How do you do pediatric cardioversion?

For synchronized cardioversion, begin with an electrical dose of 0.5 to 1 J/kg of the child’s body weight. If ineffective, increase the energy level to 2 J/kg. For defibrillation (cardiac arrest with a shockable rhythm), first shock should be given at 2 J/kg and the second shock should be given at 4 J/kg.

What is difference between defibrillation and cardioversion?

There is an important distinction between defibrillation and cardioversion: Defibrillation — Defibrillation is the asynchronous delivery of energy, such as the shock is delivered randomly during the cardiac cycle. Cardioversion — Cardioversion is the delivery of energy that is synchronized to the QRS complex.

How many joules do you shock a pediatric patient?

Energy dose. The American Heart Association (AHA) currently recommends 2 J/kg, escalating to 4 J/kg, in pediatric patients.

How many joules are used in a pediatric defibrillation?

Pediatric Defibrillation — Current AHA Guidelines With a manual defibrillator (monophasic or biphasic), use a dose of 2 J/kg for the first attempt and 4 J/kg for subsequent attempts.”

Which are the most common initial rhythms seen in pediatric codes?

Asystole
Asystole was the most common initial rhythm and the four leading causes for cardiac arrest were SIDS, trauma, airway related arrest and (near)drowning.

How many joules should a 20kg child have?

Therefore an average 20 Kg child would require a shock of around 40 – 80 J.

Why was atropine removed from ACLS?

Secondly, similar to atropine, vasopressin has been removed from the ACLS algorithm not because of evidence showing harm, but rather evidence showing a lack of clear benefit.

When performing CPR on a child you should compress the chest?

When performing CPR on a child, you should compress the chest: -80 to 100 times per minute.