When was the last time you saw ventricular fibrillation in a 4 month old? Dr. Rob Simard tells his Best Case Ever of a Pediatric Cardiac Arrest in which meticulous preparation, sticking to his guns, early activation of the transportation service, and clever use of point of care ultrasound helped save the life of a child. He explains the importance of debriefing your team after an emotionally charged case.
Published November 2015
Dr. Simard’s tips on drawing up epinephrine in preparation for pediatric cardiac arrest
Use 3 tuberculin syringes (1mL each) and attach a 3-way stopcock to the cardiac cart epinephrine syringe and draw up 3 tuberculin syrninges of epinephrine in advance.
Annals of EM study on colour coded pre-filled syringes for pediatric resuscitation showing faster time to administration and lower medication error rates Full PDF
Moreira ME, Hernandez C, Stevens AD, et al. Color-Coded Prefilled Medication Syringes Decrease Time to Delivery and Dosing Error in Simulated Emergency Department Pediatric Resuscitations. Ann Emerg Med. 2015;66(2):97-106.e3.
Other FOAMed Resources
Debriefing in the ED on St Emlyns Blog
American College of Cardiology 2015 Update for Pediatric Life Support Guidelines Key Points
Dr. Helman & Dr. Simard of no conflicts of interest to declare
For more EM Cases content on Pediatric Emergencies check out our free interactive eBook,
EM Cases Digest Vol. 2 Pediatric Emergencies here.