Algorithm Notes
STEP 1CPR |
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As soon as cardiac arrest is determined in a pediatric patient, initiate high quality CPR starting with compressions. |
Attach an ECG monitor or AED pads as soon as they become available while minimizing pauses in CPR. Once the monitor or AED pads are attached, determine whether the rhythm is shockable(VF/VT) or nonshockable (asytole/PEA). If the rhythm is shockable proceed to Step 2. If the rhythm is nonshockable proceed to Step 9. |
STEP 2Shockable Rhythm: VF/VT |
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Make sure to keep performing CPR while the defibrillator is charging. |
STEP 3Administer Shock |
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Deliver 1 unsynchronized shock using an AED or Manual Defibrillator. |
AED
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Manual Defibrillator
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STEP 4Resume CPR and Gain IV/IO Access |
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Immediately after the shock, resume CPR beginning with chest compressions. |
While CPR is being performed, another member of resusitation team should gain IV or IO access |
After 2 minutes of high quality CPR, check the rhythm. If VF/VT persists, proceed to step 5. If the rhythm is unshockable, proceed to step 12. |
STEP 5Administer Shock |
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Deliver a shock with an AED or with a dose of 4 J/kg on a manual defibrillator. |
STEP 6Resume CPR and Administer Epinephrine |
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Resume chest compressions immediately after shock. The rescuers should have switched positions at this point and traded compressors. |
Administer Epinephrine:
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Consider insertion of an advanced airway if one is not in place. |
After 2 minutes of high quality CPR, check the rhythm. If VF/VT persists, proceed to step 7. If the rhythm is unshockable, proceed to step 12. |
STEP 7Administer Shock |
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Deliver a shock with an AED or with a dose of 4 or more J/kg on a manual defibrillator (Max of 10 J/kg). |
STEP 8Resume CPR and Administer Antiarrhythmic Medications |
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Resume chest compressions immediately after shock. The rescuers should have switched positions at this point and traded compressors. |
Purchase course for all algorithm steps. |
Purchase course for all algorithm steps. |
STEP 9Nonshockable Rhythm |
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STEP 10CPR and Administer Epinephrine |
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Purchase course for all algorithm steps. |
Purchase course for all algorithm steps. |
Purchase course for all algorithm steps. |
STEP 11CPR and Treat Reversible Causes |
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Purchase course for all algorithm steps. |
Purchase course for all algorithm steps. |