Call for help. In mild cases position on parent’s/carer’s shoulder with the knees tucked up underneath. (This calms the infant, increases systemic venous return and increases systemic vascular resistance) |
Reassess using ABCDE principles. Call for help. Administer 100% oxygen via non re-breath bag valve mask if necessary. Monitor oxygen saturations and ECG |
If no Response to above - Call for help |
If stable, give oral morphine 0.1mg/Kg |
Site IV cannula – check venous blood gas |
Give IV 0.9% sodium chloride 20mls/Kg in aliquots of 10mls/Kg |
Give IV morphine 0.1mg/Kg as a bolus (can be repeated) |
Use IM or subcutaneous route if IV access not readily available |
Monitor neurological and respiratory status as morphine has respiratory depressant effects |
If no Response to above; Contact SORT Southampton Oxford retrieval team 02380775502 Cardiology team Contact 02380 777222 Bleep 2811 Paediatric cardiology registrar for advice |
Give IV Propranolol 0.1mg/Kg as a slow bolus monitoring for bradycardia, and/or IV Phenylephrine 0.02mg/Kg IV |
Document Version:
2.0 Lead Author: Katy Stimson, ACP, UHS Additional Authors: Dr T Richens, Consultant Cardiologist, UHS Dr M Griksatis, Consultant Paediatric Intensivist, UHS |
Approving Network:
Wessex Paediatric Critical Care Network Date of Approval: January 2025 Review Due:
January 2028 |
PIER Contact |
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