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29 Cards in this Set

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Adrenaline dose for NEWBORN

20mcg/kg


0.2ml/kg

Adrenaline dose for children (not newborn)

0.1ml/kg


10mcg/kg

What determines tachycardia treatment?

QRS size

Amiodarone dose for refractory VF/pVT

5mg/kg after third shock


Can be given again after fifth

What type of ETT can be used for intubation?

Age/4+4 Uncuffed. Cuffed also can be used (except neonates)

CHILD Asystole immediate management?

Ventilations, CPR, access, adrenaline 10mcg/kg, 2 min CPR, reassess, if Asystole still, adrenaline 3-5 mins

PEA Causes?

All of the Hs and Ts

How will SVT present?

P waves not present. Regular rhythm with narrow QRS.


>220 INFANT


>189 CHILD

Bronchiolitis tends to affect most severely

Children with congenital heart disease and preterm infants.

Where is the xiphisternum?

What is immediate treatment for 8 month old FBAO, conscious but coughing ineffectively.

5 back blows, 5 chest thrusts, reassess consciousness level

Treatment for circulatory decompensated child in SVT

Synchronized cardioversion in time with R waves.

What should adrenaline not be mixed with?

Sodium Bicarbonate. Not a resus drug.

What accounts for 70% of pediatric deaths in trauma within 48h post injury

Brain injuries

What are rarely required in NEWBORN resuscitation

Chest compressions. Normally a ventilatory cause which solves issue.

Irregular respirations and bradycardia in an infant should have what anticipated?

Eventual CPR

Newborn is born blue and floppy with <60 and gasping resps. Initial management is?

Airway opening and positive pressure ventilation

What factors determine post birth management?

Colour


Tone


Breathing


HR

Close the bloody hatch!

Pediatric resp rates

<1 year: 30-40min


1-2: 26-34min


2-5: 24-30min


5-12: 20-24min


>12: 12-20min

From the start 40 + 4 / - 6

Child HR ranges

Newborn - 3 month: 85-205


3 month - 2 years: 100-180


2 - 10 years: 60-140


>10 years 60-100


From the start


125


80


80


40

BP Ranges

1 month systolic: 75


1 year systolic: 95


5 year systolic: 100


10 year systolic: 110


15 year systolic: 120

Weight estimate formula off of age

(age+4) × 2 = kg

Fluid output targets

Infant >2ml/kg/hr


1 year+ >1ml/kg/hr

Red flag HR: Infant

<100

Red flag HR: 0-1years

<80 >180

Red flag HR: 1+

>160

Delivery of rescue breaths for INFANT

Neutral head


Cover mouth+nose with own


Blow 1 sec -> observe chest rise


Repeat another 4 times (5 total)



Delivery of rescue breaths for >1 YEAR

Pinch nose


HTCL


Blow one sec


Repeat 4 times (5 total)

Dex dose + %

2ml/kg 10%