Pediatric
Cardiac Arrest (Non-Traumatic)
Epi Timer
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stop
reset
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General Pediatric Assessment
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Refer to Termination
of Resuscitation
or
DNR/POLST Protocol
as appropriate
Continue Assessment
Go Termination
of Resuscitation
YES
Meets criteria for
Prehospital Death Determination
or
DNR/POLST present?
NO
IF HYPOXIA IS THE CAUSE OF THE ARREST,
EARLY VENTILATION IS RECOMMENDED
Begin Age Appropriate CPR
Push Hard (1.5 Inches Infant 2 Inches in
Children) Push Fast (≥ 100-120/min)
Apply AED and defibrillate, if prompted
Apply cardiac monitor
Epi Count
Shock Count
VF/ VT
YES
Rhythm shockable?
NO
Asystole/PEA
Defibrillate at 2 J/kg
Continue CPR for
2 minutes
IV Access
Continue Assessment
Go to Vascular Access
IO Access
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Go to Vascular Access
Continue CPR for
2 minutes
IV Access
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Go to Vascular Access
IO Access
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Go to Vascular Access
EPINEPHRINE
0.01 mg/kg 1:10,000
IV/IO or 0.1 mg/kg
1:1,000 ETT
Every 3-5 minutes
Consider
Extraglottic Airway
Continue Assessment
Go to Extraglottic Airway
Consider ETT
Continue Assessment
Go to Endotracheal Intubation
Rhythm shockable?
YES
Defibrillate if
prompted(AED)
Defibrillate at 4J/kg
Not To Exceed
Adult Dose
Continue CPR for
2 minutes
EPINEPHRINE
0.01 mg/kg 1:10,000
IV/IO or 0.1 mg/kg
1:1,000 ETT
Every 3-5 minutes
Consider
Extraglottic Airway
Continue Assessment
Go to Extraglottic Airway
Consider ETT
Continue Assessment
Go to Endotracheal Intubation
Rhythm shockable?
NO
NO
Continue CPR for 2 min
Address H's & T's
YES
Rhythm shockable?
NO
NO
Rhythm shockable?
YES
YES
Use VF/ VT side
as indicated
Defibrillate if
prompted(AED)
Defibrillate at 4 J/kg
Not to Exceed
Adult Dose
Continue CPR for
2 minutes
AMIODARONE
5 mg/kg IV/IO
May Repeat Once
After 5
th
Shock
Address H’s & T’s
Use Asystole/PEA side as indicated
Check pulse, if organized rhythm
If patient remains unresponsive to
resuscitation efforts,
consider Termination of Resuscitation Protocol
Continue Assessment
Go to Termination of Resuscitation