CPR in children

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1. Chest compression

    1. 100-120/min

    2. respiration 2 ::: 15 compression

2. Defibrillation:

    1. unsynchronized start with 2j ⇒ 4 ⇒ 6 ⇒ 8 ⇒ 10j

3. Doses:

    1. Amp Epinephrine

        1. IV: 0.1 cc/kg or 0.01 mg/kg (max 1 mg) from 1/1000

        2. Intra thecal: 0.1 cc/kg or 0.1 mg/kg (max 10 mg) from 1/10,000

    2. Amp Amiodarone in VT with Pulse

        1. IV: 5 mg/kg infused in 30-60 min *3times

    3. Amp Lidocaine 1 mg/kg

    4. Amp Adenosine in PSVT

        1. start with 0.1mg/kg (max 6mg)

        2. repeat with 0.2 mg/kg (max 12mg)

    5. Amp procainamide in VT with Pulse with LOW BP (about 70-90 in different ages) 15 mg/kg

4. Hydration with 20 cc/kg crystalloids or N/S

5. Intubation

    1. size <2 y/o ⇒ small finger, adult: 7-8

    2. fixation: youth 12+(age/2), adult male 23, female 21

6.