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https://www.timeofcare.com/pals/
It is most appropriate to use a smaller “pediatric” sized paddles for shock delivery during manual defibrillation of pediatric patients if the patient weighs less than approximately 10kg or is less than 1 years of age. Routine administration of calcium chloride is not indicated during cardiac arrest in …
https://www.acls-pals-bls.com/algorithms/pals/
Lowest acceptable SBP for patients older than 1 yr = 70+ (2 x age in years) Cardiac arrest in the pediatric patient is also commonly due to progressive shock. Compensated shock can be detected by evaluating the patient’s heart rate, presence of peripheral pulses, …
https://www.ncbi.nlm.nih.gov/pubmed/3186384
Transthoracic impedance in children was 108 +/- 24 omega (range 61 to 212 omega) using pediatric paddles. Using adult paddles lowered the transthoracic resistance by 47% to 57 +/- 11 omega (range 29 to 101 omega), P less than .05. In infants, transthoracic impedance (measured only with pediatric paddles) was 94 +/- 17 omega (range 74 to 124 omega).Author: Dianne L. Atkins, Sara Sirna, Robert Kieso, Francis Charbonnier, Richard E. Kerber
https://quizlet.com/64725535/pals-review-questions-flash-cards/
When would it be most appropriate to use the smaller "pediatric" sized paddles for shock delivery? If the patient weights less than approximately 10 kg or is less than 1 year of age. You are supervising another healthcare provider who is inserting an intraosseous (IO) needle into an infant's tibia.
https://rcpals.com/downloads/nov2011/DEFIBRILLATION.pdf
manual defibrillator or an AED with pediatric attenuation capabilities is preferred for use in infants and small children. Paddle Size and Orientation Peds-029 Consensus on Science One LOE 5 study in adults 255 demonstrated that shock success increased from 31% to 82% when pad size was increased from 8×8 cm to 12×12 cm. Three pediatric LOE 4,
https://www.researchgate.net/publication/289161082_For_pediatric_and_adult_defibrillation_paddles_A_comparison
In pediatric defibrillation, larger "adult" electrode paddles should be used as soon as chest size permits (approximately 10 kg).
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