Paediatric ALS

Question 1

What is the standard ratio for CPR?

Answer 1

5 rescue breaths followed by 15:2

Question 2

What to do in shockable rhythm?

Answer 2

Administer shock 4 joules kg-1
Resume CPR
After 3 shocks given 10mcg/kg adrenaline (every alternate cycle)
AND amiodarone 5mg/kg (repeat once more after 5th shock)

Question 3

What to do in non shockable rhythm?

Answer 3

Give adrenaline 10mcg/kg asap then every other cycle after

Question 4

What to do when someone is unresponsive?

Answer 4

1) Check for safety
2) Call for help
3) Assess for resp effort for 10 seconds
4) Open the airway and look for signs of life
5) Commence CPR

Question 5

What is the rate of chest compressions?

Answer 5

100-120 beats per min

Question 6

What is the chest compression technique in infants?

Answer 6

Two finger technique- two fingers above xiphisternum

Can also do thumb technique

Question 7

What is the chest compression technique in children?

Answer 7

Same as adults but with one hand

Question 8

What are the 4 H’s?

Answer 8

Hypoxia
Hypovolaemia
Hypo/Hyperthermia
Hypo/hyperkalaemia

Question 9

What are the 4 T’s?

Answer 9

Thrombus
Toxins
Tamponade
Tension Pneumothorax

Question 10

What should be done following ROSC?

Answer 10

A-E assessment
Aim for sats 94-98%
Aim for normal PaCO2
Avoid hypotension
Treat precipitating causes
Consider targeted temp control management
Glucose control