Paediatric Scenario

Question 1

Age & Calculated Joules for:

3 mth old?

Answer 1

= 6kg

> 4 x 6 = 24J

Question 2

Age & Calculated Joules for:

6 mth old?

Answer 2

= 8kg

> 4 x 8 = 32J

Question 3

Age & Calculated Joules for:

1 yr old?

Answer 3

(2 x 1 yr + 8 = 10kg) > 10kg

> 4 x 10 = 40J

Question 4

Age & Calculated Joules for:

7 yr old?

Answer 4

(2 x 7 yr + 8) > 22kg

> 4 x 22 = 88J

Question 5

Age & Calculated Joules for:

10 yr old?

Answer 5

(3.3 x 10 yr) > 33kg

> 4 x 33 = 132J

Question 6

Age & Calculated Joules for:

11 yr old?

Answer 6

(3.3 x 11 yr) > 36kg

> 4 x 36 = 144J

Question 7

Arrival & Scene Safety?

Answer 7

- Verbalise and Assess scene for dangers
"NO DANGER"
"USING PPE" (gloves, mask, goggles)
"DRA NOW AND THROUGHOUT"
"ATTEMPT 360 DEGREE ACCESS"

Question 8

Response?

Answer 8

• Verbal and Physical stimuli checks

“NO RESPONSE”

Question 9

Airway?

Answer 9

• Check in NEUTRAL position (padding under shoulders as required)
• Head and neck caution in < 8 yr
• “AIRWAY CLEAR, NO CERVICAL CONSIDERATIONS”

Question 10

Breathing?

Answer 10

• Looking and Feeling for chest rise & fall
• Listening for breath sounds
  “NO BREATHING”

Question 11

Circulation?

Answer 11

• Check carotid pulse and verbalise checking for major haemorrhage
  “NIL PULSE, NIL HAEMORRHAGE”

Question 12

Initial Mx and Rhythm Check?

Answer 12

“CARDIAC ARREST”
- commence immediate IPPV with BVM (OPA / NPA as req’d)
- direct staff to apply adult / feedback pads as appropriate for age / weight
- direct staff to connect pads to monitor and turn monitor on
- perform rhythm check on monitor
“I SEE ( X ) RHYTHM, DO YOU AGREE?”

Question 13

pVT or VF?

Answer 13

"STAND CLEAR, CHARGING"
- visual check to ensure no one else in contact w/ pt
"CHARGING TO ( X ) JOULES
"STOP COMPRESSIONS" 
CONFIRMING RHYTHM ( X ): SHOCKING
- continue chest compressions