Pediatric Respiratory

Emegencies By Type

Always Start With The Basics

Position to maintain Pulse oximetry ECG monitor

patent airway Suction as Needed oxygen if indicated if indicated

Upper Airway Obstruction Disordered Work of Breathing

Croup Intracranial Pressure Increase

Epinephrine (nebulized) Avoid Hypoxemia
Corticosteroids Avoid Hypercarbia
Avoid Hyperthemia
Anaphylaxis
Epinephrine (IM) Neuromuscular
Albuterol Ventilation Support
Antihistamines if applicable
Corticosteroids
Overdose/Poisoning
Foreign Body Obstruction Individual antidote
Heimlich if obstructed completely if known or available
Position of Comfort (if moving air) Contact Poison control for
Speciality Consult specific treatment

Lower Airway Obstruction Lung Tissue Disease

Asthma Pulmonary Edema

Albuterol + Ipratropium Consider ventilation support
Corticosteroids Consider PEEP
Subcutaneous Epinephrine Vasoactive support
Magnesium Sulfate Diuretic
Terbutaline
Pneumonia
Bronchiolitis Albuterol
Nasal Suctioning Antibiotics (as indicated)
Bronchodilator CPAP if needed

American Heart Association 2015 Handbook of Emergency Cardiovascular Care for Healthcare Providers, November 2015, American Heart Association ISBN 978-1- 61669-397- 8, Pages 85
Pediatric Advanced Life Support Provider Manual, American Heart Association, October 2011, ISBN 978-1- 61669-112- 7, pages 43-49

Version control: This document is current with respect to 2015 American Heart Association Guidelines for CPR and ECC. These guidelines are current until they are replaced on October 2020.
If you are reading this page after October 2020, please contact ACLS Training Center at support@acls.net for an updated document. Version 2016.02.a

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