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