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Asystole in paediatric ALS

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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The diagnosis of asystole is made in a pulseless patient on an ECG machine where the leads are correctly connected and the gain is fully turned up. This rhythm may be preceeded by an agonal bradycardia.

Asystole is the most common arrest rhythm in infancy and childhood and is usually the final common pathway of respiratory or circulatory failure.

Unlike adult resuscitation, defibrillation or a praecordial thump is not performed unless it is certain that ventricular fibrillation is occuring, as ventricular fibrillation is a rare and unusual rhythm in childhood.


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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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