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Ventricular Fibrillation Management in the Child
- See Also
- Guidelines 2000 CPR and Emergency Cardiovascular Care
- Initial Management
- ABC Management
- CPR until Defibrillator available
- Defibrillate (single shock)
- Manual: 2 Joules/kg or
- AED (age 1 year or older)
- Child system is preferred if available ages 1-8
- Secure cardiopulmonary access
- Continue Cardiopulmonary Resuscitation
- Hyperventilate with 100% oxygen
- Endotracheal Intubation
- Obtain Intravenous Access
- Initial Antiarrhythmic Medication for Persistent VF/VT
- Epinephrine every 3-5 minutes
- 0.01 mg/kg IV/IO (0.1 ml/kg of 1:10,000)
- 0.1 mg/kg ET (0.1 ml/kg of 1:10,000)
- Defibrillation at 4 Joules/kg within 30-60 seconds
- Subsequent management for persistent VF/VT
- Defibrillation at 4 joules/kg after each medication
- Epinephrine every 3-5 minutes
- IV or IO: 0.01 mg/kg (0.1 ml/kg of 1:10,000)
- ET: 0.1 mg/kg (0.1 ml/kg of 1:10,000)
- Escalating doses may be considered
- Consider Antiarrhythmic medication
- Amiodarone 5 mg/kg IV or IO bolus
- Lidocaine 1 mg/kg bolus IV, IO, or ET
- Magnesium Sulfate
- Dose: 25 to 50 mg/kg IV or IO
- Indications
- Polymorphic VT (Torsades de Pointes)
- Suspected Hypomagnesemia
- Refractory Ventricular Fibrillation
- Management after return of spontaneous circulation
- Assess Vital Signs
- Support Airway and breathing
- Consider medications
- Infusion of Antiarrhythmic that converted rhythm
- References
- (2000) Circulation 102(Suppl I):86
- (2005) Circulation 112(Suppl 24):IV167
- http://www.circulationaha.org
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