Emt Mlrems 4.0: Pediatric Cardiac Life Support

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4.0 Pediatric Cardia Arrest - General Procedures

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1. Verify patient is pulseless and apneic.
2. Initiate or continue CPR. CPR is to be continued at all times as is practical.
3. Assure airway patency and begin use of BVM. Provide initial BLS airway management, including Oropharyngeal or
Nasopharyngeal Airway.
4. Apply AED or SAED if available. If switching to a different AED/monitor you may use previously applied patches if
compatible with new unit.
If patient ≥ age 8 - Automatic external defibrillator may be used as appropriate.
If patient < age 8 - Use pediatric cables, if not available may use adult cables.
5. Follow prompts provided by AED/SAED device.
6. Utilize ALS, or initiate timely transport toward ALS (ALS intercept or hospital if closer). If ALS not available, no
more than 3 shocks should be delivered at the scene. Defibrillation should not be performed in a moving
ambulance.

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4.4 Bradycardia (Criteria and Protocol)

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CRITERIA
• Bradycardia may be absolute or relative, which is a rate slower than expected for the
patient’s condition and is almost always the result of hypoxia in children.
• Treatment listed to be used only if one or more of these conditions exist:
• altered mental status
• severe chest pain
• lightheadedness, dizziness, nausea
• systolic BP <80 mmHg, or relative hypotension for patient’s expected normal
• frequent PVCs
1. Routine medical care and begin timely transport. For newborns, refer ro Neonatal Resuscitation Protocol (2.22).
2. Assure airway patency and administer high flow oxygen. Bag-valve mask assisted ventilation should always be
done for children < 8 yrs of age with bradycardia with poor perfusion.
3. Administer chest compressions if, despite ventilation and oxygenation, pulse remains < 60 bpm with poor perfusion.