Verse 1 Scene is chaos, child unresponsive, No pulse found — rhythm is destructive. Ventricular fibrillation on the screen, Or pulseless VT — flat and mean. Cardiac monitor, pads in place, Anterior-posterior — best for pace. IV or IO protocol start, But compressions come first — that’s the heart. I think of history while we act: Events that led to this cardiac attack. Estimated downtime in view, Past medical history too. Medications, terminal disease, Airway obstruction, hypothermia freeze. Chorus This is the Pediatric Cardiac Protocol call, High-quality CPR above all. Push hard — one-third chest depth, Infant one-point-five inches, child two kept. Push fast — one-hundred to one-twenty rate, Change compressors — don’t hesitate. Minimize pauses, under ten seconds tight, Early defibrillation is the light. Verse 2 Unresponsive — cardiac arrest, Differential must be addressed. Respiratory failure, airway block, Hyper or hypokalemia shock. Hypovolemia, hypoglycemia low, Acidosis makes the rhythm go. Hypothermia, tamponade too, Tension pneumothorax in the queue. Toxins, meds, thrombosis threat, Coronary or pulmonary clot we don’t forget. Congenital heart disease may play, We search for cause while compressions stay. Pre-Chorus Ventilation rhythm — don’t overdo: Under one year — breath every two. One breath each three if age is higher, Avoid hyperventilation’s fire. Passive oxygen until team is strong, EtCO₂ monitoring all along. If under ten — compressions improve, If over twenty — we’re in the groove. Spike above forty — ROSC might show, Return of spontaneous flow. Chorus Defibrillate — don’t delay, Charge during compressions to shorten the stay. First shock: two joules per kilo clear, Second shock: four — escalate from here. Then four or more with each new round, Max ten per kilo or adult bound. Manual defibrillation in command, Team-focused pit-crew plan. Bridge Epinephrine enters the fight, Zero-zero-one mg/kg right. IV or IO — maximum one milligram, Repeat every three to five — don’t skim. If rhythm persists and shocks continue, Amiodarone joins the venue. Five mg per kilo IV or IO push, Max three hundred initial rush. May repeat twice — one-fifty dose, Total fifteen mg/kg close. Or Lidocaine can be used instead, One mg per kilo as directed. Max one hundred mg in play, Follow protocol all the way. Verse 3 Special causes we keep in mind, Drowning, suffocation — airway first in line. Asphyxia, hanging, lightning strike, Hypoxic arrest — ventilation is life. High-quality CPR, continuous flow, No hyperventilation — keep it slow. Reassess placement, EtCO₂ guide, BIAD preferred — limit the stride. No pacing in arrest — that won’t work, Focus on compressions — that’s the perk. Chorus (Final) If at any time a pulse we feel, Return of spontaneous circulation — real. Then shift to post-resuscitation care, Notify destination, prepare with care. Limit interruptions, keep rhythm tight, Early shock gives chance to fight. Team approach — each task assigned, Precision, practice, focused mind. From silence flat to rhythm restored, We work as one — prepared, coordinated. In every compression, every shock we send, We fight for the child until the end.
