* Access ABCs - Begin CPR
* Confirm Cardiac Rhythm in more then one lead

Asystole

PEA (Pulseless Electrical Activity)

Identify and Treat Causes
* Severe Hypoxemia
* Severe Acidosis
* Severe Hypovolemia
* Tension Pneumothorax
* Cardiac Tamponade
* Profound Hypothermia

* Continue CPR
* Intubation
* Ventilation with 100% Oxygen
* Obtain IV or IO access

Epinephrine - First Dose
IV or IO :  0.01 mg / kg
ET : 0.1 mg / kg

Epinephrine - Second and Subsequent Dose
IV or IO or ET :  0.1 mg / kg
Up to 0.2 mg / kg

Repeat every 3-5 min

Consider more potencial causes such as :
* Hyperkalemia
* Drug's Over dose  , include Calcium Channal Blockers , Beta Blockers , ect.

References: PALS ; American Heart Association / American Academy of Pediatrics. 1994 ; 7-6 - 7-11.

Paramedic Neomi Zvi - Jan 2000