Advanced Airway+Vascular Access
*Begin consideration of underlying causes
IV/IO: 0.01mg/kg, 1:10,000
ETT: 0.1mg/kg, 1:1,000
IV/IO: 0.01mg/kg, 1:10,000
ETT: 0.1mg/kg, 1:1,000
Repeat
Defibrillate 4J/kg
Amiodarone
IV/IO: 5mg/kg (max 15mg/kg)
Lidocaine
IV/IO/ETT: 1mg/kg (max 3mg/kg)
Mag Sulfate
IV/IO: 25-50mg/kg (max 2g)
Hypoxemia: Add oxygen/ventilate
Hypovolemia: Add isotonic fluids 20ml/kg over 10 minutes and repeat prn.
Hypothermia: Warm them up
Hyperkalemia: Calcium chloride slow bolus IV/IO: 10% solution 20mg/kg
Hypoglycemia: Add dextrose.
Toxicity:
Narcotic: Narcan IV/IO <0.1mg/kg titrated for age <5 or weight <20 kg. If >5y/o or >20 kg, then adult dosing titrated.
Cocaine: MONA for chest pain; Versed 0.05-0.1mg/kg Max 2.5
Ca Channel blocker: Calcium chloride slow bolus IV/IO: 10% 20 mg/kg
Beta Blocker: Atropine, Glucagon
TCA: Sodium Bicarbonate slow IV/IO: 1mEq/kg
Others: Poison Control Center for direction.
Defibrillate 4J/kg
IV/IO: D10 if 0-1 month @2ml/kg (50cc NaCl)
D25 if 1-8 y/o @ 2ml/kg (250cc NaCl)
D50 if >8 y/o @ 25g if > 12kg
>8 y/o is medical (not legal) adult by SOC from which this is taken.