Pulseless arrest (peds): Difference between revisions
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''See [[critical care quick reference]] for drug doses and equipment sizes by weight.'' | {{PediatricPage|pulseless arrest}} ''See [[critical care quick reference]] for drug doses and equipment sizes by weight.'' | ||
==Asystole and PEA== | ==Asystole and PEA== | ||
*Give [[Epi]] 0.01mg/kg (0.1 mL/kg 1:10,000) (max 1mg) q3-5min | *Give [[Epi]] 0.01mg/kg (0.1 mL/kg 1:10,000) (max 1mg) q3-5min | ||
*Rhythm check q2min | *Rhythm check q2min | ||
*Prioritize adequate oxygenation and ventilation, as respiratory arrest is the most common cause of pediatric cardiac arrest | |||
*Consider H's and T's | *Consider H's and T's | ||
**[[Hypoglycemia (peds)|Hypoglycemia]] | **[[Hypoglycemia (peds)|Hypoglycemia]] | ||
**[[Hypovolemia]] | **[[Hypovolemia]] | ||
**[[Hypoxia]] | **[[Hypoxia]] (most common cause of pediatric arrest) | ||
**[[Acid-base disorders|Hydrogen ion]] | **[[Acid-base disorders|Hydrogen ion]] | ||
**[[Hypokalemia]] or [[hyperkalemia]] | **[[Hypokalemia]] or [[hyperkalemia]] | ||
Latest revision as of 17:21, 17 January 2026
This page is for pediatric patients. For adult patients, see: pulseless arrest See critical care quick reference for drug doses and equipment sizes by weight.
Asystole and PEA
- Give Epi 0.01mg/kg (0.1 mL/kg 1:10,000) (max 1mg) q3-5min
- Rhythm check q2min
- Prioritize adequate oxygenation and ventilation, as respiratory arrest is the most common cause of pediatric cardiac arrest
- Consider H's and T's
- Hypoglycemia
- Hypovolemia
- Hypoxia (most common cause of pediatric arrest)
- Hydrogen ion
- Hypokalemia or hyperkalemia
- Hypothermia
- Tension pneumothorax
- Tamponade
- Toxins
- Thrombosis, pulmonary
- Thrombosis, coronary
Ventricular fibrillation/Pulseless Ventricular Tachycardia
- Shock as quickly as possible and resume CPR immediately
- First shock 2 J/kg
- Second shock 4 J/kg
- Subsequent shocks ≥ 4 J/kg (max 10 J/kg)
- Give Epi if (shock + 2min CPR) fails to convert rhythm
- Perform pulse check/shock if appropriate q2min
- Give antiarrhythmic if (2nd shock + 2min CPR) again fails
- 1st line: Amiodarone
- 5mg/kg (max 300mg)
- May repeat twice up to 15mg/kg
- 2nd line: Lidocaine
- 1mg/kg
- Magnesium
- 25-50mg/kg (max 2g) IV
- Only for polymorphic V-tach
- 1st line: Amiodarone
See Also
References
AHA 2010 Guidelines for PALS