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Paediatric Advanced Life Support

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Texte intégral

(1)

Unresponsive?

Not breathing or

only occasional gasps

CPR (5 initial breaths then 15:2)

Attach defibrillator/monitor

Minimise interruptions

Call Resuscitation Team

(1 min CPR first, if alone)

Assess rhythm

Shockable

(VF/Pulseless VT)

Non-shockable

(PEA/Asystole)

Return of

spontaneous

circulation

1 Shock 4 J/Kg

Immediately resume:

CPR for 2 min

Minimise interruptions

At 3

rd

cycle and 5

th

cycle

consider amiodarone in

shock-resistant VF/pVT

Immediately resume:

CPR for 2 min

Minimise interruptions

IMMEDIATE POST CARDIAC

ARREST TREATMENT

n

Use ABCDE approach

n

Controlled oxygenation

and ventilation

n

Investigations

n

Treat precipitating cause

n

Temperature control

DURING CPR

n

Ensure high-quality CPR: rate, depth, recoil n

Plan actions before interrupting CPR

n

Give oxygen

n

Vascular access (intravenous, intraosseous) n

Give adrenaline every 3-5 min

n

Consider advanced airway and capnography n

Continuous chest compressions when

advanced airway in place

n

Correct reversible causes

REVERSIBLE CAUSES

n

Hypoxia

n

Hypovolaemia

n

Hyper/hypokalaemia, metabolic n

Hypothermia

n

Thrombosis (coronary or pulmonary) n

Tension pneumothorax

n

Tamponade (cardiac)

n

Toxic/therapeutic disturbances

Paediatric Advanced Life

Support

EUROPEAN

RESUSCITATION

COUNCIL

www.erc.edu | info@erc.edu

Published October 2015 by European Resuscitation Council vzw, Emile Vanderveldelaan 35, 2845 Niel, Belgium

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