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Pediatric Cardiac Arrest Algorithm

Pediatric Cardiac Arrest Algorithm 1. CPR Quality Start CPR. Begin bag-mask ventilation and give oxygen Push hard ( of anteroposterior Attach monitor/defibrillator diameter of chest) and fast (100-120/min) and allow complete chest recoil Minimize interruptions in Yes No compressions Rhythm Change compressor every shockable? 2 minutes, or sooner if fatigued If no advanced airway, 15:2. 2 9 compression-ventilation ratio VF/pVT Asystole/PEA If advanced airway, provide continuous compressions and give a breath every 2-3 seconds Shock Energy for Defibrillation 3. Shock Epinephrine First shock 2 J/kg ASAP Second shock 4 J/kg 4 10 Subsequent shocks 4 J/kg, maximum 10 J/kg or adult dose CPR 2 min CPR 2 min IV/IO access IV/IO access Drug Therapy Epinephrine every 3-5 min Consider advanced Epinephrine IV/IO dose: mg/kg ( mL/kg of the airway and capnography mg/mL concentration).

• Begin bag-mask ventilation and give oxygen Attach monitor/defibrillator CPR 2 min • Amiodarone or lidocaine • Treat reversible causes CPR 2 min • Epinephrine every 3-5 min • Consider advanced airway CPR 2 min • IV/IO access • Epinephrine every 3-5 min • Consider advanced airway and capnography CPR 2 min Treat reversible causes ...

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