"            witnessed arrest? --> precordial thump"
"             DX: Rhythm V-fib or pulseless V-tach"
"               DEFIB, 200 JOULES (child 2 J/KG)"
"                 no change? DEFIB, 200-300 J."
"             no change? DEFIB 360 J (child 4 J/KG)"
"             Start I.V. (consider INTUBATION now)"
"EPI 0.5-1 MG IV (child .01 MG/KG) - give by E.T. tube if no I.V.!"
"                  INTUBATE (if possible)"
"            DEFIB once at 360 J (child 4 J/KG)"
"           no change? LIDOCAINE 1 MG/KG IV PUSH"
"            DEFIB once at 360 J (child 4 J/KG)"
"     no change? choose:    BRETYLIUM 5 MG/KG IV PUSH"
"                        or LIDOCAINE 0.5 MG/KG"
"if unwitnessed, consider:  BICARBONATE 1 MEQ/KG (ideally use ABG)"
"             DEFIB 360 JOULES (child 4 J/KG)"
"  no change?  if using bretylium, BRETYLIUM 10 MG/KG IV PUSH"
"              if using lidocaine, LIDOCAINE 0.5 MG/KG"
"             DEFIB 360 JOULES (child 4 J/KG)"
"           ACIDOSIS or ELECTROLYTE abnormality?"
"   more LIDOCAINE (up to 3 mg/kg total) or BRETYLIUM"
"           repeat EPINEPHRINE every 5 minutes"
"               keep trying to DEFIBRILLATE"
"end"

