PALS 2024
2nd assessment - ANS-Signs
Allergies
Meds
Pmh
Last meal
Events
Adenosine - ANS-1st 0.1 mg/kg rapid flush(max 6mg)
2nd 0.2mg/kg rapid flush (max 12)
airway - ANS-Sat 94-99
5 point auscultation c02-yellow
Waveform cap >10
After intubating cont compressions
Assess lung+heart sounds cap refill bp loc after any treatment given
Amiodarone - ANS-5mg/kg bolus max 3 doses
Assessment - ANS-Airway
Breathing
Circulation
Disability -level of consciousness
Exposure- temp
Atropine - ANS-0.02mg/kg 3-5mins(if vagal cause suspected)
cardiogenic shock - ANS-Congenital heart dz, myocarditis, cardiomyopathy, arrhythmia, sepsis,
poisoning, trauma
Increase resp effort, retractions, grunting, nasal flaring from pulm edema
Signs of CHF Jvd, pulm edema, hepatomegaly, cyanosis, from congenital heart dz pulm edema
CPR - ANS-If no pulse or hr <60 START
1 rescuer- 30:2
2 rescuer- 15:2
Rate- 100-120
Depth 5 cm 2 inches
, Q2 mins change compressors, check pulse, check rhythm, weight broslo tape
Defibrillate - ANS-1st- 2J/kg
2- 4j k/g
+ 2 until max 10
Disorder control of breathing "breathing funny" - ANS-Irregular respirations, shallow breathing,
decrease LOC, central apnea
Poisoning/OD- antidote, poison control
Neuromuscular dz- consider vent
Increased ICP- avoid hypoxemia, hypercarbia, hyperthermia, relieve it
distributive shock - ANS-Septic- fever, hypothermia, petechial
Txt- blood cultures then antibiotics
Anaphylactic- angioadema, hives, edema
Txt- IM epi 2nd dose 10-15 mins later if sever
Albuterol
Antihistamine + corticosteroids
Epi - ANS-0.01 mg/kg max 1 every 3 mins
H's - ANS-Hypovolemia
Hypoxia
Hydrogen ion
Hypothermia
Hypo/hyperkalemia
Hypoglycemia
Hypovelemic shock - ANS-Diarrhea, vomiting, hemorrhage, inadequate fluid, dka, large scale
burns
20 ml k/g isotonic crystalloid (NS or LR) over 5-20 mins
If known heart issues 10 ml k/g over 20-30 mins
Assess vs heart and lung, cap refills, multiple blouses may be needed
2nd assessment - ANS-Signs
Allergies
Meds
Pmh
Last meal
Events
Adenosine - ANS-1st 0.1 mg/kg rapid flush(max 6mg)
2nd 0.2mg/kg rapid flush (max 12)
airway - ANS-Sat 94-99
5 point auscultation c02-yellow
Waveform cap >10
After intubating cont compressions
Assess lung+heart sounds cap refill bp loc after any treatment given
Amiodarone - ANS-5mg/kg bolus max 3 doses
Assessment - ANS-Airway
Breathing
Circulation
Disability -level of consciousness
Exposure- temp
Atropine - ANS-0.02mg/kg 3-5mins(if vagal cause suspected)
cardiogenic shock - ANS-Congenital heart dz, myocarditis, cardiomyopathy, arrhythmia, sepsis,
poisoning, trauma
Increase resp effort, retractions, grunting, nasal flaring from pulm edema
Signs of CHF Jvd, pulm edema, hepatomegaly, cyanosis, from congenital heart dz pulm edema
CPR - ANS-If no pulse or hr <60 START
1 rescuer- 30:2
2 rescuer- 15:2
Rate- 100-120
Depth 5 cm 2 inches
, Q2 mins change compressors, check pulse, check rhythm, weight broslo tape
Defibrillate - ANS-1st- 2J/kg
2- 4j k/g
+ 2 until max 10
Disorder control of breathing "breathing funny" - ANS-Irregular respirations, shallow breathing,
decrease LOC, central apnea
Poisoning/OD- antidote, poison control
Neuromuscular dz- consider vent
Increased ICP- avoid hypoxemia, hypercarbia, hyperthermia, relieve it
distributive shock - ANS-Septic- fever, hypothermia, petechial
Txt- blood cultures then antibiotics
Anaphylactic- angioadema, hives, edema
Txt- IM epi 2nd dose 10-15 mins later if sever
Albuterol
Antihistamine + corticosteroids
Epi - ANS-0.01 mg/kg max 1 every 3 mins
H's - ANS-Hypovolemia
Hypoxia
Hydrogen ion
Hypothermia
Hypo/hyperkalemia
Hypoglycemia
Hypovelemic shock - ANS-Diarrhea, vomiting, hemorrhage, inadequate fluid, dka, large scale
burns
20 ml k/g isotonic crystalloid (NS or LR) over 5-20 mins
If known heart issues 10 ml k/g over 20-30 mins
Assess vs heart and lung, cap refills, multiple blouses may be needed
