Airway and Breathing
This is the preferred initial airway adjunct for an unconscious child without a gag reflex.
What is an Igel
This rhythm is characterized by a narrow QRS, regular rate, and usually over 180 bpm in children.
What is supraventricular tachycardia (SVT)?
The first-line medication for symptomatic bradycardia in pediatrics.
What is push dose epinephrine?
High-quality CPR in children should be performed at this compression rate.
What is 100–120 compressions per minute?
Appearance
Work of Breathing
Circulation
Normal respiratory rate for a 2-year-old child is approximately this range per minute.
What is 24–40 breaths per minute
This rhythm is shockable and presents as chaotic electrical activity with no organized QRS complexes.
What is ventricular fibrillation?
Fentanyl Dosing
1 mcg/kg IV/IM
2 mcg/kg IN
For children, chest compressions should be this depth relative to the chest.
What is one-third the anterior-posterior diameter?
ALLOW RECOIL
Capillary refill greater than this number of seconds may indicate poor perfusion.
What is more than 2 seconds?
How to size a ET Tube correctly?
Aged based
This rhythm shows organized electrical activity without a palpable pulse.
What is pulseless electrical activity (PEA)?
D10 Dosing and Volume
.5 G per KG
1g/10ml
This shock energy dose is recommended for the first defibrillation in pediatric VF/pVT.
What is 2 J/kg?
Blood pressure Normal range and lowest acceptable
70 + 2 x age
90 + 2 x age
What do you do if a pediatrics HR drops below 100?
Assisted Ventilations
Sinus bradycardia in pediatrics is most commonly caused by this condition.
What is hypoxia?
Midazolam Dosing IV and IM
.1 and .2 mg/kg
Special Considerations for extended resuscitation efforts?
Drowning
Electrocution or Lighting Strike
If a child is not breathing what should you assume?
Choking
Failure slow RR
Distress high RR
Wide-complex tachycardia with a pulse in a child should be treated first with this medication if stable.
What is amiodarone?
Epinephrine Dosing
1:1000 0.01 mg/kg
1:10000 0.01 mg/kg
Push Dose 1 mcg/kg
Nebulized 2 mg 1:1 in 3 ml of NS
Epi Drip Range 0.05-1mcg/min/kg
VF/VT Refractory what medication do you give with dose and concentration 15 KG patient
Amiodarone
5 mg/kg 1.5 ml and 75 mg
Why does Ems struggle with pediatrics and what can we do to provide better care?
Open for discussion