2015 Trumbull Memorial Hospital Demo

Pediatric Pulseless Arrest Pediatric Pulseless Arrest

Universal Pediatric Assessment

No CCR on children

10% Dextrose 5mL/kg IO via syringe ONLY

Signs of puberty = adult arrest protocol

CPR x 2 minutes Continued for 2 minutes after every defibrillation

Check BGL

Cardiac Monitor

V-fib / Pulseless V-Tach

Asystole / PEA

Pediatric IO

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

Epinephrine 1:10,000 0.01mg/kg (0.1mL/kg) IO Repeat every 3-5 minutes

Identify reversible cause:  Hypoxemia  Acidosis  Hypovolemia  Tension Pneumothorax  Hypothermia  Hypoglycemia

Pediatric IO

Epinephrine 1:10,000 0.01mg/kg (0.1mL/kg) IO Repeat every 3-5 minutes

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

DO NOT use BOTH Amiodarone AND Lidocaine!

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EMR

EMT

AEMT

Paramedic

Extended