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.
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
From Annals of EM
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.
Dr. Anton Helman is an Emergency Physician at North York General in Toronto. He is an Assistant Professor at the University of Toronto, Division of Emergency Medicine and the Education Innovation Lead at the Schwartz-Reisman Emergency Medicine Instititute. He is the founder, editor-in-chief and host of Emergency Medicine Cases.