HSFC ACLS

- ECG &
Pharmacology
A STUDY GUIDE
Anatomy,
Physiology &
ECG Basics
Chambers of the Heart
Anatomy of the Heart
Coronary Arteries
Conduction (Adult heart)
 1 large box = 0.2s
1 s = 1 large box x 5
6 s = 6 x 5 = 30 large boxes
11 small boxes!!
Lead Placement
ECG
Rhythm
Interpretation
1 big scare
ECG
Rhythm
Practice
PALS
Pharmacology
PALS
Algorithms
 Pediatric Vital Signs

Age 1-10
Neonate (<1 mo), Infant (1mo - 1 yo), Todler (1 - 3 yo), Preschooler (3-5 yo) Min sBP = 70 + (2 x Age)
N sBP = 90 + (2 x Age)
Appearance = Toxic
vs Not; Decreased
LOC In resum
ABC = Airway, Breathing, monitor, SatO2
no pulse or HR<60 = Start CPR
 In Rsum, same
algorithm as adults
Can give Amiodarone
OR Lido!!

"2, 4, 6, 8 is the doses to debrilate" (2J/Kg)

if alone (30 comp : 2 breath ) x 5
if 2 ppl (15 comp : 2 breath) x 10

Can be IV uids if you think dehydra0on (give 20mL/kg)

 IMPORTANT If pt is breathing spontanously, give 1 breath q3-5 sec
2 rescuer, do 15:2
1 rescuer, do 30:2

1st line = IV
2nd line = IO
3rd line = Endotracheal
(so least favourable)
 #1 cause of Brady in Children is Hypoxia, so Rx = 100% Bag Mask VenWlaWon

Know doses of epi and atropine!

Epi IV = 0.01mg/kg Not 0.1mg/kg

10 ug!!!! (like adults!! But now its per kg and not per min)

Simulated
ques0ons: If pt is
dehydrated (e.g.
diarrhea), consider
giving bolus =
20mL/kg
Actually its a
reversible cause
in a PEA (Brady)

Atropine for 2nd Give x10 higer dose by ET tube!!

or 3rd degree 20ug!!
block? instead of
Epi?.. But Epi for
1st degree AV
block? (see
ques0on 23)
 2 small squares (0.08)

(VT)
(Ex: Dehydra0on -> bolus)

SVT (p wave absent) -> Adenosine (reg, mono), not bolus of IV uids
3 Wmes max boluses!!
 Central venous oxygen satura0on (ScvO2)

Cold extreme0es = Hypovolemic shock ((Hemorrhagic, Dehydra0on from vomi0ng)

Warm extreme0es = Cardiogenic or Distribu0ve (Sepsis)
Questions