Cardiac Arrest (Paediatric)

Question 1

What age is an infant

Answer 1

2hrs to 1 year

Question 2

What age is an child

Answer 2

1 to 16

Question 3

What is the most common cause of a paediatric arrest

Answer 3

Hypoxaemia

Question 4

What are the most common rhythms seen in a paediatric arrest?

Answer 4

PEA
Asystole
Profound Bradycardia

Question 5

Why is asystole the most common rhythm seen in a paediatric arrest

Answer 5

Prolonged and severe hypoxia will lead to acidosis and as a result progressive bradycardia which will terminate in asystole

Question 6

What are the most common causes of VF in a paediatric arrrest

Answer 6

Congenital heart conditions
Poisoning with cardioactive drugs

Question 7

How should an infants head be positioned when managing airway and breathing?

Answer 7

Neutral position as flexion can cause airway obstruction

Question 8

How should a small childs (1-8 years) head be positioned when managing airway and breathing?

Answer 8

small degree of neck extension

Question 9

How should a small childs (9-16 years) head be positioned when managing airway and breathing?

Answer 9

Extend the neck, same as an adult

Question 10

Why should we avoid hyperventilation in a resus?

Answer 10

Hypocapnia can cause cerebral vasoconstriction

Question 11

Which treatable conditions may cause low end tidal volume?

Answer 11

Pneumothorax
Hypovolaemia
Cardiac Tamponade

Question 12

Which treatable conditions may cause high end tidal volume?

Answer 12

Acidaemia
Inadequate ventilation

Question 13

At what Joulage do we shock children in cardiac arrest?

Answer 13

4J/kg

Question 14

Adrenaline protocol in a paediatric arrest

Answer 14

10mcg/kg
In a non-shockable rhythm shock ASAP
In a shockable rhythm shock after 2nd shock

Question 15

Amiodarone protocol in a paediatric arrest

Answer 15

5mg/kg after 3rd shock

Question 16

Fluid resuscitation in a paediatric arrest

Answer 16

10mL/kg up to 250mL aliquots
Total 40mL/kg