Peter AntevyNationally recognized EMS and pediatric emergency medicine leader, innovator, and educator.

Let's Treat Kids Like We Treat Adults

Name: Let's Treat Kids Like We Treat Adults
Uploaded: 2016-12-02T21:54:07+00:00
Duration: 1 min 28 s
Channel: Peter Antevy
Description: Short instructional video/transcript (presenter Peter Antevy with other speakers) focused on rapid on-scene treatment of pediatric cardiac arrest…

2 Dec 2016 · 1 min

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1:28

Short instructional video/transcript (presenter Peter Antevy with other speakers) focused on rapid on-scene treatment of pediatric cardiac arrest. Emphasizes memorizing simple mnemonics for child weights (5,1,3,5,7,9 → corresponding kg 10,15,20,25,30) to compute drug volumes quickly. Discusses two primary medications used on scene: epinephrine (1:10,000 concentration) and amiodarone, with explicit age-to-volume examples (1 year/10 kg = 1 mL; 3 yr/15 kg = 1.5 mL; 5 yr/20 kg = 2 mL; 7 yr/25 kg = 2.5 mL; 9 yr/30 kg = 3 mL). Also notes a 2.5 mL dose cited for epinephrine and amiodarone in VF/VT contexts. The tone is practical and instructional, urging providers to have life-saving doses ready.

Questions this video answers

1:10,000

5, 1, 3, 5, 7, 9 (weights in kg: 10, 15, 20, 25, 30)

1 mL

1.5 mL

2 mL

Hello everyone, my name is Peter Ente Heve and we're here for another edition of the Hent Heavy Minute. What we'd like you to do is be able to get onto the scene effectively and treat a cardiac arrest immediately. So how do we do that? You have to know the dosages before you get to the scene. Let's talk about EPI and amiodarone.
So an easy way to remember this is just think of 5, 1, 3, 5, 7 and 9. And the weights in kilograms for those children is 10, 15, 20, 25 and 30.
Now that you have to commit to memory, pretty simple to do.
Let's Talk about the two drugs you're going to need when you're on scene. EPI 1 to 10,000 and amiodarone.
Amiodarone is not likely to be used often, but it turns out that these.
Two numbers are the same exact when you're treat the child. So if your child is one year old and ten kilos, you take the decimal point, move it over once and it's 1 ML and it's 1 ML of amiodarone as well. 3 year old, 15 kilos is 1.5 ML, 5 year old is 2 ML, 7 year old is 2.5 ML and a 9 year old is 3 ML.
It's very simple. All you have to do is know.
This dose, this number for that age.
And you can effectively treat a child on scene quickly and rapidly.
The EPI's are 2.5 MLS and if they are in fib or they're in V tach, we'll do amiodarone. It's 2.5ml as well.
So knowing the age and knowing exactly if this child is in cardiac arrest will give them very specific information. You get there quickly. I want our providers to be able to get there and have the dose of life saving medication, which is epinephrine, at the ready. Meaning that when our providers come to the scene, I want them to be ready to perform the life saving care that our citizens expect from us.