Most pediatric arrests are respiratory in origin. Look for signs of respiratory distress: retractions, nasal flaring, grunting, tripod positioning. Head tilt-chin lift for infants, jaw thrust if spinal injury suspected. Bag-mask ventilation is often sufficient.
Infant (<1 year): 2 fingers or 2 thumbs, compress 1.5 inches, 30:2 ratio (single rescuer). Child (1-8 years): heel of one hand, compress 2 inches, 30:2 ratio. Use 15:2 ratio for 2-rescuer CPR. Rate: 100-120 compressions/minute.
Epinephrine: 0.01 mg/kg IV (max 1mg). Amiodarone: 5 mg/kg IV. Adenosine: 0.1 mg/kg IV (max 6mg first dose). Always double-check calculations. Use length-based tapes (Broselow) for quick reference in emergencies.
Children compensate well initially. Early signs: tachycardia, delayed capillary refill >2 seconds, decreased urine output, altered mental status. Late signs: hypotension, bradycardia. Give fluid boluses 20 mL/kg normal saline, reassess after each bolus.
Pediatric emergencies are traumatic for families. Consider allowing family presence during resuscitation with support person. Provide clear, honest communication. Be prepared for different grief responses. Self-care is crucial after pediatric codes.
🦸 Remember: You're not just saving a life - you're preserving a family's future and hope!
