Resuscitation And Tramua Flashcards
Depth of compressions in infants?
Older children?
What ratio of compressions to breaths? Rate?
1.5 inches
2 inches
15:2, 100-120
What sBP is worrisome?
What RR?
< 70 + (2*age)
> 60
What is the dose of Epi for peds in cardiac arrest?
Amiodarone?
Lidocaine?
.01 mg/kg which is .1 mL/kg for 1/10,000 [ ]
5 mg/kg bolus
1 mg/kg bolus, 20-50 mcg/kg infusion
What is energy dosing for defibrillation on 1st attempt?
2nd?
3rd?
2 J/kg
4 J/kg
10 J/kg
How to treat adrenal insufficiency in peds with fluid refractory septic shock?
Alternate dose?
Hydrocortisone 1-2 mg/kg with max dose of 100 mg
50-100 mg/day
What is considered bradycardia in a newborn?
When to start compressions?
< 100 bpm
< 60 bpm
What defines neonatal hypogylcemia?
What is the replacement dose? And what [ ]?
< 40 mg/dL
D10W with 2-4 mL/kg
Normal SpO2 % 1 minute after birth?
How should it increase?
60-65%
Increase by 5% every minute up to 85-95% at 10 minutes
What is the compression to ventilation ratio in neonatal resuscitation?
3:1 w/goal of 90 compressions w/30 synchronized breaths
How much blood to transfuse for decompensated shock 2/2 to blood loss?
10-20 mL/kg PRBC
Ped pt presenting with signs of herniation, what dose of 3% hypertonic saline?
Mannitol?
6.5-10 mL/kg
.25-.5 g/kg IV
What level to maintain CPP in peds?
Adults?
50
70
What defines massive transfusion?
What must you do and why?
Blood product volume > 40 mL/kg
Add Plts to correct coagulopathy, give plasma, Plts, prices in 1:1:1 ration
What is SCIWORA?
Why is it important?
Spinal cord injury without obvious radiographic abnormality
Children have underdeveloped neck musculature and a big head, fulcrum is at C2/C3 and cause higher cervical cord injuries w/inc incidence of cord injury w/OUT bone injury
When is ED thoracostomy indicated?
Penetrating trauma and CPR for < 15 minutes
Blunt trauma w/evidence of Cardiac tamponade present, CPR < 10 minutes
