Pediatric Tachycardia With a Pulse and Poor Perfusion Algorithm 1 Identify and treat underlying cause • Maintain patent airway; assist breathing as necessary • Oxygen • Cardiac monitor to identify rhythm; monitor blood pressure and oximetry • IO/IV access •...
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Pediatric Tachycardia With a Pulse and Poor Perfusion Algorithm 1 Identify and treat underlying cause • Maintain patent airway; assist breathing as necessary • Oxygen • Cardiac monitor to identify rhythm; monitor blood pressure and oximetry • IO/IV access • 12-Lead ECG if available; don’t delay therapy 2 Narrow (≤0.09 sec) Evaluate Wide (>0.09 sec) QRS duration 3 Evaluate rhythm with 12-lead ECG or monitor 4 5 9 Doses/Details Probable Probable Possible Synchronized sinus tachycardia supraventricular tachycardia ventricular Cardioversion • Compatible history consistent • Compatible history (vague, tachycardia with known cause nonspecific); history of abrupt Begin with 0.5-1 J/kg; rate changes if not effective, increase • P waves present/normal • P waves absent/abnormal 10 to 2 J/kg. • Variable R-R; constant PR • HR not variable Sedate if needed, but • Infants: rate usually <220/min Cardiopulmonary • Infants: rate usually ≥220/min don’t delay cardioversion. compromise? • Childr
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