PAEDIATRIC ASYSTOLE EXAMPLE

EmergencyProtocols.org.au © 2015

63EmergencyProtocols.org.au © 2015

PAEDIATRICASYSTOLE page 1 of 4

CALL FOR HELP INFORM TEAM CRASH CART

START CPR

Attach defibrillator or monitor

Airway adjuncts (LMA or ETT)

High-flow oxygen

Intravenous or intraosseous access

Waveform capnography

Plan actions before interrupting compressions

CPR: 15 COMPRESSIONS : 2 BREATHS

COMPRESSION RATE 100 PER MINUTE

and COMPRESSION DEPTH 1/3 OF CHEST

NO PULSE HAND ON LOWER HALF OF STERNUM

MINIMISE INTERRUPTIONS

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IV adrenaline 10 mcg/kg

Age (years) Weight Adrenaline dose Adrenaline volume 1:10,000

< 1 5 - 10 kg 50 - 100 mcg 0.5 - 1 mL

1 - 2 10 kg 100 mcg 1 mL

3 - 4 15 kg 150 mcg 1.5 mL

5 - 6 20 kg 200 mcg 2 mL

7 - 10 30 kg 300 mcg 3 mL

11 - 12 40 kg 400 mcg 4 mL

≥ 13 50 kg 500 mcg 5 mL

65EmergencyProtocols.org.au © 2015

PAEDIATRICASYSTOLE page 2 of 4

CPR 2 minutes

CPR 2 minutes

IV adrenaline 10 mcg/kg

CPR 2 minutes

Shockable? then shock and give IV amiodarone 5 mg/kg

CPR 2 minutes

Shockable? then shock

Age (years) Weight Shock

< 1 5 - 10kg 20 - 40 J

1 - 2 10 kg 40 J

3 - 4 15 kg 60 J

5 - 6 20 kg 80 J

7 - 10 30 kg 120 J

11 - 12 40 kg 160 J

≥ 13 50 kg 200 J

If the rhythm is shockable (VF or pulseless VT) then shock using 4 J/kg

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Do not use after November 2017

SourcesAdvanced Paediatric Life Support Australia (www.apls.org.au)

American Society of Anesthesiologists (www.asahq.org)

Australia and New Zealand Emergency Department Airway Registry (www.airwayregistry.org.au)

Australian Resuscitation Council (www.resus.org.au)

Australian Society of Clinical Immunology (www.allergy.org.au)

Difficult Airway Society (www.das.uk.com)

Emergency Care Institute (www.ecinsw.com.au)

New Zealand Resuscitation Council (www.nzrc.org.nz)

Newborn & Paediatric Emergency Transfer Service (www.nets.org.au)

NSW Agency for Clinical Innovation (www.aci.health.nsw.gov.au)

NSW Health (www.health.nsw.gov.au)

Stanford Anesthesia Emergency Manual (www.emergencymanual.stanford.edu)

A flight manual for the crashing patient

The first fully-integrated step-by-step medical emergency manual in the world, made in Australia.

Developed and tested by a team of Australian doctors and nurses, harnessing aviation expertise and the latest human factors research. Designed as a pilot’s flight manual, for use as a cognitive aid in time-critical emergencies.

Includes 34 protocols covering the common adult, paediatric and neonatal emergencies, optimised for bedside use in time-critical emergencies. User-friendly, up-to-date, robust, and easily read from the bedside or crash cart.

Features the latest versions of algorithms you already use, presented so clearly you’ll wonder how you managed emergencies without them.

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