Error Score Items for Nonshockable Pediatric Cardiac Arrest
pulseless, Shock
BLOOD, SHOCK, CARDIAC ARREST
CPR started within 30 s from recognition of pulseless state.CPR board or rigid surface positioned underneath the manikin within 60 s from recognition of pulseless state.Compression and ventilation ratio of 15:2.Help called (hospital emergency response system activated) within 60 s from recognition of pulseless state.Compressors switched more than once during CPR.EKG monitoring started within 60 s from recognition of pulseless state.IV or IO access called within 60 s from recognition of pulseless state.First epinephrine called within 30 s from recognition of pulseless state.First epinephrine administered at the correct dose and dilution and by the correct route (IV or IO), followed by a normal saline flush, while compressions are being performed, within 180 s (3 min) from recognition of pulseless state.Second epinephrine called between 3 and 5 min from the first administration of epinephrine.Second epinephrine administered at the correct dose and dilutiona and by the correct route, followed by a normal saline flush, while compressions are being performed, within 5 min from the first epinephrine.Blood gas called during cardiac arrest.Reversible causes treated.Shock not administered.Medications other than epinephrine (eg, amiodarone, lidocaine, atropine) not administered.
Abbreviations: CPR, cardiopulmonary resuscitation; EKG, electrocardiogram; IO, intraosseous; IV, intravenous.
Correct dose of epinephrine is defined as 0.01 mg/kg (or a deviation from the correct weight dose of <10%); correct dilution of epinephrine is defined as 1:10.000 (0.1 mg/mL).
Administration of medications to treat identified reversible causes is not considered in this item.