Pediatric Asystole

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Section 7 - PEDIATRIC / OBSTETRICAL

7.01 PEDIATRIC ASYSTOLE

CONSIDER MEDICAL ETIOLOGY OF ASYSTOLE AND REFER TO APPROPRIATE PRACTICE PARAMETER:


  • Initiate 5 cycles of (30:2) one-rescuer or (15:2) two-rescuer CPR for approximately 2 minutes to allow blood to circulate and continue throughout resuscitation, minimizing interruptions. Assist ventilations with OXYGEN @ 100% via BVM. DO NOT HYPERVENTILATE
  • If hypothermic, refer to ENVIRONMENTAL COLD EMERGENCIES (5.06)
  • INTUBATE and establish peripheral IV or IO line as able
  • If hypovolemia suspected, fluid bolus 20 ml/kg

Refer to Broselow Tape for medication administration based on weight / length

  • EPINEPHRINE 1:10,000 0.01 mg/kg IV / IO
  • Repeat EPINEPHRINE 1:10,000 0.01 mg/kg IV / IO, every 3-5 minutes of continued arrest
  • ATROPINE SULFATE 0.02 mg/kg (minimum dosage is 0.1 mg)
  • Repeat every 3-5 minutes of continued arrest for maximum dose of 1 mg

Ventilation and oxygenation always precede drug therapy.