Pediatric Asystole - Revision history

Treloars at 14:37, 24 April 2020

2020-04-24T14:37:32Z

← Older revision		Revision as of 14:37, 24 April 2020
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	* Initiate 5 cycles of (30:2) one-rescuer or (15:2) two-rescuer CPR for approximately 2 minutes to allow blood to circulate and continue throughout resuscitation, minimizing interruptions. Assist ventilations with [[~~Medical Gases~~\|OXYGEN]] @ 100% via BVM. DO NOT HYPERVENTILATE		* Initiate 5 cycles of (30:2) one-rescuer or (15:2) two-rescuer CPR for approximately 2 minutes to allow blood to circulate and continue throughout resuscitation, minimizing interruptions. Assist ventilations with [[Oxygen\|OXYGEN]] @ 100% via BVM. DO NOT HYPERVENTILATE
	* If hypothermic, refer to [[Cold Emergencies\|COLD EMERGENCIES]] (5.06)		* If hypothermic, refer to [[Cold Emergencies\|COLD EMERGENCIES]] (5.06)
	* INTUBATE and establish peripheral IV or IO line as able		* INTUBATE and establish peripheral IV or IO line as able

Treloars at 23:51, 23 April 2020

2020-04-23T23:51:33Z

← Older revision		Revision as of 23:51, 23 April 2020
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	* [[Epinephrine\|EPINEPHRINE]] 1:10,000 (0.1 mg/ml) 0.01 mg/kg IV / IO		* [[Epinephrine\|EPINEPHRINE]] 1:10,000 (0.1 mg/ml) 0.01 mg/kg IV / IO
	* Repeat [[Epinephrine\|EPINEPHRINE]] 1:10,000 (0.1 mg/ml) 0.01 mg/kg IV / IO, every 3-5 minutes of continued arrest		* Repeat [[Epinephrine\|EPINEPHRINE]] 1:10,000 (0.1 mg/ml) 0.01 mg/kg IV / IO, every 3-5 minutes of continued arrest
	* [[~~Antiarrhythmics~~\|ATROPINE SULFATE]] 0.02 mg/kg (minimum dosage is 0.1 mg)		* [[Atropine\|ATROPINE SULFATE]] 0.02 mg/kg (minimum dosage is 0.1 mg)
	* Repeat every 3-5 minutes of continued arrest for maximum dose of 1 mg		* Repeat every 3-5 minutes of continued arrest for maximum dose of 1 mg

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	{\| class="wikitable"		{\| class="wikitable"
	\|-		\|-
	! The current national guidelines do not include [[~~Antiarrhythmics~~\|ATROPINE]] for treatment of TRUE ASYSTOLE as there is no proof it has a therapeutic benefit. <br />		! The current national guidelines do not include [[Atropine\|ATROPINE]] for treatment of TRUE ASYSTOLE as there is no proof it has a therapeutic benefit. <br />
	Under the Seminole County Practice Parameters the use of [[~~Antiarrhythmics~~\|ATROPINE SULFATE]] is indicated in cardiac arrest that may be caused by extreme bradycardia/hypotension.		Under the Seminole County Practice Parameters the use of [[Atropine\|ATROPINE SULFATE]] is indicated in cardiac arrest that may be caused by extreme bradycardia/hypotension.
	<br />		<br />
	The Paramedic may use [[~~Antiarrhythmics~~\|ATROPINE SULFATE]] based on clinical impression where there is a possibility that its use will have a positive therapeutic benefit. <br />		The Paramedic may use [[Atropine\|ATROPINE SULFATE]] based on clinical impression where there is a possibility that its use will have a positive therapeutic benefit. <br />
	If ATROPINE SULFATE is used, the recommended dose is: [[~~Antiarrhythmics~~\|ATROPINE SULFATE]] 0.02 mg/kg rapid IVP or IO Repeat every 3 - 5 minutes up to a total of 0.04 mg/kg		If ATROPINE SULFATE is used, the recommended dose is: [[Atropine\|ATROPINE SULFATE]] 0.02 mg/kg rapid IVP or IO Repeat every 3 - 5 minutes up to a total of 0.04 mg/kg
	\|}		\|}

	[[Category:Pediatric and Obstetrical\|0701]]		[[Category:Pediatric and Obstetrical\|0701]]

Treloars at 20:07, 22 April 2020

2020-04-22T20:07:47Z

← Older revision		Revision as of 20:07, 22 April 2020
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	'''''Refer to Handtevy System for medication administration'''''		'''''Refer to Handtevy System for medication administration'''''
	* [[~~Adrenergics~~\|EPINEPHRINE]] 1:10,000 (0.1 mg/ml) 0.01 mg/kg IV / IO		* [[Epinephrine\|EPINEPHRINE]] 1:10,000 (0.1 mg/ml) 0.01 mg/kg IV / IO
	* Repeat [[~~Adrenergics~~\|EPINEPHRINE]] 1:10,000 (0.1 mg/ml) 0.01 mg/kg IV / IO, every 3-5 minutes of continued arrest		* Repeat [[Epinephrine\|EPINEPHRINE]] 1:10,000 (0.1 mg/ml) 0.01 mg/kg IV / IO, every 3-5 minutes of continued arrest
	* [[Antiarrhythmics\|ATROPINE SULFATE]] 0.02 mg/kg (minimum dosage is 0.1 mg)		* [[Antiarrhythmics\|ATROPINE SULFATE]] 0.02 mg/kg (minimum dosage is 0.1 mg)
	* Repeat every 3-5 minutes of continued arrest for maximum dose of 1 mg		* Repeat every 3-5 minutes of continued arrest for maximum dose of 1 mg

Treloars at 16:00, 1 February 2018

2018-02-01T16:00:35Z

← Older revision		Revision as of 16:00, 1 February 2018
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	\|}		\|}

	[[Category:Pediatric and Obstetrical]]		[[Category:Pediatric and Obstetrical\|0701]]

Treloars: /* 7.01 PEDIATRIC ASYSTOLE */

2016-04-25T19:13:21Z

7.01 PEDIATRIC ASYSTOLE

← Older revision		Revision as of 19:13, 25 April 2016
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	* If hypovolemia suspected, fluid bolus 20 ml/kg		* If hypovolemia suspected, fluid bolus 20 ml/kg

	'''''Refer to ~~Broselow Tape~~ for medication administration ~~based on weight / length~~'''''		'''''Refer to Handtevy System for medication administration'''''
	* [[Adrenergics\|EPINEPHRINE]] 1:10,000 0.01 mg/kg IV / IO		* [[Adrenergics\|EPINEPHRINE]] 1:10,000 (0.1 mg/ml) 0.01 mg/kg IV / IO
	* Repeat [[Adrenergics\|EPINEPHRINE]] 1:10,000 0.01 mg/kg IV / IO, every 3-5 minutes of continued arrest		* Repeat [[Adrenergics\|EPINEPHRINE]] 1:10,000 (0.1 mg/ml) 0.01 mg/kg IV / IO, every 3-5 minutes of continued arrest
	* [[Antiarrhythmics\|ATROPINE SULFATE]] 0.02 mg/kg (minimum dosage is 0.1 mg)		* [[Antiarrhythmics\|ATROPINE SULFATE]] 0.02 mg/kg (minimum dosage is 0.1 mg)
	* Repeat every 3-5 minutes of continued arrest for maximum dose of 1 mg		* Repeat every 3-5 minutes of continued arrest for maximum dose of 1 mg

	'''''Ventilation and oxygenation always precede drug therapy.'''''		'''''Ventilation and oxygenation always precede drug therapy.'''''

			{\| class="wikitable"
			\|-
			! The current national guidelines do not include [[Antiarrhythmics\|ATROPINE]] for treatment of TRUE ASYSTOLE as there is no proof it has a therapeutic benefit. <br />
			Under the Seminole County Practice Parameters the use of [[Antiarrhythmics\|ATROPINE SULFATE]] is indicated in cardiac arrest that may be caused by extreme bradycardia/hypotension.
			<br />
			The Paramedic may use [[Antiarrhythmics\|ATROPINE SULFATE]] based on clinical impression where there is a possibility that its use will have a positive therapeutic benefit. <br />
			If ATROPINE SULFATE is used, the recommended dose is: [[Antiarrhythmics\|ATROPINE SULFATE]] 0.02 mg/kg rapid IVP or IO Repeat every 3 - 5 minutes up to a total of 0.04 mg/kg
			\|}

	[[Category:Pediatric and Obstetrical]]		[[Category:Pediatric and Obstetrical]]

Treloars: /* Section 7 - PEDIATRIC / OBSTETRICAL */

2012-04-02T01:41:25Z

Section 7 - PEDIATRIC / OBSTETRICAL

← Older revision		Revision as of 01:41, 2 April 2012
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	'''''Ventilation and oxygenation always precede drug therapy.'''''		'''''Ventilation and oxygenation always precede drug therapy.'''''

			[[Category:Pediatric and Obstetrical]]

Treloars: /* Section 7 - PEDIATRIC / OBSTETRICAL */

2012-04-01T22:37:43Z

Section 7 - PEDIATRIC / OBSTETRICAL

← Older revision		Revision as of 22:37, 1 April 2012
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	*SIDS		*SIDS
	*Sepsis / Hypovolemia, [[Shock\|SHOCK]] (5.13)		*Sepsis / Hypovolemia, [[Shock\|SHOCK]] (5.13)
	*Hypothermia, [[~~Environmental~~ Cold Emergencies\|~~ENVIRONMENTAL~~ COLD EMERGENCIES]] (5.06)		*Hypothermia, [[Cold Emergencies\|COLD EMERGENCIES]] (5.06)


	* Initiate 5 cycles of (30:2) one-rescuer or (15:2) two-rescuer CPR for approximately 2 minutes to allow blood to circulate and continue throughout resuscitation, minimizing interruptions. Assist ventilations with [[Medical Gases\|OXYGEN]] @ 100% via BVM. DO NOT HYPERVENTILATE		* Initiate 5 cycles of (30:2) one-rescuer or (15:2) two-rescuer CPR for approximately 2 minutes to allow blood to circulate and continue throughout resuscitation, minimizing interruptions. Assist ventilations with [[Medical Gases\|OXYGEN]] @ 100% via BVM. DO NOT HYPERVENTILATE
	* If hypothermic, refer to [[~~Environmental~~ Cold Emergencies\|~~ENVIRONMENTAL~~ COLD EMERGENCIES]] (5.06)		* If hypothermic, refer to [[Cold Emergencies\|COLD EMERGENCIES]] (5.06)
	* INTUBATE and establish peripheral IV or IO line as able		* INTUBATE and establish peripheral IV or IO line as able
	* If hypovolemia suspected, fluid bolus 20 ml/kg		* If hypovolemia suspected, fluid bolus 20 ml/kg

Treloars: Created page with "==Section 7 - PEDIATRIC / OBSTETRICAL== ===7.01 PEDIATRIC ASYSTOLE=== ====CONSIDER MEDICAL ETIOLOGY OF ASYSTOLE AND REFER TO APPROPRIATE PRACTICE PARAMETER:==== *Hypoxia / Ac..."

2012-02-26T17:12:48Z

Created page with "==Section 7 - PEDIATRIC / OBSTETRICAL== ===7.01 PEDIATRIC ASYSTOLE=== ====CONSIDER MEDICAL ETIOLOGY OF ASYSTOLE AND REFER TO APPROPRIATE PRACTICE PARAMETER:==== *Hypoxia / Ac..."

New page

==Section 7 - PEDIATRIC / OBSTETRICAL==
===7.01 PEDIATRIC ASYSTOLE===

====CONSIDER MEDICAL ETIOLOGY OF ASYSTOLE AND REFER TO APPROPRIATE PRACTICE PARAMETER:====
*Hypoxia / Acidosis, [[Initial Medical Assessment and Care|INITIAL MEDICAL CARE]] (2.01)
*Injuries, [[Chest Injuries|CHEST INJURIES]] (6.04)
*Suffocation caused by a foreign body, [[Foreign Body Airway Obstruction|FBAO]] (3.03)
*Smoke inhalation, [[Burns - Thermal, Electrical, Chemical|BURNS]] (6.02)
*SIDS
*Sepsis / Hypovolemia, [[Shock|SHOCK]] (5.13)
*Hypothermia, [[Environmental Cold Emergencies|ENVIRONMENTAL COLD EMERGENCIES]] (5.06)

* Initiate 5 cycles of (30:2) one-rescuer or (15:2) two-rescuer CPR for approximately 2 minutes to allow blood to circulate and continue throughout resuscitation, minimizing interruptions. Assist ventilations with [[Medical Gases|OXYGEN]] @ 100% via BVM. DO NOT HYPERVENTILATE
* If hypothermic, refer to [[Environmental Cold Emergencies|ENVIRONMENTAL COLD EMERGENCIES]] (5.06)
* INTUBATE and establish peripheral IV or IO line as able
* If hypovolemia suspected, fluid bolus 20 ml/kg

'''''Refer to Broselow Tape for medication administration based on weight / length'''''
* [[Adrenergics|EPINEPHRINE]] 1:10,000 0.01 mg/kg IV / IO
* Repeat [[Adrenergics|EPINEPHRINE]] 1:10,000 0.01 mg/kg IV / IO, every 3-5 minutes of continued arrest
* [[Antiarrhythmics|ATROPINE SULFATE]] 0.02 mg/kg (minimum dosage is 0.1 mg)
* Repeat every 3-5 minutes of continued arrest for maximum dose of 1 mg

'''''Ventilation and oxygenation always precede drug therapy.'''''

← Older revision		Revision as of 23:51, 23 April 2020
Line 20:		Line 20:
	* [[Epinephrine\|EPINEPHRINE]] 1:10,000 (0.1 mg/ml) 0.01 mg/kg IV / IO		* [[Epinephrine\|EPINEPHRINE]] 1:10,000 (0.1 mg/ml) 0.01 mg/kg IV / IO
	* Repeat [[Epinephrine\|EPINEPHRINE]] 1:10,000 (0.1 mg/ml) 0.01 mg/kg IV / IO, every 3-5 minutes of continued arrest		* Repeat [[Epinephrine\|EPINEPHRINE]] 1:10,000 (0.1 mg/ml) 0.01 mg/kg IV / IO, every 3-5 minutes of continued arrest
	* [[~~Antiarrhythmics~~\|ATROPINE SULFATE]] 0.02 mg/kg (minimum dosage is 0.1 mg)		* [[Atropine\|ATROPINE SULFATE]] 0.02 mg/kg (minimum dosage is 0.1 mg)
	* Repeat every 3-5 minutes of continued arrest for maximum dose of 1 mg		* Repeat every 3-5 minutes of continued arrest for maximum dose of 1 mg

Line 27:		Line 27:
	{\| class="wikitable"		{\| class="wikitable"
	\|-		\|-
	! The current national guidelines do not include [[~~Antiarrhythmics~~\|ATROPINE]] for treatment of TRUE ASYSTOLE as there is no proof it has a therapeutic benefit. <br />		! The current national guidelines do not include [[Atropine\|ATROPINE]] for treatment of TRUE ASYSTOLE as there is no proof it has a therapeutic benefit. <br />
	Under the Seminole County Practice Parameters the use of [[~~Antiarrhythmics~~\|ATROPINE SULFATE]] is indicated in cardiac arrest that may be caused by extreme bradycardia/hypotension.		Under the Seminole County Practice Parameters the use of [[Atropine\|ATROPINE SULFATE]] is indicated in cardiac arrest that may be caused by extreme bradycardia/hypotension.
	<br />		<br />
	The Paramedic may use [[~~Antiarrhythmics~~\|ATROPINE SULFATE]] based on clinical impression where there is a possibility that its use will have a positive therapeutic benefit. <br />		The Paramedic may use [[Atropine\|ATROPINE SULFATE]] based on clinical impression where there is a possibility that its use will have a positive therapeutic benefit. <br />
	If ATROPINE SULFATE is used, the recommended dose is: [[~~Antiarrhythmics~~\|ATROPINE SULFATE]] 0.02 mg/kg rapid IVP or IO Repeat every 3 - 5 minutes up to a total of 0.04 mg/kg		If ATROPINE SULFATE is used, the recommended dose is: [[Atropine\|ATROPINE SULFATE]] 0.02 mg/kg rapid IVP or IO Repeat every 3 - 5 minutes up to a total of 0.04 mg/kg
	\|}		\|}

	[[Category:Pediatric and Obstetrical\|0701]]		[[Category:Pediatric and Obstetrical\|0701]]