What steps should be taken to in the treatment of a rechecked shockable rhythm in a child?

Updated: Sep 15, 2020
  • Author: Catharine A Bon, MD; Chief Editor: Kirsten A Bechtel, MD  more...
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Answer

Answer

If the rechecked rhythm is determined to be shockable, intervention proceeds as follows:

  • The defibrillator should be charged to 4 J/kg and a shock should be delivered

  • Promptly restart CPR for an additional 2 minutes

  • Give epinephrine 0.01 mg/kg IV or IO; this may be repeated every 3-5 minutes

  • Consider endotracheal intubation or other advanced airway placement

  • Consider amiodarone 5 mg/kg IV/IO for refractory VF/pVT (may repeat up to 2 times)


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