Pediatric Advanced Life Support Pulseless Arrest Algorithm - Flowchart
Pediatric Advanced Life Support Pulseless Arrest Algorithm - Flowchart Pediatric Advanced Life Support Pulseless Arrest Algorithm Pediatric Advanced Life Support Pulseless Arrest Algorithm
Flowchart

Paediatric Cardiac Arrest

Paediatric Cardiac Arrest

Paediatric Cardiac Arrest

Paediatric Cardiac Arrest

VF/VT

VF/VT

VF/VT

Asystole/PEA

Asystole/PEA

Asystole/PEA

Shout for Help/Activate Emergency Response

Shout for Help/Activate Emergency Response

Shout for Help/Activate Emergency Response

Start CPR


Give oxygen
Attach monitor/defibrillator

Start CPR


Give oxygen
Attach monitor/defibrillator

Start CPR


Give oxygen
Attach monitor/defibrillator


Give oxygen
Attach monitor/defibrillator

Rhythm shockable?

Rhythm shockable?

Rhythm shockable?

No

No

No

Yes

Yes

Yes

CPR 2 minutes


IO/IV access
Epinephrine every 3-5 minutes
Consider advanced airway

CPR 2 minutes


IO/IV access
Epinephrine every 3-5 minutes
Consider advanced airway

CPR 2 minutes


IO/IV access
Epinephrine every 3-5 minutes
Consider advanced airway


IO/IV access
Epinephrine every 3-5 minutes Epinephrine
Consider advanced airway

CPR 2 minutes


Treat reversible causes

CPR 2 minutes


Treat reversible causes

CPR 2 minutes


Treat reversible causes


Treat reversible causes

<Next Node>

<Next Node>

<Next Node>

<Next Node>

End

End

End

Shock

Shock

Shock

Shock

#x2191 Return

#x2191 Return

#x2191 Return

#x2191

Shock

Shock

Shock

CPR 2 minutes


IO/IV access

CPR 2 minutes


IO/IV access

CPR 2 minutes


IO/IV access


IO/IV access

<Next Node>

<Next Node>

<Next Node>

<Next Node>

Shock

Shock

Shock

Rhythm shockable?

Rhythm shockable?

Rhythm shockable?

No

No

No

Yes

Yes

Yes

Asystole/PEA

Asystole/PEA

Asystole/PEA


Organized rhythm #x2192 check pulse
Pulse present (ROSC) #x2192 postcardiac arrest care


Organized rhythm #x2192 check pulse
Pulse present (ROSC) #x2192 postcardiac arrest care


Organized rhythm #x2192 check pulse #x2192
Pulse present (ROSC) #x2192 postcardiac arrest care #x2192 Organized rhythm

CPR 2 minutes


Epinephrine every 3–5 minutes
Consider advanced airway

CPR 2 minutes


Epinephrine every 3–5 minutes
Consider advanced airway

CPR 2 minutes


Epinephrine every 3–5 minutes
Consider advanced airway


Epinephrine every 3–5 minutes
Consider advanced airway

Shock

Shock

Shock

<Next Node>

<Next Node>

<Next Node>

<Next Node>

CPR 2 minutes


Amiodarone
Treat reversible causes

CPR 2 minutes


Amiodarone
Treat reversible causes

CPR 2 minutes


Amiodarone
Treat reversible causes


Amiodarone Amiodarone
Treat reversible causes

Rhythm shockable?

Rhythm shockable?

Rhythm shockable?

No

No

No

Yes

Yes

Yes

Rhythm shockable?

Rhythm shockable?

Rhythm shockable?

No

No

No

Yes

Yes

Yes

#x2191 Return

#x2191 Return

#x2191 Return

#x2191

Asystole/PEA

Asystole/PEA

Asystole/PEA

Organized rhythm #x2192 check pulse

Pulse present (ROSC) #x2192 postcardiac arrest care

Organized rhythm #x2192 check pulse

#x2192

Pulse present (ROSC) #x2192 postcardiac arrest care

#x2192 Organized rhythm

End

End

End

Rhythm shockable?

Rhythm shockable?

Rhythm shockable?

No

No

No

Yes

Yes

Yes