Resuscitation Medications for Use in Pediatric Patients in EDs
Adenosine |
Amiodarone |
Atropine |
Calcium chloride and/or calcium gluconate |
Epinephrine (1 mg/mL [IM] and 0.1 mg/mL [IV] solutions)a |
Lidocaine |
Procainamide |
Sodium bicarbonate (4.2%)b |
Vasopressor agents (eg, dopamine, epinephrine, and norepinephrine) |
Adenosine |
Amiodarone |
Atropine |
Calcium chloride and/or calcium gluconate |
Epinephrine (1 mg/mL [IM] and 0.1 mg/mL [IV] solutions)a |
Lidocaine |
Procainamide |
Sodium bicarbonate (4.2%)b |
Vasopressor agents (eg, dopamine, epinephrine, and norepinephrine) |
For a more complete list of medications used in a pediatric ED, see Winkelman et al.75 IM, intramuscular; IV, intravenous.
The formerly epinephrine 1:1000 solution is now 1 mg/mL for IM use or inhalation; the 1:10 000 solution is now 0.1 mg/mL for IV use.
If only sodium bicarbonate 8.4% is available, may dilute 1:1 with normal saline before administration in children <2 y of age.