Advanced Paediatric Life Support

Question 1

What type of defibrillation and joules calculation would you use for Pulseless VT or VF?

Answer 1

Unsynchronised 4J/kg

Question 2

What type of defibrillation and joules calculation would you use for VT with a pulse (1st, then 2nd shock)?

Answer 2

1st: Synchronised 1J/kg
2nd: Synchronised 2J/kg

Question 3

Dose of adrenaline in arrest?

Answer 3

0.1mL of 1:10 000 (10mcg/kg)

Question 4

Initial management of hyperkalaemia?

Answer 4

Nebulised salbutamol
If pH 7.35: Glucose + insulin infusion
Resonium 0.5 - 1g PO or 1g PR

Question 5

Dose of adrenaline in neonatal resus?

Answer 5

Adrenaline 10 - 30mcg/kg (0.1 - 0.3mL/kg of 1:10 000)

Question 6

Weight calculation based on age?

Answer 6

Age x2 + 6

Question 7

Calculation of size of uncuffed ETT?

Answer 7

Age/4 +4

Question 8

Calculuation of size of cuffed ETT?

Answer 8

Age/4 +3.5

Question 9

Bolus of glucose for hypoglycaemia?

Answer 9

2mL/kg of 10% dextrose

Question 10

What are the 4H’s and 4T’s?

Answer 10

4H's:
Hypoxia
Hypovolemia
Hyper/hypokalaemia (+ other metabolics)
Hypothermia/hyperthermia

4T's:
Tension pneumothorax
Tamponade
Toxins
Thrombosis

Question 11

When do you give amiodarone in resus and what is the dose?

Answer 11

After 3rd defibrillation, dose is 5mg/kg