Paediatric Arrest

OVERVIEW

• NZRC approach to the collapsed child
• NEEDS TO BE UPDATED

MANAGEMENT

Danger?

• Check responsiveness and signs of life

CPR – 15:1

Defibrillator

(1) VF/VT – 4, 4, 4J/kg -> 2min CPR

OR

(2) Not VF/VT – ADR 10mcg/kg -> 2min CPR

Check

• Defibrillator – source, settings & electrodes
• ETT
• IV

Consider & Correct

• Hypoxia
• Hypovolaemia
• Hyper/hypokalaemia
• Hyper/hypoglycaemia
• Hyper/hypothermia
• Tension
• Tamponade
• Toxicity
• Thromboembolism – MI/PE

Consider

• ETT/LMA
• Adrenaline 10mcg/kg every 3 min

Anti-arrhythmic

• Amiodarone 5mg/kg
• Lignocaine 1mg/kg
• Mg2+ 0.1-0.2 mmol/kg (for Torsades)
• Atropine 20mcg/kg + pacing

Buffer

• NaHCO3 1mmol/kg
• start chest compressions if HR < 60 – IO line – over 8yrs -> can use AEDs