Defibrillation Pediatric

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Procedure Guidelines

9.12 DEFIBRILLATION PEDIATRIC

INDICATIONS:

  • Ventricular Fibrillation
  • Pulseless Ventricular Tachycardia:
First Defibrillation 2 J per kilogram
Second Defibrillation 4 J per kilogram
Third and Continuous Defibrillation 4 J per kilogram


CHECK THE EQUIPMENT:

  • Turn on the monitor / defibrillator.
  • Apply appropriate size paddles. Use the largest paddle surface, which makes complete contact with the patient. Entire paddle should make complete contact with patient.


DEFIBRILLATION:

  • Confirm the patient is unresponsive and pulseless.
  • Ensure synchronizer is turned off.
  • Apply conductive medium. Position paddles.
  • Stop CPR and call ALL CLEAR. check to ensure all people, including yourself, are clear of the patient. Ensure EMS personnel are in a safe operating location.
  • Apply firm pressure to paddles.
  • Discharge energy by pressing discharge buttons simultaneously.
  • Observe for rhythm change and check the patient for a pulse, (if applicable).
  • Repeat per Practice Parameters.