PED-Cardiac Arrest

Pediatric Pulseless VT/VF

P601

  • Defibrillate 2 J/kg (max 200 J) and resume CPR for two minutes; do not exceed adult dose
  • Defibrillate 4 J/kg (max 360 J) and resume CPR; do not exceed adult dose
  • Consider intubation
  • Epinephrine 1:10,000 at 0.1 ml/kg IV/IO (preferred) or Epinephrine 1:1000 at 0.1 ml/kg ETT (max 2 ml); repeat Epinephrine every 3-5 minutes and resume CPR
  • Defibrillate 4 J/kg (max 360 J) and resume CPR; do not exceed adult dose
  • Amiodarone 5 mg/kg (max 300 mg) IV/IO (If unavailable, substitute lidocaine 1 mg/kg) and resume CPR
  • Defibrillate every two minutes until rhythm changes
  • Contact medical control and transport to closest appropriate facility

Pediatric Asystole / PEA

P602

  • After 2 minutes of CPR, check cardiac rhythm and pulse, then consider intubation
  • Epinephrine 1:10,000 at 0.1 ml/kg IO/IV or Epinephrine 1:1000 at 0.1 ml/kg ETT (max dose 2 ml)
  • Contact medical command
  • 0.9% NaCl 20 ml/kg IV/IO
  • Repeat epinephrine every 3-5 minutes

Newborn Resuscitation

P600

  • Suction mouth, then nose
  • Dry infant, keep warm
  • BVM rate of 60 breaths/min for HR <100
  • Apply pulse oximeter to determine oxygen requirement
  • Chest compressions for HR <60, 3:1 ratio with breaths, 120 events/minute
  • After 30 seconds of BVM ventilation, consider intubation (PREMATURE=2.5-3.0 ETT; FULL TERM=3.0-3.5 ETT)
  • Contact medical control
  • After 30 seconds of chest compressions, consider epinephrine 1:10,000 0.4 ml (0.2 ml preterm newborn) IV or 1:10,000 0.8 ml (0.4 ml preterm newborn) ETT
  • Repeat epinephrine every 3-5 minutes until HR>60
  • If significant blood loss at delivery, IV 0.9% NaCl 40 ml (20 ml for preterm newborn)

Cardiac Arrest – PED

CARD

NEWBORN RESUSCITATION

PEDIATRIC ASYSTOLE/PEA

PEDIATRIC PULSELESS VT/VF

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