscultation. Cradle the infant with the infants head tilted downward and slightly to the side to avoid choking or aspiration. Dallas, TX 75231, Customer Service Provide 100 to 120 compressions per minute. Pediatric shock energy level:Monophasic or Biphasic: 0.5-1.0 J/kgAssure the patient is sedated and comfortable during shock delivery. No problem. We welcome you to Arrival of the AED (Automated External Defibrillator). Heartsaver Pediatric First Aid CPR AED eCard. 0000059870 00000 n Check the AED unit for a switch or a key that, when activated, will deliver a shock in a pediatric dose. Avoid the recovery position if it will sustain injury to the patient. BLS Infant and Child Algorithm 1. Rotate the infant face up (supine), head downward (trandelenburg) by switching the infant to the opposite arm. The infant may be confused, weak, obtunded, or cyanotic. Make a seal using your mouth over the mouth and nose of the patient. How often does AED Sentinel check my AEDs? After placement, inflate the laryngeal cuff and check for an adequate seal by using positive pressure ventilation. Partial airway obstruction may allow for a productive cough or allow the patient to speak. First Response Training International. The American Heart Association (AHA) BLS Algorithms are designed to provide the most accurate and up-to-date information for use in emergency response. Waveform capnography provides information regarding the quality of CPR. 0000059280 00000 n not yet available, the rescuer should retrieve it. Assure the patient is sedated and comfortable during pacer delivery. Single rescuer: 30 compressions to 2 breaths, 100-120 compressions per minute, Two rescuers: 15 compressions to 2 breaths, 100-120 compressions per minute, If help is not available, leave the child to get help and an AED, Follow instructions on AED, deliver shock as needed. Open the carrying case and power on the AED. 2022 Interim Guidance to Health Care Providers for Basic and Advanced Cardiac Life Support in Adults, Children, and Neonates With Suspected or Confirmed COVID-19: From the Emergency Cardiovascular Care Committee and Get With The Guidelines-Resuscitation Adult and Pediatric Task Forces of the American Heart . Version 22.0 . AED indicates automated external defibrillator; BLS, basic life support; CPR, cardiopulmonary resuscitation; and EMS, emergency medical services. Provided repeated IV bolus of crystalloids at 20 ml/kg. If you have difficulty forming a seal with the face mask. Have the person doing chest compressions pause during the 2 rescue breaths. You may be trying to access this site from a secured browser on the server. After verifying that the scene is safe, call for help and determine whether the patient is unresponsive, check his or her pulse, and confirm absent or abnormal breathing patterns such as agonal or gasping respirations. (move to the Circulation portion of the algorithm.). Build your free student account to access our full training library. AED indicates automated external defibrillator; ALS, advanced life support; BLS, basic life support; and CPR, cardiopulmonary resuscitation. amiodarone with a possible second dose of 150 mg or 1 mg/kg to 1.5 mg/kg I.V./I.O. 0000103740 00000 n oxygenation, the provider should begin chest compressions. Specifically, the AHA recommends maintaining a ventilation rate of one breath every 2 to 3 seconds or 20 to 30 breaths/min following advanced airway placement; placing a cuffed ETT with attention to size, position, and cuff pressure; administering epinephrine as soon as possible for pediatric patients experiencing cardiac arrest with nonshockable rhythms; utilizing arterial diastolic BP to monitor CPR quality if an arterial catheter has been placed; and avoiding routine use of cricoid pressure during intubation.9 Sodium bicarbonate and calcium are not recommended for routine use, but these may be appropriate in specific circumstances such as managing electrolyte imbalances or drug toxicities.11, ROSC efforts for pediatric patients should focus on ventilation and oxygenation, titrating FiO2 to a target SpO2 of 94% to 99% and the partial pressure of carbon dioxide (PaCO2) targeted to the individual patient. Version control: Our ACLS, PALS & BLS courses follow 2020 American Heart Association AED Monitoring and Inspections Fort Lauderdale, FL. Provide approximately 6-8 rescue breaths per minute. The H's and T's of ACLS. CPR before and after each shock improves outcomes. *Red Dress DHHS, Go Red AHA ; National Wear Red Day is a registered trademark. Patient survival becomes less likely when one element in the sequence is skipped.7 The chain of survival originally consisted of five tasks, or links. Get a reminder when you need to take the exam. 0000048910 00000 n Brachial pulse checks are recommended for infants, while carotid or femoral pulse checks are recommended in children. Pediatric and neonatal resuscitation involves algorithmic approaches to achieving the return of spontaneous circulation (ROSC) that is similar to adult cardiorespiratory resuscitation but requires special considerations in terms of differential diagnoses, medication dosing, procedures, and continuation of care that makes this subject dissimilar. The Pediatric Medical Assistant (MA) works under the delegation of a licensed practitioner to perform duties as directed to assist in providing basic patient care to assigned patients. CPR should continue 0000005130 00000 n Version 2021.01.c. The Neonatal Resuscitation guideline emphasizes developing skills and practicing positive pressure ventilation (PPV). 0000105327 00000 n dopamine infusion, the AHA now recommends a rate of 5 to 20 mcg/kg/min. Assure no one is touching the patient or is in mutual contact of a good conductor of electricity by yelling Clear, Im Clear, youre Clear! prior to delivering a shock. If alone, single rescuers should call for help via emergency response or activate the emergency response system and alert the code team after 2 minutes of CPR and resume compressions. Only allow minimal interruptions to the chest compressions. Debriefing describes a postevent communication involving two or more participating healthcare professionals. place your palm on the patients forehead and apply pressure to tilt the head backward. AED Sentinel can be used in partnership with your existing AED program management tracking system. begin CPR (go to Circulation portion of the algorithm). All AED Sentinel hardware components attach magnetically to your AED cabinets. The period of human development from childhood to adulthood is a continuum with the In this case, the infant should be resting on your forearm. We offer CPR classes at our location for the Fort Myers , South Ft Myers, Cape Coral, Naples, Bonita, Estero, Port Charlotte, Punta Gorda, Lee County , Collier County, Hendry County, Charlotte County, Sarasota County, Manatee County, Hillsbourough counties or your corporate location. Yes, AED Sentinel monitoring hardware is installed in AED cabinets where it keeps a watchful eye on your AEDs. To execute these safely, complete the following steps: Hold the infant in your lap. CPR indicates cardiopulmonary resuscitation; IHCA, in-hospital cardiac arrest; and OHCA, out-of-hospital cardiac arrest. Chest compressions should be given continuously at a rate of 100 to 120 per minute. Assess for breathing and pulse. This means pulling the victim out of standing water, traffic, or other dangerous situation. As with adults, children who are gasping and/or experiencing irregular or agonal respirations are not breathing.1, The pediatric BLS guidelines also recommend a compression-airway-breathing sequence. Get new journal Tables of Contents sent right to your email inbox, www.firstresponse-ed.com/blog/why-lay-person-rescuers-are-important, Updated AHA Basic and Advanced Cardiac Life Support guidance with COVID-19 considerations, Caring for people with diabetes: A fresh look at an old disease, Update: 2017/2018 AHA BLS, ACLS, and PALS guidelines, Articles in PubMed by Karen Jean Craig-Brangan, BS, RN, EMT-P, Articles in Google Scholar by Karen Jean Craig-Brangan, BS, RN, EMT-P, Other articles in this journal by Karen Jean Craig-Brangan, BS, RN, EMT-P, Privacy Policy (Updated December 15, 2022). Thomas James, Director of Customer Experience. 2021. American Heart Association guidelines are updated every five years. Do I need to continue visually inspecting my AEDs? For more information about Basic Life Support or getting certified, check out our 100% online and accredited BLS certification. 0000020224 00000 n AED Sentinel is a technology-based remote AED monitoring system, designed and built by Readiness Systems, the nations leading AED program compliance expert. Before attempting rescue breaths during normal CPR, assess the airway, removing any visually present obstruction. Another option is massed learning, or a single training event that can last hours or days. 0000104210 00000 n PALS course. Please enable scripts and reload this page. The rate of compressions should be 100120 1 cycle of adult CPR is 30 chest compressions to 2 rescue breaths. Once an advanced airway has been placed, ventilations should continue at a rate of 1 breath every 6 seconds or 10 breaths/min.2, In adults, symptomatic bradycardia is treated with an initial dose of atropine 1 mg I.V./I.O., which can be repeated every 3 to 5 minutes to a maximum dose of 3 mg. Make a seal using your mouth over the mouth of the patient. Firmly place appropriate pads (adult/pediatric) to patients skin to the indicated locations (pad image). Pediatric Basic Life Support (BLS) Algorithm Guide Pediatric BLS Algorithm Pediatric BLS Algorithm Figure 9 Basic Life Support (BLS) Certification Course Previous Next BLS for Children (1 to 8 years) BLS for Children 1 - Puberty One & Two Rescuer BLS for Children Pediatric BLS Algorithm Child Ventilation Previous Lesson Next Lesson Are you interested in becoming an American Heart Association Instructor?recoil Consult an American Heart Association Training Center (TC) to find 0000014341 00000 n Check the patient for a carotid pulse for 5-10 seconds. Provide 10 rescue breaths per minute (1 breath every 6 seconds). We guarantee the ACLS Medical Training provider card will be accepted worldwide and offer a 100% money back guarantee. Use your thigh or other object for support. Delivery within first 5 mins of cardiac arrest has best results. All material (c) APLS Australia 2020, permission for non-commercial use is not needed. If the adverse event of the patient was witnessed and there is no reason to suspect a cercival spine injury, the provider should use the head tilt-chin lift maneuver to open the airway.If there is a reason to suspect a cervical spine injury, if the patients adverse event went unwitnessed, if trauma occured, or the patient suffered drowning the jaw-thrust maneuver should be used to open the airway. Epinephrine in a 1:10,000 solution: 0.01 mg/kg by IV/IO every 3 to 5 minutes (or Epinephrine in a 1:1,000 solution: 0.1 mg/kg by ETT every 3 to 5 minutes). We've put together the ultimate cheat sheet review with free updated 2022 American Heart Association (AHA) and Red Cross based practice tests, questions & answers, and pdf study guides/student manuals to help prepare for your CPR / AED / First Aid and BLS for Healthcare Providers (Basic Life Support) course. Monitors (ECG, BP cuff, pulse oximeter, et CO2 monitor), Initiate therapy of PALS algorithm corresponding with the identified heart rhythm. (One provider) Place two fingers on the sternum of the lower chest. When this is utilized, the 2020 AHA guidelines recommend that educators implement booster training as well. Avoid pressure of the chest that could impairs breathing. Highlight selected keywords in the article text. 0000070767 00000 n Start by providing chest compressions and ventilation in cycles with a ratio of 30 compressions to 2 ventilations. 1-800-242-8721 0000104113 00000 n ASAP indicates as soon as possible; CPR, cardiopulmonary resuscitation; ET, endotracheal; HR, heart rate; IO, intraosseous; IV, intravenous; PEA, pulseless electrical activity; and VF/pVT, ventricular fibrillation/pulseless ventricular tachycardia. Position the thumb end of the fisted hand immediately above the patients naval (ample distance away from the xiphoid process). Visualization of the vocal cords is not required for insertion. Similarly, intra-arterial diastolic pressures can be used to monitor CPR quality. It has several decision points and actions that must be committed to memory by PALS providers to ensure a high standard of care. High quality compressions in CPR should be a minimum of 1/3 the AP diameter of the chest, or approximately 1 2) Tracheal cuff of the ETT is then inflated. There is a high risk for patient becoming unstable. Atkins DL, Sasson C, Hsu A, et al. (early defibrillation is the single most important therapy for survival of cardiac arrest. Best practice is to lube before insertion. Shop Now > 10% OFFon ALL First Aid Supplies! One shock should be given to the victim, with resumption of CPR immediately after the shock. Perform fast upward and inward diaphragmatic abdominal thrusts. Ventilatory strategies should be targeted to the individual physiologic needs of patients and are influenced by their disease process or diagnosis. Requires proper lead/pad placement to monitor ECG. This is CAB-D (Circulation, Airway, Breathing, Defibrillate). Using two arms press to a depth of 2 to 2.4 inches (5-6cm) or more on the patients chest. CPAP indicates continuous positive airway pressure; ECG, electrocardiographic; ETT, endotracheal tube; HR, heart rate; IV, intravenous; O2, oxygen; Spo2, oxygen saturation; and UVC, umbilical venous catheter. BLS is the cornerstone program for healthcare professionals. Part 3: adult basic and advanced life support: 2020 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Recovery stresses the need for a system of care to support patients and their families.2 Once discharged, patients who have experienced a cardiac arrest may have physical, emotional, and cognitive challenges that require ongoing interventions. AED Sentinel will alert you when AED batteries and pads are approaching the end of useful life and require replacement. Attempt defibrillation with the AED. If we can support it, well be happy to add it to this list! CPR & First Aid in Youth Sports Training Kit, Resuscitation Quality Improvement Program (RQI), Coronavirus Resources for CPR & Resuscitation, Advanced Cardiovascular Life Support (ACLS), Resuscitation Quality Improvement Program (RQI), COVID-19 Resources for CPR & Resuscitation, Claiming Your AHA Continuing Education Credits. You should be safe before you begin Basic Life Support 2. 10. Get the patients attention and ask them if they are choking.Assess for signs and symptoms of airway obstruction. It is not a substitute for hands-on training courses such as the Advanced Paediatric Life Support (APLS) course. ACLS Algorithms. 0000103156 00000 n The CPR coach's goal is to minimize pauses in compressions during defibrillation, compressor switches, and/or advanced airway placement. This algorithm includes information regarding compressions, opening the airway, and providing rescue What if my AED cabinet is plastic or non-metallic? Chest Compressions should be at least 1.5 inches or 1/3 the depth of infants chest. Pediatric BLS Algorithm How to Become an AHA Instructor for Healthcare Providers Put your heart into training. Remain clear while the device analyzes rhythm and delivers a shock as needed. 0000103594 00000 n Continue to assess and maintain a patent airway and place the patient in the recovery position. 0000060671 00000 n The provider may also be able to hear or feel the movement of air from the patient.A completely obstructed airway will be silent. place the patient close to a true lateral position with the head dependent to allow fluid to drain. Shockable rhythms include ventricular fibrillation or pulseless ventricular tachycardia. 0000003813 00000 n CPR indicates cardiopulmonary resuscitation; ET, endotracheal; IO, intraosseous; IV, intravenous; pVT, pulseless ventricular tachycardia; and VF, ventricular fibrillation. If there is a pulse and no/abnormal breathing, start rescue breathing (1 breath every 2-3 seconds). 0000015840 00000 n See our seperate pages for ACLS algorithms, PALS algorithms, all our courses, and website terms. Specifically, medication administration via peripheral I.V. Effective 02-25-2022 . to maintaining your privacy and will not share your personal information without Simply email us through the contact us link displayed on every page of this website any time within 60 days of purchase. Will AED Sentinel tell me when my batteries or pads need to be replaced? Duff JP, Topjian AA, Berg MD, et al. Place pads and electrodes in correct position to assure an appropriate ECG reading. (Two providers) Have someone near call the emergency response team and bring the AED. What makes and models of AEDs does AED Sentinel work with? The AHA also offers recommendations for future educational restructuring to increase the focus on retention and proficiency. fluids or vasopressors as prescribed. FREE SHIPPING on ALL Training Supplies! The following subjects are addressed in this 2015 pediatric BLS guidelines update: Pediatric BLS Healthcare Provider Pediatric Cardiac Arrest Algorithms for a single rescuer and for 2 or more rescuers. Place both of your arms around patients waist. Pediatric dose attenuators reduce the shock by two-thirds. Some error has occurred while processing your request. read the bls handbook red cross algorithms for basic life support 2022 acls american heart association cpr first aid 2025 bls guidelines ilcor changes advanced medical part 3 adult . Tilt the infants body at a 30 degree angle, head downward (trandelenburg). AED indicates automated external defibrillator; CPR, cardiopulmonary resuscitation; and EMS, emergency medical services. These algorithms are updated every five years, with the last update occurring in 2020-which are the versions we use today in 2022. American Heart Association guidelines are updated every five years. (one provider) Call the emergency response team and bring an AED first, then start CPR. Wolters Kluwer Health, Inc. and/or its subsidiaries. (One provider) first call the emergency response team and bring an AED to the patient. Careful not to cause trauma to nasal mucosa (results in bleeding). 0000032422 00000 n Our instructors are certified through the American Heart Association and have a strong desire to provide the knowledge and skills to enhance your ability to prevent an emergency from becoming a tragedy. For adults with symptomatic tachycardia with a pulse, the AHA no longer recommends energy doses for synchronized electrical cardioversion; instead, nurses can defer to device-specific recommended energy levels to increase first-shock success rates.4, Additionally, the algorithm for adults experiencing acute coronary syndrome (ACS) is now divided into two categories: ST segment elevation myocardial infarction and non-ST segment elevation ACS. For more information on getting certified, check our BLS and CPR courses. breathing. 0000010491 00000 n If the patient requires a I.V./I.O. BLS simplified algorithm For laypersons or other non-HCP personnel, this algorithm is a simplified approach to cardiopulmonary resuscitation and life support. Deliver five blows to the infant's back between the two shoulder blades. An AED without a pediatric attenuator can also be used. Take precautions to stabilize the neck in case of cervical spine injury. If a manual defibrillator is unavailable, use an AED with a pediatric dose attenuator. These algorithms were created for the Australia and New Zealand Edition of 'Advanced Paediatric Life Support: The Practical Approach 6th Edition', published 2017. Partial airway obstruction may result in stridor or a high-pitched audible noise during respiration. The American Heart Association is a qualified 501(c)(3) tax-exempt organization. If neither technique works, attempt an advanced airway using inline stabilization. AED Sentinel was designed to enable AED program managers to quickly self-install and foolproof their AED programs in minutes. deliberate practice, which describes goal-driven learning with performance feedback and repetition, mastery learning, which continues the lessons of deliberate practice with testing, booster training, which refers to brief, focused sessions to repeat content that has been presented in an initial learning course, spaced learning in which multiple short educational sessions review previous content or introduce new content, in situ education, which describes simulation exercises that are conducted in clinical environments, gamified learning, which utilizes board games, computer games, and/or leaderboards to discuss serious topics. 0000001636 00000 n (Only use the recovery position if its unlikely to worsen patient injury). American Heart Association guidelines are updated every five years. These include addressing any underlying causes of cardiac arrest, cardiac rehabilitation, neurologic recovery, and continued psychological support for patients and families.5, The 2020 AHA-recommended PALS guidelines apply to infants, children, and adolescents up to age 18; newborns are excluded. 3. 0000104735 00000 n in all US states and Canadian provinces. 0000070354 00000 n Use a cell phone if one is available. Administer hydrocortisone if possible adrenal insufficiency. Welcome to the free PALS algorithm and guidelines offered by United Medical Education. Contact us. Used to treat unstable bradycardias not responding to drug therapy. Some possible changes are apnea (cessation of breathing), irregular breathing patterns, or poor inspiratory volumes. If the manuals defibrillator is not available the next best option is an AED with a pediatric attenuator. We have designed these BLS algorithms to inform both single rescuers and teams of two or more rescuers on how to deliver high-quality CPR and AED use for early defibrillation for potential adult or pediatric cases. Guidelines 2000 for cardiopulmonary resuscitation and emergency cardiovascular care. should last one second and the chest should be observed for visible rise.If the victim has an advanced airway, then the provider should administer a breath every 2-3 seconds. 0000003308 00000 n Berg KM, Soar J, Andersen LW, et al. If a pulse is not detected, assume the patient is experiencing a cardiac arrest.1, Once cardiac arrest has been identified, the emergency response system should be activated, the code team alerted, and CPR initiated promptly. When the patient has a high risk for aspiration (provide an ETT or Combitube). ): In the event of a witnessed collapse with no reason to assume a C-spine injury: Scan the patients chest and torso for possible movement during the assess unresponsiveness portion of the algorithm. You may search for similar articles that contain these same keywords or you may First, is the airway patent or obstructed. AED Monitoring and Inspections Tallahassee, FL. Remember that gasping and/or irregular or agonal respirations are not considered breathing.2, Outside of the healthcare setting, lay rescuers are individuals who have not received formal emergency care training.3 Lay rescuers should confirm cardiac arrest based on patient unresponsiveness and breathing patterns, such as the absence of breathing and irregular or gasping respirations. In Pediatric Basic Life Support for Healthcare Providers (HCP), the rescuer should first determine quickly Patient has no pulse, is without vital signs, and/or is unconscious. In the algorithm for adult basic life support, emphasis is placed upon immediate recognition of sudden The American Heart Association recently updated its guidelines for advanced cardiovascular life support, basic life support, and pediatric advanced life support. With daily checks, along with 24/7 automated monitoring of your AEDs and accessories, AED Sentinel has you covered. Activate the emergency response system. Chest recoil should be complete between compressions. American Heart Association; International Liaison Committee on Resuscitation. the American Heart Association as well as other specific algorithms published for anesthetists. Recheck the rhythm at the end of the 5 cycles of CPR. This is reasonably tolerated by patients with an active gag reflex. If the pulse is less than 60/minute, or if the victim has signs of poor perfusion after adequate ventilation and An EtCO2 level greater than 10 mm Hg suggests that high-quality CPR is being provided, while an EtCO2 level less than 10 mm Hg suggests that the quality of CPR should be reassessed. As a result, more than 1 in 5 AEDs may not be ready for use (over 800,000 potentially unready AEDs in the U.S.). Version control: Our ACLS, PALS & BLS courses follow 2020 American Heart Association Cardiac arrest in the pediatric patient is also commonly due to progressive shock. (Only use the recovery position if its unlikely to worsen patient injury.). When inserting the LMA have the laryngeal cuff deflated. pH: 7.35-7.45PaO2: 80-100 mmHgPaCO2: 35-45 mmHgHCO3: 22-26 mEq/LO2 sat: 95-100% (on room air)BE +/- 1Lowest acceptable SBP for patients older than 1 yr = 70+ (2 x age in years). No, nonshockable Yes, shockable No normal breathing, pulse felt No After about 2 minutes, if still alone, activate emergency response system and retrieve AED (if not already done). Choking Intervention for Adults & Children, Neonate (0 to 28 days old): SPB < 60 mmHg, Infants (1month to 12 montsh): SBP < 70 mmHg, Children (1yr to 10yrs): SBP < 70+(2xage in years) mmHg. 126 0 obj <> endobj xref should be assessed. Guidelines for CPR and ECC. This link stresses the need for a system of care to support recovery, including patient assessments; expectation-setting; treatment plans for depression, anxiety, and/or fatigue; and plans for surveillance and rehabilitation as patients transition home.2, In adults, ACLS care continues to stress high-quality CPR, accurate heart rhythm diagnosis, appropriate use of defibrillation for VF and pVT, I.V. 126 67 Contact your trusted vendor to see if they are an authorized AED Sentinel distributor, or contact us for a quick distributor referral so you can purchase AED Sentinel today. available. It also functions to address the needs of patients and their families. lidocaine with a possible second dose of 0.5 mg/kg to 0.75 mg/kg may be recommended. Author: American Heart Association Subject: Please contact the American Heart Association at ECCEditorial@heart.org or 1-214-706-1886 to request a long description of this image. Pediatric BLS One Rescuer Algorithm This algorithm describes the BLS sequence specifically for children and infants. Remove the airway device, ventilate the patient using the ambu bag for a short period of time, and then reattempt placement. Do my AEDs need to be in cabinets for AED Sentinel to work? 0000012333 00000 n We provide this information for trailer <<1C27EAFF98FA488EBB4F4AFE4E97F460>]/Prev 117431/XRefStm 1929>> startxref 0 %%EOF 192 0 obj <>stream If this is unsuccessful or not feasible, intraosseous (I.O.) Initially provide rescue breaths using an ambu bag and a mask at full flow oxygen. The provider will also not feel or hear the movement of air. If the patient requiring continued ventilatory support. Per Page. present the basic course of action that a rescuer should perform for life support. Assure the artificial airway is the appropriate size for the patient. With your forearm resting on your thigh, place the infant face down on your forearm. For EVERYONE. In the event of an unwitnessed collapse, drowning, or trauma: Use the Jaw Thrust maneuver. Rather, AED Sentinel hardware uses 8 long-lasting, off-the-shelf AA alkaline batteries that you can easily replace.

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