Pediatric Hypothermic Cardiac Arrest

Question 1

Pediatric Hypothermic Arrest - Pulse and breathing check duration?

Answer 1

60 sec.

Question 2

Pediatric Hypothermic Arrest - VF / VT tx?

Answer 2

Shock 2 J/kg

Question 3

Pediatric Hypothermic Arrest - VF / VT Maximum # of defibrillation attempts

Answer 3

Three

Question 4

Pediatric Hypothermic Arrest - Energy dose for defibrillation?

Answer 4

2 J/kg then gradually increase energy to 10 J/kg or adult dose

Question 5

Pediatric Hypothermic Arrest - Medication administration

Answer 5

Follow appropriate protocols
Double administration times
Max of 3 Epi doses

Question 6

Pediatric Hypothermic Arrest - Mandatory prior to discontinuing resuscitation

Answer 6

OLMC

Question 7

Pediatric Hypothermic Arrest - Destination Criteria

Answer 7

14 and younger to ACH

Question 8

Pediatric Hypothermic Arrest - Asystole / PEA treatment

Answer 8

CPR, supportive care

Question 9

Pediatric Hypothermic Arrest - Withholding/discontinuing resuscitation considerations

Answer 9

arrest then cold (poor outcome) vs. cold then arrest (better outcome)
Rigor and pupils unreliable signs

Question 10

Pediatric Hypothermic Arrest - Passive rewarming consists of…

Answer 10

Removing wet garments, blankets and ambulance temperature