Pediatric Ventricular Fibrillation or Pulseless Ventricular Tachycardia - Revision history

Treloars at 14:38, 24 April 2020

2020-04-24T14:38:02Z

← Older revision		Revision as of 14:38, 24 April 2020
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	*Allow for complete chest recoil between compressions.		*Allow for complete chest recoil between compressions.
	*Minimize interruptions		*Minimize interruptions
	*Assist ventilations with [[~~Medical Gases~~\|OXYGEN]] @ 100% via BVM. DO NOT HYPERVENTILATE		*Assist ventilations with [[Oxygen\|OXYGEN]] @ 100% via BVM. DO NOT HYPERVENTILATE
	* INTUBATE and establish peripheral IV or IO line as able.		* INTUBATE and establish peripheral IV or IO line as able.
	* DEFIBRILLATION @ 2 J/kg.		* DEFIBRILLATION @ 2 J/kg.

Treloars at 23:54, 23 April 2020

2020-04-23T23:54:49Z

← Older revision		Revision as of 23:54, 23 April 2020
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	* If hypovolemia suspected, fluid bolus 20 ml / kg.		* If hypovolemia suspected, fluid bolus 20 ml / kg.
	* [[~~Antiarrhythmics~~\|AMIODARONE]] 5 mg/kg, IVP or IO - refer to Broselow Tape for patient specific dose.		* [[Amiodarone\|AMIODARONE]] 5 mg/kg, IVP or IO - refer to Broselow Tape for patient specific dose.
	:'''OR'''		:'''OR'''
	* [[~~Antiarrhythmics~~\|LIDOCAINE]] 1.0 mg/kg IV / IO.		* [[Lidocaine\|LIDOCAINE]] 1.0 mg/kg IV / IO.


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	* After 10 minutes, [[~~Antiarrhythmics~~\|LIDOCAINE]] 1.0 mg/kg IV / IO.		* After 10 minutes, [[Lidocaine\|LIDOCAINE]] 1.0 mg/kg IV / IO.
	* DEFIBRILLATION @ 8 J/kg. Continue CPR immediately.		* DEFIBRILLATION @ 8 J/kg. Continue CPR immediately.
	* If rhythm converts, follow appropriate Practice Parameter		* If rhythm converts, follow appropriate Practice Parameter

	'''''If V-Fib converts to a pulse-producing tachycardic rhythm, follow with [[~~Antiarrhythmics~~\|LIDOCAINE]] boluses IVP.'''''		'''''If V-Fib converts to a pulse-producing tachycardic rhythm, follow with [[Lidocaine\|LIDOCAINE]] boluses IVP.'''''

	[[Category:Pediatric and Obstetrical\|0703]]		[[Category:Pediatric and Obstetrical\|0703]]

Treloars at 20:08, 22 April 2020

2020-04-22T20:08:31Z

← Older revision		Revision as of 20:08, 22 April 2020
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	'''''Refer to Handtevy System for specific medication administration based on weight / length.'''''		'''''Refer to Handtevy System for specific medication administration based on weight / length.'''''
	* [[~~Adrenergics~~\|EPINEPHRINE]] 1:10,000 (0.1mg/ml) 0.01 mg / kg IV /IO		* [[Epinephrine\|EPINEPHRINE]] 1:10,000 (0.1mg/ml) 0.01 mg / kg IV /IO
	* Repeat [[~~Adrenergics~~\|EPINEPHRINE]] 1:10,000 (0.1mg/ml) 0.01 mg / kg every 3 - 5 minutes of continued arrest.		* Repeat [[Epinephrine\|EPINEPHRINE]] 1:10,000 (0.1mg/ml) 0.01 mg / kg every 3 - 5 minutes of continued arrest.

Treloars at 16:01, 1 February 2018

2018-02-01T16:01:58Z

← Older revision		Revision as of 16:01, 1 February 2018
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	'''''If V-Fib converts to a pulse-producing tachycardic rhythm, follow with [[Antiarrhythmics\|LIDOCAINE]] boluses IVP.'''''		'''''If V-Fib converts to a pulse-producing tachycardic rhythm, follow with [[Antiarrhythmics\|LIDOCAINE]] boluses IVP.'''''

	[[Category:Pediatric and Obstetrical]]		[[Category:Pediatric and Obstetrical\|0703]]

Treloars: /* 7.03 PEDIATRIC VENTRICULAR FIBRILLATION /PULSELESS VENTRICULAR TACHYCARDIA */

2016-04-25T19:24:22Z

7.03 PEDIATRIC VENTRICULAR FIBRILLATION /PULSELESS VENTRICULAR TACHYCARDIA

← Older revision		Revision as of 19:24, 25 April 2016
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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.		* Initiate 5 cycles of high quality (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.
			*Maintain rate of between 100-120 compressions per minute.
			*Maintain compression depth of at least 1/3 of the depth of the chest.
			*Allow for complete chest recoil between compressions.
			*Minimize interruptions
	*Assist ventilations with [[Medical Gases\|OXYGEN]] @ 100% via BVM. DO NOT HYPERVENTILATE		*Assist ventilations with [[Medical Gases\|OXYGEN]] @ 100% via BVM. DO NOT HYPERVENTILATE
	* INTUBATE and establish peripheral IV or IO line as able.		* INTUBATE and establish peripheral IV or IO line as able.
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	**If rhythm converts, follow appropriate Practice Parameters.		**If rhythm converts, follow appropriate Practice Parameters.

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


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	* DEFIBRILLATION @ 4 J/kg. Continue CPR immediately.		* DEFIBRILLATION @ 6 J/kg. Continue CPR immediately.
	* If rhythm converts, follow appropriate Practice Parameters		* If rhythm converts, follow appropriate Practice Parameters


	* After 10 minutes, [[Antiarrhythmics\|LIDOCAINE]] 1.0 mg/kg IV / IO.		* After 10 minutes, [[Antiarrhythmics\|LIDOCAINE]] 1.0 mg/kg IV / IO.
	* DEFIBRILLATION @ 4 J/kg. Continue CPR immediately.		* DEFIBRILLATION @ 8 J/kg. Continue CPR immediately.
	* If rhythm converts, follow appropriate Practice Parameter		* If rhythm converts, follow appropriate Practice Parameter

	'''''If V-Fib converts to a pulse-producing tachycardic rhythm, follow with [[Antiarrhythmics\|LIDOCAINE]] boluses IVP~~. Refer to Broselow Tape for administration based on weight / length~~.'''''		'''''If V-Fib converts to a pulse-producing tachycardic rhythm, follow with [[Antiarrhythmics\|LIDOCAINE]] boluses IVP.'''''

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

Treloars: /* 7.03 PEDIATRIC VENTRICULAR FIBRILLATION /PULSELESS VENTRICULAR TACHYCARDIA */

2013-03-19T14:37:09Z

7.03 PEDIATRIC VENTRICULAR FIBRILLATION /PULSELESS VENTRICULAR TACHYCARDIA

← Older revision		Revision as of 14:37, 19 March 2013
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	* If hypovolemia suspected, fluid bolus 20 ml / kg.		* If hypovolemia suspected, fluid bolus 20 ml / kg.
			* [[Antiarrhythmics\|AMIODARONE]] 5 mg/kg, IVP or IO - refer to Broselow Tape for patient specific dose.
			:'''OR'''
	* [[Antiarrhythmics\|LIDOCAINE]] 1.0 mg/kg IV / IO.		* [[Antiarrhythmics\|LIDOCAINE]] 1.0 mg/kg IV / IO.

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

2012-04-02T01:41:37Z

Section 7 - PEDIATRIC / OBSTETRICAL

← Older revision		Revision as of 01:41, 2 April 2012
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	'''''If V-Fib converts to a pulse-producing tachycardic rhythm, follow with [[Antiarrhythmics\|LIDOCAINE]] boluses IVP. Refer to Broselow Tape for administration based on weight / length.'''''		'''''If V-Fib converts to a pulse-producing tachycardic rhythm, follow with [[Antiarrhythmics\|LIDOCAINE]] boluses IVP. Refer to Broselow Tape for administration based on weight / length.'''''

			[[Category:Pediatric and Obstetrical]]

Treloars: Created page with "==Section 7 - PEDIATRIC / OBSTETRICAL== ===7.03 PEDIATRIC VENTRICULAR FIBRILLATION /PULSELESS VENTRICULAR TACHYCARDIA=== * Initiate 5 cycles of (30:2) one-rescuer or (15:2) ..."

2012-02-26T17:22:02Z

Created page with "==Section 7 - PEDIATRIC / OBSTETRICAL== ===7.03 PEDIATRIC VENTRICULAR FIBRILLATION /PULSELESS VENTRICULAR TACHYCARDIA=== * Initiate 5 cycles of (30:2) one-rescuer or (15:2) ..."

New page

==Section 7 - PEDIATRIC / OBSTETRICAL==
===7.03 PEDIATRIC VENTRICULAR FIBRILLATION /PULSELESS VENTRICULAR TACHYCARDIA===

* 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
* INTUBATE and establish peripheral IV or IO line as able.
* DEFIBRILLATION @ 2 J/kg.
**Proceed to next step only if V-Fib / Pulseless V-Tach persists.
**If rhythm converts, follow appropriate Practice Parameters.

'''''Refer to Broselow Tape for specific 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 every 3 - 5 minutes of continued arrest.

* DEFIBRILLATION @ 4 J/kg. Continue CPR immediately.
* If rhythm converts, follow appropriate Practice Parameters.

* If hypovolemia suspected, fluid bolus 20 ml / kg.
* [[Antiarrhythmics|LIDOCAINE]] 1.0 mg/kg IV / IO.

* DEFIBRILLATION @ 4 J/kg. Continue CPR immediately.
* If rhythm converts, follow appropriate Practice Parameters

* After 10 minutes, [[Antiarrhythmics|LIDOCAINE]] 1.0 mg/kg IV / IO.
* DEFIBRILLATION @ 4 J/kg. Continue CPR immediately.
* If rhythm converts, follow appropriate Practice Parameter

'''''If V-Fib converts to a pulse-producing tachycardic rhythm, follow with [[Antiarrhythmics|LIDOCAINE]] boluses IVP. Refer to Broselow Tape for administration based on weight / length.'''''