PEDS
V-Fib or Pulseless V-Tach / Wide Complex Tach
Algorithm
New UPDATED 4/1/2019
Initiate or continue CPR and when defibrillator available:
►Defibrillate once at
Philips (2 j/kg)
Zoll (2 J/kg)
Lifepack (
▼
Maintain CPR approximately 2 minutes
→ High-flow oxygen by BVM, IV/IO without interruption of CPR
▼
►Defibrillate once at
Philips (4 j/kg)
Zoll (2 j/kg)
Lifepack (
▼
Maintain CPR 2 min
►Epinephrine 0.01 mg/kg IV / IO (0.1 mg/mL), repeat every 3 min
▼
Maintain CPR 2 min.
►Defibrillate once at
Philips (4 j/kg)
Zoll (2 j/kg)
Lifepack (
▼
Maintain CPR 2 min.
►Amiodarone 5 mg/kg IV / IO, may repeat 5 mg/kg IV/IO in 5 and 10 min
▼
Maintain CPR 2 min.
►Defibrillate once at
Philips (4 j/kg)
Zoll (2 j/kg)
Lifepack (
▼
Continue CPR, Epinephrine, Defibrillation, and Amiodarone.
▼
►D10 25 gm/250 mL (10% solution) IVPB / IO
If diabetic and hypoglycemia suspected:
(No D-stick, Non-Traumatic FA)
Epinephrine can be given with D10, there is no negative reaction
BHC:
For further orders (CCERC preferred), or
To request pronouncement of patient in the field
Interruption of chest compressions should always be held to a minimum.
Pads can be placed in the antero-lateral and antero-posterior positions; either pad placement is acceptable
(As long as they don’t touch).
For implanted pacemaker/defibrillator place pads to either side and not directly on top of the implanted device. For medication patch: remove patch, wipe area clean before attaching an electrode pad.
1:10,000 = 0.1mg / 1mL
1:1000 = 1mg / 1mL