Paeds Vivas · acute-care-resuscitation-and-toxicology
Paediatric basic and advanced life support — branching viva
Viva on the paediatric basic life support sequence, high-quality CPR, the ALS loop with defibrillation and adrenaline, the reversible causes, and post-arrest temperature management.
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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]
References8ShowHide
- [1]Topjian AA Part 4: Pediatric Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Pediatrics, 2021.PMID 33087552
- [2]Maconochie IK European Resuscitation Council Guidelines 2021: Paediatric Life Support. Resuscitation, 2021.PMID 33773830
- [4]Atkins DL 2017 American Heart Association Focused Update on Pediatric Basic Life Support and Cardiopulmonary Resuscitation Quality. Circulation, 2018.PMID 29114009
- [5]Duff JP 2018 American Heart Association Focused Update on Pediatric Advanced Life Support. Circulation, 2018.PMID 30571264
- [8]Valdes SO Lidocaine versus amiodarone for pediatric in-hospital cardiac arrest: An observational study. Resuscitation, 2020.PMID 31954741
- [9]Moler FW Therapeutic Hypothermia in Children. N Engl J Med, 2015.PMID 26332558
- [10]Moler FW Therapeutic Hypothermia after In-Hospital Cardiac Arrest in Children. N Engl J Med, 2017.PMID 28118559
- [12]Lin S Adrenaline for out-of-hospital cardiac arrest resuscitation: a systematic review and meta-analysis of randomized controlled trials. Resuscitation, 2014.PMID 24642404