Welcome to the lesson on responding to cardiac arrest. In this video, we'll discuss cardiac arrest management and responding to cardiac arrest with CPR, shock energy, advanced airway, and drug therapy. The first management step in cardiac arrest is to begin high quality CPR. For details on high quality CPR, please refer to the BLS videos or your corresponding BLS manual. for pediatric cardiac arrest algorithm, refer to figure 16 and your corresponding pls manual. To ensure CPR quality when responding to cardiac arrest, make sure the chest compression rate is at least 100 to 120 per minute.
Compressions depth should be one third the diameter of the chest that is 1.5 inches and infants in two inches and children. Minimize interruptions and do not over ventilate. Additionally, rotate compressor every two minutes. If no advanced airway is available, the compression of ventilation ratio should be 15 to two if advanced it is available, then give eight to 10 breaths per minute with continuous chest compressions. When giving shock energy, the first shock should be two joules per kilogram. Second shock should be four joules per kilogram.
Subsequent shocks should be greater than or equal to four joules per kilogram. Maximum dose of the shock should not exceed 10 joules per kilogram or adult dosage. When working with advanced Airways, use super glottic advanced airway or et intubation. Use waveform capnography to confirm and monitor a tube placement. Once the advanced airway is in place, give one breath every six to eight seconds. That is eight to 10 breaths per minute.
Providing drug therapy. epinephrine dosage via intravenous or interosseous access should be point 01 milligrams per kilogram. Repeat this dosage every three to five minutes. If there's no intravenous or interosseous access, and you may give an O tracheal dose of point one milligrams per kilogram Mi A da Ron dosage should be given by an intravenous or intra osseous access in five milligram per kilogram bolus during cardiac arrest. You may repeat this up to two times for refractory Vf or post svt. This concludes our lesson on responding to cardiac arrest.
Next, we'll review post resuscitation care