Algorithm for Pediatric Cardiac Aarrest - Flowchart
Algorithm for Pediatric Cardiac Aarrest - Flowchart Pediatric Resuscitation Pediatric Resuscitation
«Flowchart»

Pediatric cardiac arrest

Pediatric cardiac arrest

Pediatric cardiac arrest

Start CPRa

Start CPRa

Start CPRa

a a

Defibrillationb (2 J/kg)

Defibrillationb (2 J/kg)

Defibrillationb (2 J/kg)

b b

CPR 2 min (5 cycles)

CPR 2 min (5 cycles)

CPR 2 min (5 cycles) CPR 2 min (5 cycles)

Shock-refractory VF/pVT

Shock-refractory VF/pVT

Shock-refractory VF/pVT

End

End

End

Assess rhythm

Assess rhythm

Assess rhythm

Identify and treat reversible causes:

  • Hypoxia
  • Hypovolemia
  • Hypoglycemia
  • Hypothermia
  • Hypo/hyper-K
  • Tension pneumothorax
  • Acidosis
  • Toxins/overdose
  • Cardiac tamponade
  • Thrombosis (pulmonary)
  • Thrombosis (cardiac)

    •

    Identify and treat reversible causes:

  • Hypoxia
  • Hypovolemia
  • Hypoglycemia
  • Hypothermia
  • Hypo/hyper-K
  • Tension pneumothorax
  • Acidosis
  • Toxins/overdose
  • Cardiac tamponade
  • Thrombosis (pulmonary)
  • Thrombosis (cardiac)

  • Hypoxia
  • Hypovolemia
  • Hypoglycemia
  • Hypothermia
  • Hypo/hyper-K
  • Tension pneumothorax
  • Acidosis
  • Toxins/overdose
  • Cardiac tamponade
  • Thrombosis (pulmonary)
  • Thrombosis (cardiac)
    • Identify and treat reversible causes:

    Shockable VF/pulseless VT

    Shockable VF/pulseless VT

    Shockable VF/pulseless VT

    Non shockable asystole/PEA

    Non shockable asystole/PEA

    Non shockable asystole/PEA

    Epinephrine (0.01 mg/kg) q3-5 min

    Epinephrine (0.01 mg/kg) q3-5 min

    Epinephrine (0.01 mg/kg) q3-5 min

    Assess rhythm

    Assess rhythm

    Assess rhythm

    Epinephrine (0.01 mg/kg) q3-5 min

    Epinephrine (0.01 mg/kg) q3-5 min

    Epinephrine (0.01 mg/kg) q3-5 min

    CPR 2 min (5 cycles)

    CPR 2 min (5 cycles)

    CPR 2 min (5 cycles) CPR 2 min (5 cycles)

    aProvide oxygen, establish intravenous or intraosseous access.

    aProvide oxygen, establish intravenous or intraosseous access.

    aProvide oxygen, establish intravenous or intraosseous access.

    a

    bFirst shock, 2 J/kg; second shock, 4 J/kg; subsequent shocks ≥4 up to 10 J/kg or adult dose (200 J).

    bFirst shock, 2 J/kg; second shock, 4 J/kg; subsequent shocks ≥4 up to 10 J/kg or adult dose (200 J).

    bFirst shock, 2 J/kg; second shock, 4 J/kg; subsequent shocks ≥4 up to 10 J/kg or adult dose (200 J).

    b ≥

    cMay repeat up to two times for VF or refractory VT.

    cMay repeat up to two times for VF or refractory VT.

    cMay repeat up to two times for VF or refractory VT.

    c

    dLidocaine can be used alternatively to amiodarone and following the bolus a maintenance of 20 to 50 µg/kg/min infusion may be used.

    dLidocaine can be used alternatively to amiodarone and following the bolus a maintenance of 20 to 50 µg/kg/min infusion may be used.

    dLidocaine can be used alternatively to amiodarone and following the bolus a maintenance of 20 to 50 µg/kg/min infusion may be used.

    d

    OR

    OR

    OR

    Amiodaronec (5 mg/kg)

    Amiodaronec (5 mg/kg)

    c c Amiodarone

    Lidocained (1 mg/kg)

    Lidocained (1 mg/kg)

    d d Lidocaine