PAEDIATRIC ALS QUIZ AND ANSWERS.
What are the three main differences between paediatric and adult ALS? - Answers-1.
Drugs (doses)
2. Ratio of compressions to breaths (15:2)
3. Joules for defibrillation (4 joules/kg)
ALS pathway for infants + children - Answers-1. CPR (15:2)
2. Attach defibrillator/monitor
3. Ax Rhythm
4a. Shockable --> shock + CPR (2 mins)
4b. Non-shockable --> adrenaline + CPR (2 mins)
5a. Return of spontaneous circulation --> post-resuscitation care
5b. NO return of spontaneous circultaion --> step 3 (Ax rhythm)
WET FLAG
(Quick determination of weight-based drugs & equipment for APLS in paeds) - Answers-
W - weight (formula)
E - electricity for defibrillation
T - tube size (ETT)
F - fluid dosing
L - lorazepam/midazolam dosing
A - adrenaline dosing
G - glucose dosing
Weight - Answers-General formula
Est. wt = (age + 4) x 2
'Larger' countries
Est. wt = (age x 3) + 7
Otherwise, ask parents/Broselow tape
Electricity - Answers-Generally Defibrillation = 4 joules/kg
- You may need to go higher
- AEDs can be used for kids
Endotracheal tube size - Answers-Size:
- Birth (at Term) = Size 3.5 (+/-0.5)
- 1 year approximately size 4.0 tube
- Beyond 1 year = Age / 4 + 4
Endotracheal tube length - Answers-Length:
- At birth = 9cm
What are the three main differences between paediatric and adult ALS? - Answers-1.
Drugs (doses)
2. Ratio of compressions to breaths (15:2)
3. Joules for defibrillation (4 joules/kg)
ALS pathway for infants + children - Answers-1. CPR (15:2)
2. Attach defibrillator/monitor
3. Ax Rhythm
4a. Shockable --> shock + CPR (2 mins)
4b. Non-shockable --> adrenaline + CPR (2 mins)
5a. Return of spontaneous circulation --> post-resuscitation care
5b. NO return of spontaneous circultaion --> step 3 (Ax rhythm)
WET FLAG
(Quick determination of weight-based drugs & equipment for APLS in paeds) - Answers-
W - weight (formula)
E - electricity for defibrillation
T - tube size (ETT)
F - fluid dosing
L - lorazepam/midazolam dosing
A - adrenaline dosing
G - glucose dosing
Weight - Answers-General formula
Est. wt = (age + 4) x 2
'Larger' countries
Est. wt = (age x 3) + 7
Otherwise, ask parents/Broselow tape
Electricity - Answers-Generally Defibrillation = 4 joules/kg
- You may need to go higher
- AEDs can be used for kids
Endotracheal tube size - Answers-Size:
- Birth (at Term) = Size 3.5 (+/-0.5)
- 1 year approximately size 4.0 tube
- Beyond 1 year = Age / 4 + 4
Endotracheal tube length - Answers-Length:
- At birth = 9cm
