Term
Pediatric Dysrhythmias:
PEA / Asystole
BLS |
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Definition
- O2 and/or ventilate prn
- CPR
- Begin compressions, after first 30 compressions give first ventilations
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Term
Pediatric Dysrhythmias:
PEA / Asystole
ALS |
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Definition
- Perform CPR x2 min
- Perform no more than 10 second rhythm check, and pulse if rhythm is organized
- CPR fo 2"
- IV/IO SO Do not interupt CPR to establish IV/IO
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Term
Pediatric Dysrhythmias:
PEA / Asystole
Once IV/IO established, if no pulse after rhythm/pulse check: |
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Definition
- Epinphrine 1:10,000 per drug chart IV/IO. MR x2 in q3-5" SO. MR q3-5" BHO
- BVM: if unable to adequately ventilate via BVM, intubate SO
- EtCO2 monitoring SO
- NG/OG prn SO
- Pronouncement at scene BHPO
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Term
Pediatric Dysrhythmias:
PEA / Asystole
Note |
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Definition
- For patients with EtCO2 reading less than 10mm/Hg or patients in nonperfusing rhythms after resuscitative effort, consider early Base Hospital contact for disposition/pronouncement on scene
- Medication should be administered as soon as possible after rhythm checks. The timing of drug delivery is less important than is the need to minimize interuptions in chest compressions
- Flush IV line with Normal Saline after medication administration
- CPR should be performed during charging of the defibrillator
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