Sun31October0735PM 12

In the management of paediatric cardiac arrest, which of the following is true according to current Resuscitation Council (UK) guidelines?

True / False

Epinephrine (adrenaline) should be administered IV/IO in a dose of 0.1 ml/kg of 1:1000 solution Correct

Ten initial breaths are recommended prior to commencement of CPR Correct

VF and pulseless VT should be treated with an initial shock of 1 J/kg Correct

Primary arrhythmias are the most common cause of cardiac arrest in children Correct

The recommended ratio of chest compressions to ventilations in a non-intubated child is 15:2 Incorrect answer selected

Explanation

The 2010 Resuscitation Council paediatric life support guidelines recommend that five rescue breaths may be given in advance of commencement of CPR, reflecting hypoxia as a major cause of arrest in children.

4 J/kg is the recommended defibrillation energy. A ratio of 15:2 compressions to ventilations remains the guidance in children, as opposed to 30:2 in the adult cardiac arrest algorithm. The recommended dose of adrenaline is 10 mcg/kg, that is, 0.1 ml of a 1:10,000 adrenaline solution.

Cardiac arrest in children is more commonly secondary to respiratory or circulatory failure, rather than primary arrhythmias.

Reference:

Resuscitation Council (UK). Resuscitation guidelines.

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