Pediatric Cardiac Arrest

Fewer things in emergency medicine are as stressful or emotionally taxing as a pediatric cardiac arrest - Joe Ravera MD

Pediatric Cardiac Arrest
Pediatric Cardiac Arrest

image by: Alpha Anesthesia Seminars

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Pediatric Small Talk – The 1,3,5 Approach to Pediatric Cardiac Arrest

Coding kids are accompanied by a flood of emotions and what can feel like hundreds of tasks to accomplish. A chaotic room only adds to the stress of the situation.

To stay organized, I use what I call the “1,3,5 method.” I think the most successful way to run a pediatric code is to prioritize which tasks should be accomplished by 1 minute, 3 minutes, and 5 minutes.

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Resources

 Pediatric Small Talk – The 1,3,5 Approach to Pediatric Cardiac Arrest

Only a small fraction of pediatric arrests have a primary cardiac etiology, and the presenting rhythm is often PEA or asystole (both of which carry a poor prognosis). These dismal statistics often exacerbate the difficulty of these cases- we enter the room knowing the outcome is likely to be poor and emotionally devastating. Given this setup, our best management as EM providers is typically, running a smooth code and ensuring everyone in the ED does their best, while minimizing the trauma for the family.

American Academy of Pediatrics

Pediatric sudden cardiac arrest (SCA), which can cause sudden cardiac death if not treated within minutes, has a profound effect on everyone: children, parents, family members, communities, and health care providers.

PALS

Beginning high-quality CPR is the first management step in cardiac arrest...

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