View source for Pulseless arrest (peds)

{{Peds top}} [[pulseless arrest]]. See [[critical care quick reference]] for drug doses and equipment sizes by weight.''
==Asystole and PEA==
*Give [[Epi]] 0.01mg/kg (0.1 mL/kg 1:10,000) (max 1mg) q3-5min
*Rhythm check q2min
*Prioritize adequate oxygenation and ventilation, as respiratory arrest is the most common cause of pediatric cardiac arrest
*Consider H's and T's
**[[Hypoglycemia (peds)|Hypoglycemia]]
**[[Hypovolemia]]
**[[Hypoxia]] (most common cause of pediatric arrest)
**[[Acid-base disorders|Hydrogen ion]]
**[[Hypokalemia]] or [[hyperkalemia]]
**[[Hypothermia]]
**[[Tension pneumothorax]]
**[[Tamponade]]
**[[Toxins]]
**[[PE|Thrombosis, pulmonary]]
**[[ACS|Thrombosis, coronary]]

==Ventricular fibrillation/Pulseless Ventricular Tachycardia==
*[[Shock]] as quickly as possible and resume [[CPR]] immediately
**First shock 2 J/kg
**Second shock 4 J/kg
**Subsequent shocks ≥ 4 J/kg (max 10 J/kg)
*Give [[Epi]] if (shock + 2min [[CPR]]) fails to convert rhythm
*Perform pulse check/shock if appropriate q2min
*Give [[antiarrhythmic]] if (2nd shock + 2min [[CPR]]) again fails
**1st line: [[Amiodarone]]
***5mg/kg (max 300mg)
***May repeat twice up to 15mg/kg
**2nd line: [[Lidocaine]]
***1mg/kg
**[[Magnesium]]
***25-50mg/kg (max 2g) IV
***Only for polymorphic [[V-tach]]

==See Also==
*[[PALS (Main)]]
*[[Adult Pulseless Arrest]]
*[[Post Cardiac Arrest]]
*[[Brain Death]]
*[[Critical care quick reference]]

==References==
AHA 2010 Guidelines for PALS

[[Category:Critical Care]]
[[Category:Cardiology]]
[[Category:Pediatrics]]
[[Category:EMS]]