Pedi

atr
icAdvancedLi
feSupport
Savi
ngLi
vesToget
her
Pedi
atr
icBr
adyc
ardi
awi t
haPulseandPoorPerfus
ion

Sear
chf
orandt
reatt
hecause.
Moni
t
or: Pr
ovi
deasneeded:
•Hear
trhyt
hm •Mai
ntai
nanopenai
rway.
•Oxymet
ry •Gi
veoxygen.
•Bl
oodpr
essur
e •I
V/I
O access
•Consi
der12-
leadECG.

Doescar
diopul
mar
ycompr
omi
secont
inue?
•Lowbl
oodpr
essur
e
No
•Changei
nment
alst
atus
•Shock

Yes

I
fHR<60bpm andpoorper
fusi
on:
•Per
for
m CPR.

Suppor
t: Moni
tor
.
•Ai
rway Cont
i
nuet
ogi
veoxygen.
No Doesbr
adycar
diacont
i
nue?
•Br
eat
hing Consi
derconsul
tat
ion.
•Car
diac
Yes

Gi
veepi
nephr
ine. Epi
nephr
inedose:
Gi
veat
ropi
nef
orpr
imar
yAVbl
ock Gi
ve0.
01mg/
kgI
V/I
O
ort
oincr
easevagalt
one. (
1:10,
000concent
rat
ion)
.
Consi
dert
ranst
hor
aci
cpaci
ng. Repeatever
y3-
5mi
nut
es.
Consi
dert
ransvenouspaci
ng. Orgi
ve0.
1mg/
kgbyETT
Cont
i
nuet
otr
eatcauses. (
1:1000concent
rat
ion)
.
Reoeatever
y3-
5mi
nut
es.

At
ropi
nedose:
I
frhyt
hm advancest
opul
sel
essar
restbegi
n
Gi
ve0.
02mg/
kgI
V/I
O
t
hecar
diacar
restal
gor
it
hm.
(
mini
mum doseof0.
1mg
andmaxi
mum ofdose0.
5mg)
.
Mayr
epeatonl
yonet
ime.

Source:AmericanHeartAssociat
ion.(2015)
.
ht
tps:/
/eccgui
deli
nes.
heart.
org/
wp- cont
ent/
upl
oads/
2015/
10/
Pedi
atr
ic-
Bradycar
dia-
Wit
h-a-
Pul
se-
and-
Poor
-Per
fusi
on-
Algor
it
hm.
png
Dall
as,TX:Publ i
sher
.
©Uni t
edMedi calEducat
ion2017