Fluid therapy in paediatric ALS
- hypovolaemia is a potentially reversible cause of cardiac arrest
- if hypovolaemia is suspected
- infuse intravenous or intraosseous fluids rapidly
- in the initial stages of resuscitation there are no clear advantages in using colloid. Use isotonic saline solutions
- avoid dextrose-based solutions – these will be redistributed rapidly away from the intravascular space and will cause hyponatraemia and hyperglycaemia, which may worsen neurological outcome after cardiac arrest
Reference:
- Resuscitation Council (UK). Advanced Paediatric Life Support. Guidelines 2005.
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