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V. FIB. / PULSELESS V. TACH. (Pediatric)
PRE-HOSPITAL AND INTERFACILITY TRANSPORTS
APPLIES TO:
PARAMEDIC
1.
Assess ABC’s and begin CPR until arrival of monitor.
2.
Confirm V. Fib. / Pulseless V. Tach.
3.
Deliver 2j/kg counter-shock.
4.
If no response, deliver 4j/kg counter-shock.
5.
If no response, deliver 4j/kg counter-shock
6.
If no response, start CPR and intubate.
7.
Start IV of normal saline at a KVO rate.
8.
Give Epinephrine 1:10,000 .1mg/kg IVP/IO every 3-5 minutes. .1cc/kg 1:1000
ET if IV not available.
9.
After 30-60 seconds of CPR, deliver 4j/kg counter-shock after each drug given.
10.
If no response, give Lidocaine 1mg/kg IVP/IO every 3-5 minutes not to exceed
3mg/kg. Lidocaine may be given by ET.
11.
If rhythm is converted, prepare IV drip of the medication that converted. If
converted on initial defibrillation, give Lidocaine drip 20-50 ug/kg/min.
Marlboro County Emergency Medical Services
Advanced Life Support Protocols
Revised June 7, 2003
129
________________________
Dr. Shaukat Iftikhar
________________________
Date
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