Paediatric basic and advanced life support — branching viva

Opening (candidate)

My immediate action is to confirm a shockable rhythm and defibrillate. The monitor shows ventricular fibrillation, so I would charge the defibrillator to 4 joules per kilogram — about 64 joules for a 16 kilogram child — deliver the shock, and resume chest compressions immediately for two minutes. I would ask the nurse to prepare adrenaline 10 micrograms per kilogram intraosseously for the third shock, and I would assign a team leader role, a scribe and a timer, and run the advanced life support loop. ^{[1] [5]}