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https://www.timeofcare.com/pals/
Pediatric Emergencies. The Reversible Causes of Cardiac Arrest (The Hs and Ts) . 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 .
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 …
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://quizlet.com/87436900/pals-provider-flash-cards/
When would it be most appropriate to use a smaller "pediatric" sized paddles for shock delivery? If the patient weighs less than approximately 10kg or is less than 1 years of age. You are supervising another health care provider who is inserting an IO needle into a child'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.uptodate.com/contents/defibrillation-and-cardioversion-in-children-including-automated-external-defibrillation#!
Defibrillation — Defibrillation is the asynchronous delivery of energy, such as the shock is delivered randomly during the cardiac cycle. Cardioversion — Cardioversion is the delivery of energy that is synchronized to the QRS complex.
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
http://www.cmej.org.za/index.php/cmej/article/view/2285/2056
Transthoracic impedance is the primary determinant of effective energy delivery. Measures to reduce the transthoracic impedance include: firm contact between the paddle and the chest, larger paddle size and electrolyte-containing gel. Paddles and positions. Paediatric-sized paddles should be used in children under 1 year of age (<10 kg) and adult-sized paddles in those older than 1 year (>10 kg).
https://www.zoll.com/medical-technology/defibrillation/rectilinear-biphasic-technology/pediatric/
Default energy settings for pediatric defibrillation with the AED Plus and AED Pro are 50 J, 70 J, and 85 J. Energy settings can be configured by the customer with the use of ZOLL Administrative Software. Other AEDs send higher adult levels of energy to their pediatric pads,...
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