| Laboratory Studies |
- Initial
- Basic metabolic panel (BMP), magnesium, phosphorous
- Amylase, lipase
- Transaminases (LFTs)
- Ionized calcium
- Glucose
- CBC
- PT/PTT/fibrinogen
- Troponin
- ABG with lactate
- Type and Screen (if CICU patient: type 2 units of PRBCs to hold)
- Brain natriuretic peptide (BNP)
- Ongoing
- Other Labs to Consider
- Central venous saturation
- Cortisol
- Cultures: blood, urine, respiratory
- Serum drug screen
- Urine drug screen
- Urine HCG
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| Imaging |
- CXR
- ECG
- Echocardiogram, complete cardiology study
- Out-of-hospital arrests
- All out-of-hospital cardiac arrests should get an echocardiogram within
24 hrs or earlier if clinically indicated
- In-hospital cardiac arrests
- If following ROSC the child has persistent circulatory dysfunction or other signs of end-organ dysfunction (neurologic, renal, hepatic), obtain an echocardiogram within 24 hrs or earlier if clinically indicated.
|
| Hemodynamic Monitoring |
- Arterial line
- Central venous line
- End tidal CO2
|
| Neuromonitoring |
- Continuous core temperature
- 1 probe for TTM 36
- 2 probes for TTM 33
- Foley, esophageal or rectal thermometer (esophageal is preferred)
- Continuous EEG monitoring with seizure action plan
- Continuous NIRS monitoring, bilateral cerebral and somatic, if feasible
- Head CT
- Out-of-hospital cardiac arrest:
- Obtain head CT w/o contrast as soon as safely possible for diagnostic evaluation of occult brain pathology
- In-hospital cardiac arrest:
- Obtain head CT if cause of arrest is unclear
- MRI within 3-5 days to support prognostication
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| Consults |
- Neurology
- PT/OT
- PM&R
- Cardiology if concerns for cardiac cause of arrest including arrhythmia
- Speech therapy
|