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after als is complete, ems providers should: 1) discuss with parents the possibility of a do not attempt resuscitation (dnar) order if a prognosis is deemed poor; 2) provide parental feedback about the decision; and 3) perform cpr on the child before transporting it to the hospital. a dnar order is recommended for children who may otherwise die, for example, from a lack of oxygen (3-5), irreversible brain injury, prolonged cardiac arrest, acute respiratory distress syndrome, in cases where therapeutic hypothermia is contraindicated, or in the case of unexplained sudden unexplained death (usud) (5,6). the decision to give a dnar order is not considered to be the end of the resuscitation.

Love With A Chance Of Drowning Epub Format

when treating cardiac arrest, all available ems personnel should perform cpr and epinephrine or amiodarone autoinjections until a definitive plan is made regarding the additional personnel and resources needed to proceed with als or use advanced airway interventions.

in pediatric patients, als is often delayed while waiting for ambulance arrival. patients who have not shown rosc in more than 20 minutes should have als performed by an advanced airway provider, preferably trained in advanced airway management.

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