Pediatric resuscitation without an intravenous line.
The case of a 3-month-old male infant who was found unresponsive and cyanotic in a crib at home is presented. On arrival in the emergency department the child was receiving basic cardiopulmonary resuscitation (CPR) by a rescue squad and was without vital signs in asystole. The patient achieved a stable rhythm and blood pressure before intravenous access was obtained. Epinephrine and atropine were given via the endotracheal route and sodium bicarbonate through intraosseous infusion.
D001285:Atropine / Q000008:administration & dosage; D001639:Bicarbonates / Q000008:administration & dosage; D004632:Emergency Medical Services; D004837:Epinephrine / Q000008:administration & dosage; D006323:Heart Arrest / Q000628:therapy; D006801:Humans; D007223:Infant; D007263:Infusions, Parenteral / Q000379:methods; D007442:Intubation, Intratracheal; D008297:Male; D012151:Resuscitation / Q000379:methods*; D012964:Sodium / Q000008:administration & dosage; D017693:Sodium Bicarbonate; D013398:Sudden Infant Death; D013977:Tibia; D013997:Time Factors
D001639:Bicarbonates; D001285:Atropine; D017693:Sodium Bicarbonate; D012964:Sodium; D004837:Epinephrine