American Heart Association Pediatric Advanced Life Support Core Case Study Materialseee Reo) Gi) Coic Sa aeaA : | egegtter tial General Management for All Patients ‘Any potioning t + 6 i aoe Sh ‘amet ee Upper Airway Obstruction Specie Marapemnt or Slected Sontions - Croup ‘Anaphylaxis Aspiration Foreign Body ~ nebo epee i epnephine oratories) | ~ Al poten ot contort + Sooner + At only conan Peel | ~_ Lower Airway Obstruction Soecite Management or Selected Contons Bronchiolitis Asthma ~ Naa sing ~ Abul =ertopken - 1 Secor at + Cowonancs Lung Tissue (Parenchymal) Disease . ‘Specie Management for Selected Conditions 1 Consider ature | Pneumonia/Peumonitis Pulmonary Edema |Lintectious Chemical Aspiration Cardiogenic or Noncardiogenic (ARDS) FF teat * Carsidar nonrwasve or invasive ventlstry support wth PEEP | "antes as nesta) + Consider vasoatve suppor } Disordered Control of Breathing Specie Management fr Seactd Condon, Poisoning/Overdose ‘Neuromuscular Disease | Faso pox | = foot tf avai) + Consider sonimasve or “avo nyprcarbe { Conte! polsn contol Invasive vertlatory spr hod hpererma 1 sietemertl ongen patents may marian oygeson nie brcring sty howe 1 teu otrvsal gett beuagasre neon ace rte ea ecrmer ‘Parts wih epratrcreson lowrga ged ase rede ol bazssepres maybe arapeth rg of MY ror beniraches unten brash presen) Quy ee tasson | Roomaetop auomentoctty = i % ‘Manin win ornay sues | Arwyreeouce abr sear nd tat ncn nie (Garang Stan Competaney Oct ae81S aeindestd + Bedside glucose Hypovolemic Shock ‘Specific Management fr Selected Conions Hemorrhagic + 20 Lika NSILR bois, repeat as noedea * Canto! exera eeding * Const cota ater drs NSLR bie + 20mLKg NSIUR bous toast 26 5x as needa + Traatuse PRC as indeed Distributive Shock Specific Management for Selected Conditions Septic ‘Anaphylactic ‘Neurogeni ‘Management Ag 7 i eiephne (ox asoeriecy |» 20AUkg NSA bok, "Sapte Shock 1 Anisstarnes ‘mp PA Conicostooce + Naepresser Erinn nin I sarc | : Cardiogenic Shock . Specie Management for Slated Condtons Bradyarrhythmia/Tachyarthythmia Other (eg, CHD, Myocarditis, : Cardiomyopathy, Poisoning) | Woragenent Agar 7 510 kg NS oo pea PRN yeaa + Nacoactve son {oe it poor persion 1 Cone expr conetaon Obstructive Shock Specie Management or Selected Contons ‘cardiac Puimonary Tamporade | __‘Embotam + Peicarsocentess |» 20mLkg NSLA * 20mUKg NER Bou | ” bolus, repeat PAN + Conscer rertoes, srtenagaants | + Broan coneuaten The OOPE ramen carbo Ved oir coves of eerrston in te ited stent ‘essen | foom ete Enupranlociay 7 a vow a aa VO pane: vo op, Sack Manager Fomor Manin win, WO, mandar | Mgt up esis at pda shock sab‘American Academy. cf Pediatrics Seas Core Cases Senin ae any oR Post ee ee orna + eae etary pve: spr omer “we nue epee rnp ear < Se _ FE ae + Ropes fis euctaoni dated or spe tek. noe vasoactive visors hunt be ed wl ter ser sbi hae een arise ip to Om ae Associations + Aeposte necton cro mame those lan i trea oti ranenie dase, Goes and sk ae peay ao Eauymenvaciy = ‘Soa vow awa (vO pa vie ib, epic Sho AR 7 ani wth RO, mentr | Mag uppes smte rening pa shack ta |pireren nena aie Management of Shock Emergencies On 1 ale oximetry 1 Eo reomor i 10 seco Bodice gucose Hypovolemic Shock ___ Specie Management for Selected Conditions I ‘Nonhemorrhagic Hemorrhagic = 20 mLlkg NSILR Boks, repeat as needed * Control extemal Beeding + Consider colli aterSrd NS/LR bos + 20 mLkg NSILR bolus repeat 2 or 3x as needed + Tansiuse PREC ae incented Distributive Shock __ Specific Management for Selected Conditions, Septic | Anaphylactic Neurogenic Management Algor: ~ IM zpinephrine or autonjcton | + 20 mL/kg NSILA bolus, + Septic Shock ‘Aotitarines ‘repeat PRN + Vasopreesor | Cardiogenic Shock ‘Speciic Management for Select Contions | Bradyarchythmia/Tachyarrhythmia Other (eg, CHD, Myocarditis, a Cardiomyopathy, Poisoning} Manager Aoorte = $0 10mLg NEAR bola pao PN Brayearca + Vasoactive mason Techy th poorpriion + Conair bier carsitaon Obstructive Shock | ‘Specific Management for Selected Conditior ee SSza| | ae a ee TRE | Eee Seeet SE se ash ac + ingerra vassorve sor shel rat betel ane svar fl oes ave een ast ao 6 mL {Senator poles 10mg ovale prone to 20 msm spate arene hock ‘ atoase age oe ptr aon cain, ries we tee teed ncardopae se hn Soro Leeson | Room ant Eauprentcteny @ ‘Ses vera cs vB ly oes Sha Wrage Foncat zal | | Martin winO, 00, mantor | Meg pln snub sig peda sock pate — L {rng San Comat CreatTEE gaa a hesore CPR catty Sines tok Sear be 8 mp (rior 8g! apest every to ranter Soa hr sock mon? Ise glace Mh ore) compres can pov cori em Bio tDtmanten aresn wey 98 oto sou ‘erg oP wrest SMe es mata 1000: 03 mg epee 3103 min OPO ‘are oor [ease hooey + Seen me es ‘Mere n con * Seah tmtooatn coon ee + hectopomn Pee ee Cees ate: Semester, ~ ems tomay Sees Seo fate sa ry rvs, hyve a nck Sey Ons add say (i O0me. ssc pong Warton an eer Eavpmentcteny ‘Min ad rae sippietnar oar dear wg SRT "sa bes. ep spl, site tam marapng an ae ainCardiac Core Casé latin Cot ei tise A acta Supraventricuiar Tachycatith vn age Nae TACHYCAROIA ‘wan pulses and Poor Perfusion + Asses and support ABCs as nassed + Gio oxygen 1 Attach monn/tbntate Probable Sinus Tachycardia "Commie tory consent 4 Varate Fe costa PR 1 fan ate usualy 220/nin 1 Onin uiny <1 20min + Compattie story (aque, rongpocte History of abrupt rte changes 1 P waves absentia 1 trot ails 1 ort rat wsualy 2220! 1 Ohler rate usualy 280m Sedat posse but dont sly eaoversion + May sterol adenosine it es not dea local cardoverson + IFW access ready avaiable: ‘Give adenosine 0 ma manana ‘at dose 6 ma) oy rape bok May dose est doe a gv ones (rsimam scant dose 12g) Expert consitation advised ‘Amdarone 5 m9) ‘er 20069 mines + Procainamide 15 mova (rer 301660 rants + Sychronized cardioversion: 0.5 0 1g not oon, reas ok ‘Sedat i posse tu dont clay + isc om sigan bates us teryeaa SP) a iter chy (V7. * Por cttw starts at eau be pet as spt Sens, re may De sede sprays of System teeon | Room actus Equpmenactty in ‘Statens naa DVO ay eo op eee wan ached a ® ‘an nt or Team gs asl. endearing cE Wa rece yrmewa,mecles | te erPeron carat Ror oniictg Cis i Ce } as pectin carcorespiratory compromise + Ge oxygen 1 tach menes/etvllor Perform GPR F casos ‘xgonation an venaton Hr ovin with poo parson * Suppor ABCS: ave oxygen ese + Obeave 1 Constr expeet contin = Give epnephvine NM: Ot mag (310000: 03 mL ~Edowacheal tube: 01 ma (11000°0"7 mug ‘Reminders Repeat every 30 + Burng CPR, ps a an tet Sminates ‘emi + ttinereated vagal tone ‘orprimary AV block: fst dss: 0.08 maha, ‘materia ft! does fr chi) + Consider ears pacing " puleaeas arrest develops, (90 0 Pulesoes Arrest Algoriti lost pets ees "con oyun tan cpt ont chesconoecow sen be Sow pase seis atone + Potty revo cauzes cue hohe, a Dk toed ara ese, eae rl hese petra or trope a baeraa sca yon escon | Room setup Eaupmenctty oI Str eae a VD i vidoe awn wa aad, SRT ® ani, ox Teor op, reps rs nad raging cE ha reosintmcacs regesursin | sown