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  • Paediatric Advanced Life Support: Unresponsive Not Breathing or Only Occasional Gasps

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    J S
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    The document outlines the steps for paediatric advanced life support for an unresponsive child not breathing or only gasping occasionally. The steps include calling for help, beginning CPR, attaching a defibrillator to assess rhythm, delivering a shock if rhythm is shockable, resuming CPR for 2 minutes and reassessing rhythm. If non-shockable, CPR is continued and reversible causes are addressed, with adrenaline given every 3-5 minutes.

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    Pediatric ALS

    Original Title

    Pediatric ALS

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    The document outlines the steps for paediatric advanced life support for an unresponsive child not breathing or only gasping occasionally. The steps include calling for help, beginning CPR, attaching a defibrillator to assess rhythm, delivering a shock if rhythm is shockable, resuming CPR for 2 minutes and reassessing rhythm. If non-shockable, CPR is continued and reversible causes are addressed, with adrenaline given every 3-5 minutes.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    46 views1 page

    Paediatric Advanced Life Support: Unresponsive Not Breathing or Only Occasional Gasps

    Uploaded by

    J S
    The document outlines the steps for paediatric advanced life support for an unresponsive child not breathing or only gasping occasionally. The steps include calling for help, beginning CPR, attaching a defibrillator to assess rhythm, delivering a shock if rhythm is shockable, resuming CPR for 2 minutes and reassessing rhythm. If non-shockable, CPR is continued and reversible causes are addressed, with adrenaline given every 3-5 minutes.

    Copyright:

    © All Rights Reserved
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    of 1

    Paediatric Advanced Life

    Support
    Unresponsive
    Not breathing or only
    occasional gasps
    Call resuscitation team
    (1 min CPR first, if alone)

    CPR
    (5 initial breaths then 15:2)
    Attach defibrillator/monitor
    Minimise interruptions

    Assess rhythm

    Shockable
    (VF/Pulseless VT)

    Return of spontaneous
    circulation

    Non-shockable
    (PEA/Asystole)

    1 Shock
    4 J kg-1

    Immediately resume

    CPR for 2 min


    Minimise interruptions

    Immediate post cardiac


    arrest treatment
    Use ABCDE approach
    Controlled oxygenation and
    ventilation
    Investigations
    Treat precipitating cause
    Temperature control

    During CPR

    Ensure high-quality CPR: rate, depth, recoil


    Plan actions before interrupting CPR
    Give oxygen
    Vascular access (intravenous, intraosseous)
    Give adrenaline every 3-5 min
    Consider advanced airway and capnography
    Continuous chest compressions when advanced
    airway in place
    Correct reversible causes
    Consider amiodarone after 3 and 5 shocks

    Immediately resume

    CPR for 2 min


    Minimise interruptions

    Reversible Causes

    Hypoxia
    Hypovolaemia
    Hyper/hypokalaemia, metabolic
    Hypothermia

    Thrombosis (coronary or pulmonary)


    Tension pneumothorax
    Tamponade (cardiac)
    Toxic/therapeutic disturbances

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