PALS (Main)

2010 AHA Recommendations

• Use Heimlich for >1yr; back/chest thrusts for <1yr
• Treat shock w/ initial 20cc/kg bolus
  • Repeat boluses up to total of 60 mL/kg; thereafter pressors should be started
• Do not routinely hyperventilate even in cases of head injury
• Provide family w/ option of being present during resuscitation
• IO is useful as initial vascular access
• Self-Adhering Electrodes
  • Use largest size that will fit on child’s chest w/o touching
  • When possible leave 3cm between electrodes
  • Adult size for >10kg; infant size for <10kg
• Hypotension is defined as sys BP:
  • <60 (0 to 28 days)
  • <70 (1mo - 12mo)
  • <70 + (2 X age in yr) (1-10yr)
  • <90 (≥10yr)

Advanced Airway

• Cuffed and uncuffed ETT are acceptable
  • Uncuffed
    • <1yo - 3.5mm ETT
    • 1-2yo - 4mm ETT
    • >2yo - 4 + (age/4)
  • Cuffed
    • <1yo - 3mm ETT
    • 1-2yo - 3.5mm ETT
    • >2yo - 3.5 + (age/4)

See Also

• Peds Quick Drug Card
• Synchronized Cardioversion
• Post Cardiac Arrest
• ACLS (Main)
• ACLS (Treatable Conditions)

Source

AHA 2010 Guidelines for PALS