Begin Basic Life Support Pediatric Non-Traumatic Cardiac Arrest procedures.
Perform Endotracheal Intubation only when other methods of airway control are not effective.
During transport, or if transport is delayed:
If patient is intubated, administer Epinephrine 0.01 mg/kg (0.1 ml/kg of a 1:10,000 solution), via the Endotracheal Tube. (See Appendix J.)
If abdominal distension occurs, pass a Nasogastric Tube.
Begin Cardiac Monitoring, record and evaluate EKG strip.
If in ventricular fibrillation, immediately Defibrillate at 2 joules/kg, using paddles of appropriate size. If the defibrillator is unable to deliver calculated dose, use the table below:
AGE
ENERGY
0-3 year
20 joules
4-9 year
50 joules
If necessary, repeat Defibrillation.
AGE
ENERGY
0-3 year
20 joules
4-7 year
50 joules
8-9 year
100 joules
NOTE: IF THE DEFIBRILLATOR IS UNABLE TO DELIVER AS LOW A DOSE AS RECOMMENDED, USE THE LOWEST AVAILABLE SETTING.
Contact Medical Control for implementation of one or more of the following options:
Begin an IV (IO) infusion of Ringer's Lactate (RL), to keep vein open. Attempt IV or IO only once each.
OPTION C:
Administer Epinephrine 0.01 mg/kg (0.1 ml/kg of a 1:10,000 solution), IV (IO) bolus, or via the Endotracheal Tube. (See Appendix J.)
OPTION D:
Administer Atropine Sulfate 0.01 mg/kg, IV (IO) bolus, or via the Endotracheal Tube. Minimum dose is 0.10 mg, maximum dose is 1.0 mg. (See Appendix J.)
OPTION E:
Administer Naloxone 2.0 mg IV (IO) bolus, via the Endotracheal Tube, or IM in patients two years of age or older. Use half the amount (1.0 mg.) of this drug in patients less than two (2) years of age. (See Appendix J.)
Medical Control Options