Advanced
pediatric
life support
algorithm
By:
Abdelhameed Elbushra
EM Specialist
objectives
Todifferentiate between deferent
types of cardiac arrest rhythm.
Tounderstand the steps of APLS
algorithm.
Toknow the reversible cases of cardiac
arrest.
Cardiac arrest rhythms
Heart rhythm associated with cardiac
arrest are divided in to tow groups:
1. Shockable rhythms: (ventricular
fibrillation/ pulseless ventricular
tachycardia).
2. And non Shockable rhythm ( asystole and
pulseless electrical activity).
The principle deference in the management
of tow groups is the need for attempted
defibrillation in patient with VF/VT.
Non shockable rhythm
Asytole:
Pulseless electrical activity(PEA):
shockable rhythm
Pulseless ventricular tachycardia:
Ventricular fibrillation:
Reversible cases of
cardiac arrest
4 H’S and 4 T’s
Hypoxia
Hypothermia
hypo/ hyperkalemia (metabolic)
Hypovolemic.
Thrombosis
Tamponed ( cardiac)
Toxin
Tension pneumothorax.
During CPR
Ensure high quality CPR rate, depth,
recoil……
Plan action before interrupting CPR
Give oxygen.
Consider advance airway and
capnography.
Continuous chest compression when
advance airway in place.
Vascular access.
Give adrenaline every 3-5 min.
Correct reversible causes.
Any question