Pediatric Asystole/PEA

Question 1

Preferred airway management in paediatric arrest

Answer 1

BVM with OPA/NPA

Question 2

Paediatric chest compression ratio

Answer 2

2 rescuer 15:2

1 rescuer 30:2

Question 3

Paediatric arrest Epinephrine dose

Answer 3

0.01 mg/kg of 0.1 mg/ml epi to single max of 1 mg q 3-5 min

Question 4

Calcium gluconate dose in paediatric asystole or PEA

Answer 4

60 mg/kg SIVP to single max of 3g

Single max of 3 g

Question 5

Pediatric PEA/Asystole - Calcium gluconate EMS contraindications

Answer 5

Hypersensitivity

Hypercalcemia

Question 6

Paediatric PEA/asystole - pre-existing hyperkalemia (renal failure) or TCA/ASA OD consider

Answer 6

Sodium bicarbonate

No repeat dose

Question 7

Paediatric asystole/PEA - sodium bicarbonate dose?

Answer 7

1 mEq/kg SIVP

No repeat dose

Question 9

Asystole/PEA - Hs

Answer 9

Hypovolemia
Hypoxia
Hydrogen ion (acidosis)
Hypokalemia/hyperkalemia
Hypothermia

Question 10

In paediatric arrests special attention should be placed on checking this vital sign which can become depleted during arrest?

Answer 10

Blood glucose level

Question 11

Early Transport Criteria for pediatric cardiac arrest

Answer 11

Suspected pseudo PEA
20 minute transport to ACH
Persistent VT
LVAD
Pt and family need

Question 12

Asystole/PEA -Ts

Answer 12

Tablets/toxins
Tamponade
Tension pneumothorax
Thrombosis (coronary)
Thrombosis (pulmonary)

Question 13

Pediatric PEA/asystole - No ROSC after 40 min?

Answer 13

Consider withholding / discontinuing resuscitation
or
Transport as directed by OLMC