Pediatric Asystole - Revision history

Mfrdmanager at 14:22, 13 November 2020

2020-11-13T14:22:30Z

Mfrdmanager: Protected "Pediatric Asystole" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

2018-02-10T17:03:01Z

Protected "Pediatric Asystole" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

Mfrdmanager at 17:02, 10 February 2018

2018-02-10T17:02:50Z

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

2018-02-10T17:02:25Z

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, [[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
* If hypothermic, refer to [[Cold Emergencies|COLD EMERGENCIES]] (5.06)
* INTUBATE and establish peripheral IV or IO line as able
* If hypovolemia suspected, fluid bolus 20 ml/kg

'''''Refer to Handtevy System for medication administration'''''
* [[Adrenergics|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
* [[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.'''''

{| 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|0701]]

@@ Line 12: / Line 12: @@
-* 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)
 * INTUBATE and establish peripheral IV or IO line as able
@@ Line 18: / Line 18: @@
 '''''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)
+* [[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
@@ Line 27: / Line 27: @@
 {| 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 Maitland Fire Rescue 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 />
-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]]

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