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Advanced Study | Pediatrics Part Three

Pediatric Resuscitation: cardiac arrest usually results from respiratory arrest/hypoxemia Asystole: flatline on the cardiac monitor: To treat asystole:

  • CPR
  • Ventilate with BVM 15 L/min O2
  • Intubate
  • IV with LR or normal saline
  • Epinephrine

V-Fib: chaotic looking rhythm with varied waveforms, no P waves, QRS complexes or T waves. Rarely occurs in children except congenital heart disease, acidosis, hypothermia, drug toxicity.

To treat V-Fib:

  • CPR
  • Ventilate with BVM 15 L/min O2
  • Defibrillate 2/4 joules/kg. Follow local protocols
  • Intubate
  • IV with LR or normal saline
  • Epinephrine
  • Repeat defib at 4 joules/kg. Follow local protocols
  • Repeat epinephrine

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