PEDS
V-Fib or Pulseless V-Tach / Wide Complex Tach
Algorithm
Initiate or continue CPR and when defibrillator available:
►Defibrillate once at 2 J/kg Philips / Zoll (2 J/kg)
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Maintain CPR approximately 2 minutes
→ High-flow oxygen by BVM, IV/IO without interruption of CPR
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►Defibrillate once at 4 J/kg Philips / Zoll (2 J/kg)
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Maintain CPR 2 min
►Epinephrine 0.01 mg/kg IV / IO (0.1 mg/mL), repeat every 3 min
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Maintain CPR 2 min.
►Defibrillate once at 4 J/kg Philips / Zoll (2 J/kg)
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Maintain CPR 2 min.
►Amiodarone 5 mg/kg IV / IO, may repeat 5 mg/kg IV/IO in 5 and 10 min
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Maintain CPR 2 min.
►Defibrillate once at 4 J/kg Philips / Zoll (2 J/kg)
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Continue CPR, Epinephrine, Defibrillation, and Amiodarone.
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►D10 25 gm/250 mL (50% solution) IVPB / IO
If diabetic and hypoglycemia suspected:
(No D-stick, Non-Traumatic FA)
Epinephrine can be given with D10, there is no negative reaction
BHC:
For further orders, or
To request pronouncement of patient in the field
Interruption of chest compressions should always be held to a minimum.
Pads can be placed in the antero-lateral and antero-posterior positions; either pad placement is acceptable
(As long as they don’t touch).
For implanted pacemaker/defibrillator place pads to either side and not directly on top of the implanted device. For medication patch: remove patch, wipe area clean before attaching an electrode pad.
1:10,000 = 0.1mg / 1mL
1:1000 = 1mg / 1mL