Pediatric Respiratory Emergencies By Type

Pediatric respiratory emergencies by type

Always start with the basics

Position to maintain patent airway

Suction as needed

Pulse oximetry ? oxygen if indicated

ECG monitor ? if indicated

Upper airway obstruction

Croup

Epinephrine (nebulized) Corticosteroids

Anaphylaxis

Epinephrine (IM) Albuterol Antihistamines Corticosteroids

Foreign body obstruction

Clear the airway Position of comfort (if moving air) Speciality consult

Disordered work of breathing

Intracranial pressure increase

Avoid hypoxemia Avoid hypercarbia Avoid hyperthemia

Neuromuscular

Ventilation support if applicable

Overdose/Poisoning

Individual antidote if known or available Contact poison control for speci c treatment

Lower airway obstruction

Lung tissue disease

Asthma

Albuterol + ipratropium Corticosteroids Subcutaneous epinephrine Magnesium sulfate Terbutaline

Bronchiolitis

Nasal suctioning Bronchodilator

Pulmonary edema

Consider ventilation support Consider PEEP Vasoactive support Diuretic

Pneumonia

Albuterol Antibiotics (as indicated) CPAP if needed

American Heart Association 2015 Handbook of Emergency Cardiovascular Care for Healthcare Providers, November 2015, American Heart Association ISBN 978-1- 61669-397- 8, Pages 85 Pediatric Advanced Life Support Provider Manual, American Heart Association, October 2011, ISBN 978-1- 61669-112- 7, pages 43-49

Version control: This document follows 2020 American Heart Association? guidelines for CPR and ECC. American Heart Association? guidelines are updated every ve years. If you are reading this page after December 2025, please contact support@ for an update. Version 2023.07.a

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