Pediatric Cardioversion and Defibrillation (APLS):
An Automated External Defibrillator (AED) can be used on children and infants if indicated.
Pediatric pads should be used if the child is less than eight years old or less than 25 kilograms.
Adult pads can be used for children eight years and older.
Standard adult pads may be used for children if pediatric pads are not available.
Some AEDs have a switch that can be set to deliver a pediatric shock.
If available, turn the switch on when using on children younger than eight years old.
If the AED cannot deliver a pediatric shock, an adult shock should be given.
For infants less than 1 year old, a manual defibrillator should be used if available.
If a manual defibrillator is not available, an AED may be used.
For synchronized cardioversion, begin with an electrical dose of 0.5 to 1 J/kg of the child's body weight. If ineffective, increase the energy level to 2 J/kg. For defibrillation (cardiac arrest with a shockable rhythm), first shock should be given at 2 J/kg and the second shock should be given at 4 J/kg.