Defibrillation Pediatric

Procedure Guidelines

9.12 DEFIBRILLATION PEDIATRIC

INDICATIONS:

• Ventricular Fibrillation
• Pulseless Ventricular Tachycardia:

First Defibrillation	2 J per kilogram
Second Defibrillation	4 J per kilogram
Third and Continuous Defibrillation	4 J per kilogram

CHECK THE EQUIPMENT:

• Turn on the monitor / defibrillator.
• Apply appropriate size paddles. Use the largest paddle surface, which makes complete contact with the patient. Entire paddle should make complete contact with patient.

DEFIBRILLATION:

• Confirm the patient is unresponsive and pulseless.
• Ensure synchronizer is turned off.
• Apply conductive medium. Position paddles.
• Stop CPR and call ALL CLEAR. check to ensure all people, including yourself, are clear of the patient. Ensure EMS personnel are in a safe operating location.
• Apply firm pressure to paddles.
• Discharge energy by pressing discharge buttons simultaneously.
• Observe for rhythm change and check the patient for a pulse, (if applicable).
• Repeat per Practice Parameters.