- Pediatric Vital Signs.
- Pediatric Emergencies.
- The Reversible Causes of Cardiac Arrest (The Hs and Ts).
It is most appropriate to use a smaller “pediatric” sized paddles for shock delivery during manual defibrillation of pediatric patients if the patient weighs less than approximately 10kg or is less than 1 years of age.
Routine administration of calcium chloride is not indicated during cardiac arrest in pediatric patients.
Endotracheal drug administration is the least desirable route of drug administration in pediatric resuscitation. Recommended drug doses given by ET route are higher than the IV/IO route. Lipid-soluble drugs can be given by ET route. These include Lidocaine, Epinephrine, Atropine, and Naloxone. Mnemonic LEAN. Also, Vasopressin is liquid soluble and can be given. NAVEL includes all of them. Regardless of whether a drug is lipid soluble or not, IV/IO is the best route.
Epinephrine stimulates spontaneous contractions when asystole is present.
Asthma Exacerbation, Treatment.
PALS Rhythms
Previous PALS Questions
Intubating Pediatric Patients
Formula for Determining the Size of ET in pediatrics population
[Age (in Yrs) / 4 ] + 4 = Uncuffed tube.
[Age (in Yrs) / 4 ] + 3.5 = Cuffed tube. Cuffed tube is shorter. The cuff is the balloon at the tip of the ET that you inflate with air.
Always use the straight blade (Miller) to intubate pediatric patients. Either straight or curved can be used in adults.
Always hold the blade in your left hand, regardless of your handedness when intubating either kids or adults and sweep the tongue to the left.
Treating Shock
For cardiogenic shock, only give 5 to 10ml/kg slowly instead of 20ml/kg for all other types of shock.
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