Advanced Cardiovascular Life Support (ACLS) is a set of life-saving techniques and protocols used in emergency situations. This training is crucial for healthcare professionals who...Treatment of ventricular fibrillation is with cardiopulmonary resuscitation, including defibrillation. The success rate for immediate (within 3 minutes) defibrillation is about …Scope of the Guidelines. This 2023 focused update to the American Heart Association (AHA) advanced cardiovascular life support (ACLS) guidelines for cardiopulmonary resuscitation (CPR) and emergency cardiovascular care is based on the expert writing group review of the relevant International Liaison Committee on …Part 10.4: Hypothermia. Unintentional hypothermia is a serious and preventable health problem. Severe hypothermia (body temperature <30°C [86°F]) is associated with marked depression of critical body functions that may make the victim appear clinically dead during the initial assessment. But in some cases hypothermia may exert a protective ...Approximately 80% of individuals who suffer a sudden cardiac arrest have ventricular fibrillation prior to the cardiac arrest. Most of these have atherosclerotic heart disease (coronary artery disease) as the underlying cause. Other common causes are cardiomyopathy (hypertrophic or dilated), arrhythmogenic right ventricular …Adult Dosage of Amiodarone. When using amiodarone to treat V-Fib or pulseless V-tach cardiac arrest which is unresponsive to CPR, shock, and vasopressors, a first dose is given at 300 mg via IV or IO push. And a second dose is delivered at half that, or 150 mg, also via IV or IO push. For life-threatening arrhythmias, a maximum accumulated dose ...Atrial Fibrillation. A 68-year-old male presents with palpitations, lightheadedness, and weakness. These symptoms appear to worsen with increased alcohol intake. Medical history is significant for hypertension being treated with hydrochlorothiazide. On physical exam, the patient appears uncomfortable.2018 American Heart Association Focused Update on Advanced ...1. Description of the problem. Early diagnosis and rapid defibrillation of ventricular fibrillation (Vfib) and pulseless ventricular tachycardia can significantly increase chances for survival ...When the heart rate is extremely rapid, it may be difficult to determine if the rate is irregular, and the absence of p-waves will be the best indicator of atrial fibrillation. ACLS Treatments: For the purposes of ACLS atrial fibrillation is treated when the arrhythmia/tachyarrhythmia produces hemodynamic instability and serious signs and …Ventricular fibrillation ("VF" or " V-fib ") is a life-threatening. cardiac arrhythmia. characterized by disorganized, high-frequency ventricular contractions that result in diminished. cardiac output. and hemodynamic collapse. V-fib usually begins with. ventricular tachycardia.If ROSC, go to Post–Cardiac Arrest Care. Consider appropriateness of continued resuscitation. Go to 5 or 7. VF/pVT Asystole/PEA. CPR Quality. Push hard (at least 2 inches [5 cm]) and fast (100-120/min) and allow complete chest recoil. Minimize int erruptions in compressions. Avoid e xcessive v entilation.Complete your ACLS recerti !cation online with the highest quality course at http://www.acls.net © ACLS Training Center +1 219-255-2255 [email protected] 18, 2022 ... Ventricular Tachycardia (VT) ECG Interpretation, Treatment (ACLS Management), Lectures, USMLE, NCLEX. MedNerd - Dr. Waqas Fazal•48K views · 7:46.Autosomal recessive is one of several ways that a trait, disorder, or disease can be passed down through families. Autosomal recessive is one of several ways that a trait, disorder...If you're thinking of creating a subscription box, these subscription box business ideas will inspire you to take the next step. * Required Field Your Name: * Your E-Mail: * Your R...Amiodarone is an iodinated benzofuran derivative that was synthesized and tested as an antianginal agent in the 1960s but was later discovered to have antiarrhythmic properties. Amiodarone is widely prescribed, largely due to its efficacy in the management of both supraventricular and ventricular arrhythmias.Ventricular Fibrillation (V-Fib) (ECG Rhythm Interpretation) Watch on. Ventricular fibrillation, known commonly as v-fib, is caused by multiple ectopic electrical impulses that depolarize the myocardium in a chaotic fashion. This results in a quivering or fibrillating heart that does not produce a pulse or adequate cardiac output.Monomorphic ventricular tachycardia will have QRS complexes greater than or equal to .12 second (120 milliseconds). These QRS complexes appear uniform and symmetrical. This suggests that the impulses and/or circuitry of the heart is causing complexes to originate in the same area of the ventricle. Polymorphic Ventricular Tachycardia.A = Open airway. B = Breaths (30:2 compression-to-ventilation ratio or 8-10 breaths/min with advanced airway). 1. Use defibrillator to check rhythm: If VF/VT: Give 1 shock immediately then follow the algorithm. If PEA or asystole: Continue CPR, give epinephrine as soon as possible and follow the algorithm. Minimize interruptions of CPR.2020 (Updated): (PALS) When perform-ing CPR in infants and children with an advanced airway, it may be reasonable to target a respiratory rate range of. 1 breath every 2 to 3 seconds (20-30/min), accounting for age and clinical condition. Rates exceeding these recommendations may compromise hemodynamics. There are two stages of treatment for V-fib: the first is focused on restoring the person’s pulse and blood pressure. The second stage focuses on reducing a person’s chances of developing ventricular fibrillation in the future. Stage one treatments for ventricular fibrillation include: Automated emergency defibrillator (AED), if used ... IF YES, shock again. Perform CPR for 2 minutes. Administer Amiodarone. (AT ANY TIME DURING THIS YOU CAN GIVE EPI) Study with Quizlet and memorize flashcards containing terms like What is the ACLS algorithm for pulseless VT and Vfib?, How many J's do you normally shock a patient with when you are biphasic defibrillating?, Pulseless VT can …Atrial fibrillation is when multiple electrical impulses are being generated in the atria at the same time. This causes chaotic myocardial responses that may diminish both the pre-load and effectiveness of the cardiac contraction. This can lead to: Development of microemboli due to stagnant blood flow from the atria.The H’s and T’s of ACLS is a mnemonic used to help recall the major contributing factors to pulseless arrest including PEA, Asystole, Ventricular Fibrillation, and Ventricular Tachycardia. These H’s and T’s will most commonly be associated with PEA, but they will help direct your search for underlying causes to any of arrhythmias associated with ACLS.Ventricular fibrillation falls under the ACLS Adult Cardiac Arrest Algorithm and is the most important algorithm to know for adult resuscitation. Ventricular fibrillation treatment starts with early and effective CPR …At least 11 mostly small cruise lines including Crystal Cruises, Dream Cruises, Star Cruises, Jalesh Cruises and Blount Small Ship Adventures have shut down since the COVID-19 pand...Ventricular fibrillation ("VF" or " V-fib ") is a life-threatening. cardiac arrhythmia. characterized by disorganized, high-frequency ventricular contractions that result in diminished. cardiac output. and hemodynamic collapse. V-fib usually begins with. ventricular tachycardia.PALS Cardiac Arrest Algorithm 1. Activate emergency medical services, call a pediatric “code blue”, obtain AED or defibrillator 2. Is the rhythm shockable? Rhythm IS shockable (ventricular fibrillation or unstable ventricular tachycardia) 1. Administer shock at 2 Joules/kg 2. Administer high-quality CPR for 2 minutes 3. Check rhythm If not shockable, move to asystole/PEA rhythm protocol IfAmerican Heart Association Advanced Cardiac Life Support (ACLS) guidelines support the use of either amiodarone or lidocaine for cardiac arrest caused by ventricular tachycardia or ventricular fibrillation (VT/VF) based …https://www.proacls.com - ACLS Certification Training Videos**Get $20 off your certification or recertification with the discount code youtubeacls2017The key...V-Fib and Pulseless V-Tach (Shockable) ... CHEST 2012 and ACLS 2010 recommends in acute PE or high suspicion. Class IIc and Class IIa, respectively ... Correa, A, Cheung, W, et al. Stellate ganglion nerve block by point-of-care ultrasonography for treatment of refractory infarction-induced ventricular fibrillation. Ann Emerg Med. 2020;75(2):257 ...Jun 6, 2018 · Acute ventricular fibrillation (VF) is treated according to Advanced Cardiac Life Support (ACLS) protocols. [81, 82] ) Interest in improving rates of public cardiopulmonary resuscitation (CPR) training—with a special emphasis on the use of early defibrillation with automated external defibrillators (AEDs) by public service personnel (eg, police, fire, airline)—is widespread. [] The reduction in cardiac output resulting can cause symptoms ranging from decreased level of consciousness to a total lack of cardiac output, known as a pulseless ventricular tachycardia. Unstable ventricular tachycardia may present with the following characteristics: Broad QRS arrhythmia. Highly accelerated heart rates.Used to treat Atrial Fibrillation, Atrial Flutter, Atrial Tach, and Symptomatic VT. Shock performed at peak of R wave. Requires proper lead/pad placement to monitor ECG. Pediatric shock energy level: Monophasic or Biphasic: 0.5-1.0 J/kg Assure the patient is sedated and comfortable during shock delivery. Defibrilation: Used to treat VF and ...Jul 18, 2022 ... Ventricular Tachycardia (VT) ECG Interpretation, Treatment (ACLS Management), Lectures, USMLE, NCLEX. MedNerd - Dr. Waqas Fazal•48K views · 7:46.Mar 28, 2024 · The American Heart Association (AHA) formally endorsed cardiopulmonary resuscitation (CPR) in 1963, and by 1966 they had adopted standardized CPR guidelines for instruction to lay rescuers [ 2 ]. Advanced cardiac life support (ACLS) guidelines have evolved over the past several decades based on a combination of scientific evidence of variable ... Author: American Heart Association Subject: Please contact the American Heart Association at [email protected] or 1-214-706-1886 to request a long description of this image.CPR Quality. Push hard (at least 2 inches [5 cm]) and fast (100-120/min) and allow complete chest recoil. Minimize interruptions in compressions. Avoid excessive ventilation. 2 minutes, or sooner if fatigued. If no advanced airway, 30:2 compression-ventilation ratio. If Petco2 <10 mm Hg, attempt to improve CPR quality. Treatment. For the purposes of ACLS, atrial flutter is treated the same as atrial fibrillation. When atrial flutter produces hemodynamic instability and serious signs and symptoms, it is treated using ACLS protocol. For the patient with unstable tachycardia due to this tachyarrhythmia (atrial flutter), immediate cardioversion is recommended. https://www.proacls.com - ACLS Certification Training Videos**Get $20 off your certification or recertification with the discount code youtubeacls2017The key...The American Heart Association’s ACLS precourse self-assessment is a test students take before beginning a course in advanced cardiovascular life support, as the association’s webs...Arrhythmia Recognition. Interpret all ECG and rhythm information within the context of total patient assessment. Inaccurate diagnoses and inappropriate therapy occur when ACLS providers base their decisions solely on cardiac rhythm and neglect to evaluate the patient’s clinical signs, such as ventilation, oxygenation, heart rate, blood pressure, level of consciousness, and other signs of ... Used to treat Atrial Fibrillation, Atrial Flutter, Atrial Tach, and Symptomatic VT. Shock performed at peak of R wave. Requires proper lead/pad placement to monitor ECG. Pediatric shock energy level: Monophasic or Biphasic: 0.5-1.0 J/kg Assure the patient is sedated and comfortable during shock delivery. Defibrilation: Used to treat VF and ... 2. Routine administration of calcium for treatment of cardiac arrest is not recommended. 3. Use of extracorporeal cardiopulmonary resuscita-tion for patients with cardiac arrest refractory to standard advanced cardiovascular life support is reasonable in select patients when provided within an appropriately trained and equipped system of care. 4.Ventricular fibrillation (VFib or VF) and ventricular tachycardia (v-tach or VT) are two types of heart arrhythmia that occur in the heart’s lower chambers called the ventricles. The ventricles ...Ventricular fibrillation (V-fib) ECG interpretation, causes, treatment, nursing NCLEX and ACLS review.Quiz: https://www.registerednursern.com/ventricular-fib...The anterior cruciate ligament (ACL) is a ligament in the center of the knee that prevents the shin bone (tibia) from moving forward on the thigh bone (femur). The anterior cruciat...Adult Dosage for Lidocaine: Dosage for cardiac arrest from ventricular fibrillation or pulseless ventricular tachycardia: Initial dose is 1 to 1.5 mg/kg IV or IO. Can also be delivered via endotracheal tube. Dosage for refractory ventricular fibrillation: An additional .5 to .75 mg/kg may be given via IV push.About Arrhythmia. Ventricular Fibrillation. Ventricular fibrillation, or VF, is considered the most serious abnormal heart rhythm. VF is extremely dangerous and can lead to sudden cardiac death. Without treatment, the condition is fatal within minutes. The vasopressor that is used for the treatment within the right branch of the Cardiac Arrest Algorithm is epinephrine. Epinephrine is primarily used for its vasoconstrictive effects. Vasoconstriction is important during CPR because it will help increase blood flow to the brain and heart. ACLS pretest: Section 3. After initiation of CPR and 1 shock for ventricular fibrillation, this rhythm is present on the next rhythm check. A second shock is given, and chest compressions are resumed immediately. An IV is in place, and no drugs have been given. Bag-mask ventilations are producing visible chest rise.Sustained ventricular tachycardia, 3rd degree heart block. Treatment. Immediately initiate ACLS. Emergency electrical defibrillation (200 > 300 > 360J) the earlier that defibrillation is performed, the better. Prognosis, Prevention, and Complications. Most cases result in sudden death. Immediate intervention necessary for survival in vast ...A life-threatening complication of V-tach is ventricular fibrillation, also called V-fib. V-fib can cause all heart activity to suddenly stop, called sudden cardiac arrest. Emergency treatment is needed to prevent death. V-fib happens most often in people with heart disease or a prior heart attack. Sometimes it occurs in those who have high or ...Indications for ACLS Vasoconstriction effects : epinephrine binds directly to alpha-1 adrenergic receptors of the blood vessels (arteries and veins) causing direct vasoconstriction, thus, improving perfusion pressure to the brain and heart.Lidocaine is an antiarrhythmic that can also be used and is considered equivalent to amiodarone in the treatment of ventricular fibrillation or pulseless ventricular tachycardia. Dosing. Provide an initial dose of 1-1.5 mg/kg IV or IO. If pVT or VF persists the lidocaine may be repeated at 0.5-0.75 mg/kg over 5 to 10 minute intervals ...Nov 15, 2022 · Ventricular Fibrillation. Ventricular fibrillation, or VF, is considered the most serious abnormal heart rhythm. VF is extremely dangerous and can lead to sudden cardiac death. Without treatment, the condition is fatal within minutes. Disordered electrical activity causes the heart’s lower chambers (ventricles) to quiver instead of ... Each ACLS algorithm is designed to simplify the process for the management and treatment of patients experiencing a cardiovascular emergency or progressing toward a cardiovascular emergency. ... The left branch is used for the treatment of ventricular fibrillation and pulseless ventricular tachycardia. The right branch is used for the …Double sequential external defibrillation (DSED; rapid sequential shocks from two defibrillators) and vector-change (VC) defibrillation (switching defibrillation …In ACLS, Lidocaine is used intravenously for the treatment of ventricular arrhythmias. (VT/VF) It is also useful for the treatment of stable monomorphic VT with preserved ventricular function and for stable polymorphic VT with preserved left ventricular function, normal QT interval, and correction of any electrolyte imbalances.Makeup containers have a way of multiplying and spreading over counters. This clever DIY magnetic board from the Laura Thoughts blog puts all your makeup where you can see it and f...Oct 21, 2020 · Preamble. In 2015, approximately 350 000 adults in the United States experienced nontraumatic out-of-hospital cardiac arrest (OHCA) attended by emergency medical services (EMS) personnel. 1 Approximately 10.4% of patients with OHCA survive their initial hospitalization, and 8.2% survive with good functional status. This “2023 American Heart Association Focused Update on Adult Advanced Cardiovascular Life Support” summarizes the most recent published evidence for and …Atrial fibrillation (AF) is an abnormal rhythm caused by the rapid firing of multiple cells in the atria, the upper chambers of the heart, which cause the atria to quiver ineffectively. Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia encountered in clinical practice and is associated with increased risk of stroke ...5. Therapies for Treatment or Prevention of VA ..... e290 5.1. Medication Therapy..... e290 5.1.1. Medications With Prominent Sodium Channel Blockade..... e290 5.1.2. Beta Blockers ..... e293 5.1.3. 10.3.Amiodarone and Sotalol ..... e293 5.1.4. Calcium Channel Blockers..... e294 5.1.5.Treatment includes risk factor elimination including smoking cessation, and treatment with vasodilators including dihydropyridine calcium channel blockers with or without nitrates. A more detailed summary of …Ventricular fibrillation (VF) is considered the most serious cardiac arrhythmias. Disordered electrical activity causes the ventricles to quiver (or fibrillate) instead of contracting normally. This prevents the heart from pumping blood, causing collapse and cardiac arrest . VF has been identified in nearly 70% of cardiac arrest patients.A lie is a false statement that is said intentionally to a person to hide the truth that has harmful consequences, while a fib is a statement said about something unimportant or mi...This “2023 American Heart Association Focused Update on Adult Advanced Cardiovascular Life Support” summarizes the most recent published evidence for and …Nov 8, 2023 ... ... ventricular fibrillation and pulseless ventricular tachycardia. - Treat reversible causes of cardiac arrest including the 5 H and 5 T ...The 2018 AHA Focused Update on ACLS guidelines summarize the most recent published evidence for and recommendations on the use of antiarrhythmic drugs during and immediately after shock-refractory VF/pVT cardiac arrest. The updated guidelines state that amiodarone or lidocaine may be considered for VF/pVT that is …Iran doesn't need nukes to be dangerous. The only reason to watch Binyamin Netanyahu speak to the US Congress today is for the mildly amusing spectacle of a room full of American p...Nov 22, 2016 ... ACLS Adult Cardiac Arrest Algorithm - Ventricular Fibrillation ; ACLS Adult Cardiac Arrest Algorithm - PEA/Asystole. ACLS Certification Institute ...Version 2021.01.c. When a child is in cardiac arrest begin CPR immediately. Push hard and fast at 100–120 beats per minute. Ventilate with a bag-mask and attach to supplemental oxygen. Two-person CPR for a child without a definitive airway will be at a ratio of 15 compressions to 2 breaths. Attach the monitor/defibrillator as soon as possible ...N Engl J Med. 2019;380:1499-1508. Atrial fibrillation (AF) is an abnormal rhythm caused by the rapid firing of multiple cells in the atria, the upper chambers of the heart, which cause the atria to quiver ineffectively. Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia encountered in clinical practice and is associated ...Refractory ventricular fibrillation (RVF) is a life-threatening cardiac arrhythmia unresponsive to traditional methods of defibrillation and advanced cardiovascular life support ( ACLS ). Current literature lacks a uniform definition for RVF, however, some studies provide more specific clinical definitions of refractory ventricular fibrillation ...Oct 21, 2020 · Preamble. In 2015, approximately 350 000 adults in the United States experienced nontraumatic out-of-hospital cardiac arrest (OHCA) attended by emergency medical services (EMS) personnel. 1 Approximately 10.4% of patients with OHCA survive their initial hospitalization, and 8.2% survive with good functional status. IF YES, shock again. Perform CPR for 2 minutes. Administer Amiodarone. (AT ANY TIME DURING THIS YOU CAN GIVE EPI) Study with Quizlet and memorize flashcards containing terms like What is the ACLS algorithm for pulseless VT and Vfib?, How many J's do you normally shock a patient with when you are biphasic defibrillating?, Pulseless VT can …Ventricular fibrillation, or VF, is considered the most serious abnormal heart rhythm. VF is extremely dangerous and can lead to sudden cardiac death. Without treatment, the condition is fatal within minutes. Disordered electrical activity causes the heart’s lower chambers (ventricles) to quiver instead of contracting (or beating) normally.Extracardiac causes. ” for further detail. secondary to several factors (see “Etiology” for details). Symptoms may be unprovoked or exacerbated by physical and/or emotional triggers (e.g., exercise, anger). Ventricular tachycardia (VT) is a potentially life-threatening arrhythmia originating in the cardiac ventricles.Ventricular fibrillation falls under the ACLS Adult Cardiac Arrest Algorithm and is the most important algorithm to know for adult resuscitation. Ventricular fibrillation treatment starts with early and effective CPR …There are two stages of treatment for V-fib: the first is focused on restoring the person’s pulse and blood pressure. The second stage focuses on reducing a person’s chances of developing ventricular fibrillation in the future. Stage one treatments for ventricular fibrillation include: Automated emergency defibrillator (AED), if used ...Push hard (at least 2 inches [5 cm]) and fast (100-120/min) and allow complete chest recoil. Minimize interruptions in compressions. Avoid excessive ventilation. 2 minutes, or sooner if fatigued. If no advanced airway, 30:2 compression-ventilation ratio. If Petco2 <10 mm Hg, attempt to improve CPR quality.Atrial fibrillation is when multiple electrical impulses are being generated in the atria at the same time. This causes chaotic myocardial responses that may diminish both the pre-load and effectiveness of the cardiac contraction. This can lead to: Development of microemboli due to stagnant blood flow from the atria.
Sep 20, 2021 · Ventricular fibrillation (sometimes called v-fib for short) is an arrhythmia, a malfunction of the heart’s normal pumping sequence. It is the most common deadly arrhythmia. When it happens, the lower chambers of your heart quiver or twitch instead of completely expanding and squeezing. This means they aren’t pumping blood as they should. . Pvsp coalinga ca
Asystole and Its Treatment in ACLS. Asystole is defined as a cardiac arrest rhythm in which there is no discernible electrical activity on the ECG monitor. Consequently, it is sometimes referred to as a “flat line.” Confirmation that a “flat line” is truly asystole is an important step in the ACLS protocol.Atrial fibrillation (A-fib) ECG / EKG interpretation, treatment, causes, and nursing review for nurses, nursing students, and NCLEX.Quiz: https://www.registe...Automating your computer is the smarter way to run repetitive tasks. Sometimes, the best way to use your Mac is to not use it at all. Your Mac is capable of powerful automations th...Setting Up Theory: It is suggested that the first shock lowers the defibrillation threshold, thus increasing the second shock’s success in converting any remaining fibrillating myocytes. 8,18 This is where DD gets its alternate name of “Double Sequential Defibrillation (DSD)”. It is also the more likely method of administration in ...Atrial fibrillation (A-fib) ECG / EKG interpretation, treatment, causes, and nursing review for nurses, nursing students, and NCLEX.Quiz: https://www.registe...The 2020 ACLS guidelines provide recommendations on the medication-specific management for arrhythmias including wide-complex tachycardia, regular narrow-complex tachycardia, atrial fibrillation/flutter, and bradycardia [ 1 ]. There are also our 2020 ACLS guideline summaries on vasopressor and non-vasopressor medications used …The two images show what ventricular fibrillation will look like on an EKG rhythm strip. VF can rapidly lead to heart muscle ischemia, and there is a high likelihood that it will …When the heart rate is extremely rapid, it may be difficult to determine if the rate is irregular, and the absence of p-waves will be the best indicator of atrial fibrillation. ACLS Treatments: For the purposes of ACLS atrial fibrillation is treated when the arrhythmia/tachyarrhythmia produces hemodynamic instability and serious signs and …Part 10.4: Hypothermia. Unintentional hypothermia is a serious and preventable health problem. Severe hypothermia (body temperature <30°C [86°F]) is associated with marked depression of critical body functions that may make the victim appear clinically dead during the initial assessment. But in some cases hypothermia may exert a protective ...Amiodarone is a frequently prescribed anti-arrhythmic medication. Amiodarone is approved by the U.S. Food and Drug Administration (FDA) specifically for the treatment of life-threatening ventricular arrhythmias. However, this drug is also widely used off-label to treat supraventricular tachyarrhythmias, such as atrial fibrillation, and … Atrial fibrillation (AF) is an abnormal rhythm caused by the rapid firing of multiple cells in the atria, the upper chambers of the heart, which cause the atria to quiver ineffectively. Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia encountered in clinical practice and is associated with increased risk of stroke ... This “2023 American Heart Association Focused Update on Adult Advanced Cardiovascular Life Support” summarizes the most recent published evidence for and …https://www.proacls.com - ACLS Certification Training Videos**Get $20 off your certification or recertification with the discount code youtubeacls2017The key...In patients with cardiac arrest refractory to standard ACLS, vasopressin induced an increase in blood pressure, and in some cases, ROSC. 51 In a similar clinical evaluation after approximately 40 minutes of unsuccessful ACLS, 4 of 10 patients responded to vasopressin and had a mean increase in coronary perfusion pressure of 28 mm Hg. 46 In a ...May 13, 2019 ... LiveWithLauren: Today we are learning about Ventricular Fibrillation and Pulseless Ventricular Tachycardia in ACLS.Version 2021.01.c. When a child is in cardiac arrest begin CPR immediately. Push hard and fast at 100–120 beats per minute. Ventilate with a bag-mask and attach to supplemental oxygen. Two-person CPR for a child without a definitive airway will be at a ratio of 15 compressions to 2 breaths. Attach the monitor/defibrillator as soon as possible ...Evaluate and treat rapidly reversible etiologies. Involve expert consultation for continued management. Awake. Other critical care management. Follows commands ....