Most acutely ill and injured children are managed within emergency departments that are not part of a children’s hospital. Difficulties in getting the right resources and training have been cited as barriers to providing the best possible care in these settings. This has resulted in variable levels of emergency care for children. TREKK is a […]
The optimal sequence of PALS interventions, including administration of antiarrhythmic drugs during resuscitation, and the preferred manner and timing of drug administration in relation to shock delivery are still not known. One study reported a statistically significant improvement in return of spontaneous circulation when lidocaine administration was compared with amiodarone for pediatric ventricular fibrillation/pulseless ventricular […]
System Action Airway Intubate → Ventilation tidal volume @ 6-8 mL/kg Place OG or NG tube Confirm endotracheal and OG/NG tube placement with chest x-ray Breathing SpO2 goal >94% → adjust PEEP & FiO2 to achieve goal EtCO2 goal 30-40 mmHg → adjust respiratory rate to achieve Circulation 12-lead ECG → Activate cardiac catheterization lab […]
The pediatric assessment triangle, provides a valuable checklist that we should go through for every child we see in the ED to help us assess their risk of crashing. The pediatric assessment triangle is based solely on observing the child from the foot of the bed.
ILCOR 2015 – paediatric summary Paediatric rapid response/medical emergency teams should be implemented in hospitals caring for children We should consider using less volume when treating patients in shock, especially if febrile without overt signs of shock – the key is to reassess frequently Rescue breaths should always be provided first if able After ROSC […]
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New 2015 Resuscitation Guidelines: BLS Healthcare Provider Pediatric Cardiac Arrest Algorithm for 2 or More Rescuers
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