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Pediatric Tachycardia With A Pulse and Poor Perfusion Algorithm - Updated 2018

Tachycardia is a heart rate higher than normal for a child’s age and activity level. Like bradycardia, tachycardia can be life threatening for children and infants because of the impact on cardiac output. If the heart is beating too quickly, stroke volume decreases because of the lack of time for the ventricles to fill between beats and therefore cardiac output is lowered meaning inadequate perfusion to the body. At the same time, a fast heart rate increases myocardial oxygen demand contributing to inadequate oxygen delivery to the body. Tachycardia can be a normal response to stress or fever; however, tachyarrhythmias can cause acute hemodynamic compromise such as shock or cardiac arrest.

Pediatric Tachycardia With A Pulse and Poor Perfusion Algorithm Download Printable Algorithm

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Pediatric BLS One Rescuer Algorithm

Pediatric BLS One Rescuer Algorithm

This algorithm describes the BLS sequence specifically for children and infants. There are key differences when compared to the BLS sequence for adults. Infants are not a newborn but less than 1 year old and children are older than 1 year old but younger than puberty.

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Pediatric BLS Algorithm - Two-Rescuer

Pediatric BLS Two Rescuer Algorithm

There are slight differences between the one and two rescuer algorithm for children and infants. This algorithm highlights what makes a two rescuer situation unique.

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PALS Systematic Approach Algorithm

PALS Systematic Approach Algorithm

The PALS Systematic Approach is designed to provide a complete and thorough approach to the evaluation and treatment of an injured or critically ill child. It has several decision points and actions that must be committed to memory by PALS providers to ensure a high standard of care.

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Pediatric Bradycardia - Pulse & Poor Perfusion

Pediatric Bradycardia With A Pulse and Poor Perfusion

This algorithm outlines the decision tree for bradycardia, which is a heart rate (typically 60 BPM) lower than normal for a child’s age and activity level. It is often a sign of impending cardiac arrest in infants and children.

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Pediatric Cardiac Arrest Algorithm

Pediatric Cardiac Arrest Algorithm

Cardiac Arrest is the cessation of blood circulation due to absent or ineffective cardiac mechanical activity. Clinically, the patient is unresponsive, not breathing or only gasping, and there is no detectable pulse. Cerebral hypoxia causes LOC and failure to breathe. Agonal breaths may be observed during the first minutes after cardiac arrest.

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Pediatric Management of Shock After ROSC Algorithm

Pediatric Management of Shock After ROSC Algorithm

If a patient has a Return of Spontaneous Circulation (ROSC) or palpable pulse after resuscitation, start postresuscitation management immediately. The goals of postresuscitation management are supporting oxygenation and maximizing tissue and organ perfusion. This section provides a systematic approach of the postresuscitation care algorithm.

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Pediatric Tachycardia - Pulse & Adequate Perfusion Algorithm

Pediatric Tachycardia With A Pulse and Adequate Perfusion Algorithm

Tachycardia is a heart rate higher than normal for a child’s age and activity level. Like bradycardia, tachycardia can be life threatening for children and infants because of the impact on cardiac output.

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Pediatric Tachycardia - Pulse & Poor Perfusion Algorithm

Pediatric Tachycardia With A Pulse and Poor Perfusion Algorithm

Tachycardia is a heart rate higher than normal for a child’s age and activity level. Like bradycardia, tachycardia can be life threatening for children and infants because of the impact on cardiac output.

View Algorithm