PALS

Question 1

H’s & T’s

Answer 1

H's: 
 - hypo-XIA
 - hypo-volemia
 - hypo-thermia
 - hypo-/hyper-kalemia
 - hypo-glycemia
 - H+ ions (acidosis)
T's:
 - trauma
 - toxins
 - tension pnuemo
 - thrombosis, pulm
 - thrombosis, coronary

Question 2

PEDI: Epi dose

Answer 2

0.01 mg/kg (0.1 mL/kg of 1:10,000), repeat q3-5 min

Question 3

PEDI: Amiodarone dose

Answer 3

5 mg/kg bolus, may repeat up to 2X for refractory VF or pulseless VT

Question 4

PEDI: Defib energy dose

Answer 4

First: 2 J/kg
Second: 4 J/kg
Subsequent: max 10 J/kg (up to max adult dose, 120-200 J biphasic or 360 J monophasic)

Question 5

PEDI: HR cut-offs for sinus tach vs. SVT

Answer 5

220 bpm for infants; 180 for kids (n.b. there is NO beat-to-beat variability with SVT while this is normal in sinus tach)

Question 6

PEDI: Synchronized cardioversion energy dose

Answer 6

0.5-1 J/kg —> (1 J/kg) —> 2 K/kg

Question 7

PEDI: Adenosine dose

Answer 7

1st: 0.1 mg/kg (max 6 mg) as RAPID bolus
2nd: 0.2 mg/kg (max 12 mg)

Question 8

PEDI: Lidocaine dose

Answer 8

1 mg/kg loading dose + 20-50 mcg/kg/min maintenance drip

Question 9

PEDI: Mag sulfate dose

Answer 9

25 to 50 mg/kg IV/IO (max 2 g) given over 10-20 mins [faster if TdP arrest]

Question 10

DOPE Mnemonic for acute decompensation of intubated patient

Answer 10

D - displacement of the tube (hemi-intubation)
O - obstruction of the tube (kink, secretions)
P - pneumothorax
E - equipment