Pediatric Cardiac Arrest
Fewer things in emergency medicine are as stressful or emotionally taxing as a pediatric cardiac arrest - Joe Ravera MD
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image by: Alpha Anesthesia Seminars
HWN Suggests
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.
Resources
A Case of Pediatric Cardiac Arrest
Pediatric patients tend to compensate and compensate – until finally they don’t.
Pediatric Resuscitation Pitfalls
Kids are not aliens… Basics that work for adults also apply to children! High Quality CPR, Early Defibrillation, Early Administration of Epi, and Post ROSC management should be the focus.
Updates in Pediatric Cardiac Arrest
Pediatric cardiac arrests are, potentially, some of the most challenging patients for an emergency physician to care for. Cognitively, emotionally; these patients push us to our very limits.
Chest Compressions in Traumatic Cardiac Arrest
Traumatic cardiac arrest (TCA) is an infrequent event in paediatrics, and a cause of significant stress in the busy trauma resuscitation room. Outcomes are similar in both paediatric and adult arrests, with poor survival rates in both. There are now international guidelines on the management of traumatic cardiac arrest. A traumatic cardiac arrest (TCA) is traumatic not just for patients but also for staff and all those involved.
Paediatric Cardiac Arrest Pearls - Paediatric Emergencies 2020
Dr Tudor Oman talking about Paediatric Cardiac Arrest Pearls.
Pediatric cardiac arrest in the emergency department: Outcome is related to the time of admission
Nights and weekends represent a potentially high-risk time for pediatric cardiac arrest (CA) patients in emergency departments. Data regarding night or weekend arrest and its impact on outcomes is controversial. The purpose of this study was to determine the relationship between cardiopulmonary resuscitation during the various emergency department shifts and survival to discharge.
Pediatric Push Dose Epinephrine: Getting the Epi Dose Right During Pediatric Resuscitation
Dilute the patient’s individualized code dose of epi (0.01 mg/kg) to a total volume of 10cc with saline. Give 1cc of epi spritzer IV up to every 2 minutes as needed.
Pre-hospital pediatric cardiac arrest: Should children be treated like small adults?
All in all, there is a strong case to be made that it is safe to approach pediatric cardiac arrest in the same way we treat adult cardiac arrest.
The Young Cardiac Arrest Patient
Younger cardiac arrest patients often have different causes than older patients. Pay strong consideration to congenital abnormalities, conduction disorders, or other cardiac causes outside of coronary artery disease.
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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