Paediatric cardiopulmonary resuscitation: recent changes to guidelines.
Recommended cardiopulmonary resuscitation guidelines for infants and children by health-care personnel have been updated following an extensive review of the science of resuscitation. Notable changes include a change to a single chest compression-to-ventilation ratio of 15:2, a single DC shock (2 J/kg) strategy for shockable rhythms followed by immediate uninterrupted cardiopulmonary resuscitation for 2 min, use of amiodarone (5 mg/kg) for DC-shock resistant rhythms, the routine use of carbon dioxide detection to confirm correct endotracheal tube placement and the use of therapeutic hypothermia if the victim fails to resume consciousness after resuscitation.
Tibballs
James
J
Intensive Care Unit, Royal Children's Hospital, Parkville, Melbourne, Victoria, Australia. james.tibballs@rch.org.au
D000293:Adolescent; D001145:Arrhythmias, Cardiac / Q000628:therapy*; D016887:Cardiopulmonary Resuscitation / Q000379:methods* / Q000592:standards; D002648:Child; D002675:Child, Preschool; D006323:Heart Arrest / Q000628:therapy*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D017410:Practice Guidelines as Topic / Q000592:standards