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. 2021 Aug;62(8):372-389.
doi: 10.11622/smedj.2021107.

Singapore Paediatric Resuscitation Guidelines 2021

Gene Yong-Kwang Ong  1   2 , Nicola Ngiam  3 , Lai Peng Tham  1 , Yee Hui Mok  4 , Jacqueline Sm Ong  3 , Khai Pin Lee  1 , Sashikumar Ganapathy  1 , Shu-Ling Chong  1 , Jen Heng Pek  5 , Su Yah Chew  6 , Yang Chern Lim  6 , Germac Qiaoyue Shen  7 , Jade Kua  8 , Josephine Tan  9 , Kee Chong Ng  1
Affiliations

Singapore Paediatric Resuscitation Guidelines 2021

Gene Yong-Kwang Ong et al. Singapore Med J. 2021 Aug.

Abstract

We present the 2021 Singapore Paediatric Resuscitation Guidelines. The International Liaison Committee on Resuscitation's Pediatric Taskforce Consensus Statements on Science and Treatment Recommendations, which was published in October 2020, and the updated resuscitation guidelines from the American Heart Association and European Resuscitation Council, were reviewed and discussed by the committee. These recommendations were derived after deliberation of peer-reviewed evidence updates on paediatric resuscitation and took into consideration the local setting and clinical practice.

Keywords: paediatric advanced life support; paediatric basic life support; paediatric resuscitation; paediatric resuscitation guidelines.

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Figures

Fig. 1
Fig. 1
Diagram shows the paediatric chain of neurologically intact survival.
Fig. 2
Fig. 2
Flowchart shows the algorithm for foreign body airway obstruction. AED: automated external defibrillator; CPR: cardiopulmonary resuscitation; SCDF: Singapore Civil Defence Force
Fig. 3
Fig. 3
Flowchart shows the algorithm for Paediatric Basic Life Support CPR + AED 2021. AED: automated external defibrillator; CPR: cardiopulmonary resuscitation; SCDF: Singapore Civil Defence Force
Box 1
Box 1
Recommended sequence of action in Paediatric Basic Life Support.
Box 2
Box 2
Summary for Advanced Paediatric Life Support.
Fig. 4
Fig. 4
Flowchart shows the resuscitation algorithm for pulseless arrest. CPR: cardiopulmonary resuscitation; HR: heart rate; IO: intraosseous; IV: intravenous; PEA: pulseless electrical activity; q: every; ROSC: return of spontaneous circulation; VF: ventricular fibrillation; VT: ventricular tachycardia
Fig. 5
Fig. 5
Flowchart shows the resuscitation algorithm for pulseless arrest with shockable rhythms. AED: automated external defibrillator; BVM: bag-valve- mask; CPR: cardiopulmonary resuscitation; IO: intraosseous; IV: intravenous; PEA: pulseless electrical activity; q: every; ROSC: return of spontaneous circulation; VF: ventricular fibrillation; VT: ventricular tachycardia
Fig. 6
Fig. 6
Flowchart shows the algorithm for bradycardia. AV: atrioventricular; CPR: cardiopulmonary resuscitation; ECG: electrocardiogram; HR: heart rate; IO: intraosseous; IV: intravenous
Fig. 7
Fig. 7
Flowchart shows the algorithm for stable tachycardia. ECG: electrocardiogram; HR: heart rate; IV: intravenous; SVT: supraventricular tachycardia
Fig. 8
Fig. 8
Flowchart shows the algorithm for tachycardia with poor perfusion. ECG: electrocardiogram; HR: heart rate; IO: intraosseous; IV: intravenous; SVT: supraventricular tachycardia
Box 3
Box 3
Post-arrest care checklist:
See this image and copyright information in PMC

References

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    1. Mok YH, Loke APT, Loh TF, Lee JH. Characteristics and risk factors for mortality in paediatric in-hospital cardiac events in Singapore:retrospective single centre experience. Ann Acad Med Singap. 2016;45:534–41. - PubMed
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