73 / 222
73
EMR
EMT
AEMT
Paramedic
Extended
Pediatric Pulseless Arrest
Pediatric Pulseless Arrest
Universal Pediatric Assessment
CPR x 2 minutes
Continued for 2 minutes after every
defibrillation
10% Dextrose
5mL/kg IO
via syringe ONLY
Cardiac Monitor
Check BGL
Asystole / PEA
V-fib / Pulseless V-Tach
Defibrillate
if indicated
AED with Pediatric Pads
Paramedics
manual defib at
Manufacturer’s Recommendation
Defibrillate once every 2 minutes
Zoll 2 J/kg, 2 J/kg, 2 J/kg
Physio 2 J/kg, 4 J/kg, 4 J/kg
Philips 2 J/kg, 4 J/kg, 4 J/kg
Amiodarone
5mg/kg IO
May repeat twice at 5mg/kg IO
every 5 minutes – Max 15 mg/kg
If Amiodarone is contraindicated
Lidocaine
1mg/kg IO
Repeat bolus dose in 5 min
Epinephrine
1:10,000 0.01mg/kg
(0.1mL/kg) IO
Repeat every 3-5 minutes
Pediatric IO
Pediatric IO
Identify reversible cause:
Hypoxemia
Acidosis
Hypovolemia
Tension Pneumothorax
Hypothermia
Hypoglycemia
No CCR on children
Signs of puberty = adult
arrest protocol
Epinephrine
1:10,000 0.01mg/kg
(0.1mL/kg) IO
Repeat every 3-5 minutes
DO NOT use BOTH
Amiodarone AND
Lidocaine!