Journal of Emergencies, Trauma, and Shock

: 2010  |  Volume : 3  |  Issue : 3  |  Page : 261--266

Defibrillation in children

Sarah E Haskell, Dianne L Atkins 
 Department of Pediatrics, University of Iowa Children's Hospital, University of Iowa Carver College of Medicine, 200 Hawks Drive, Iowa City, IA 52242, USA

Correspondence Address:
Dianne L Atkins
Department of Pediatrics, University of Iowa Children«SQ»s Hospital, University of Iowa Carver College of Medicine, 200 Hawks Drive, Iowa City, IA 52242

Defibrillation is the only effective treatment for ventricular fibrillation (VF). Optimal methods for defibrillation in children are derived and extrapolated from adult data. VF occurs as the initial rhythm in 8-20% of pediatric cardiac arrests. This has fostered a new interest in determining the optimal technique for pediatric defibrillation. This review will provide a brief background of the history of defibrillation and a review of the current literature on pediatric defibrillation. The literature search was performed through PubMed, using the MeSH headings of cardiopulmonary resuscitation, defibrillation and electric countershock. The authors«SQ» personal bibliographic files were also searched. Only published articles were chosen. The recommended energy dose has been 2 J/kg for 30 years, but recent reports may indicate that higher dosages may be more effective and safe. In 2005, the European Resuscitation Council recommended 4 J/kg as the initial dose, without escalation for subsequent shocks. Automated external defibrillators are increasingly used for pediatric cardiac arrest, and available reports indicate high success rates. Additional research on pediatric defibrillation is critical in order to be able to provide an equivalent standard of care for children in cardiac arrest and improve outcomes.

How to cite this article:
Haskell SE, Atkins DL. Defibrillation in children.J Emerg Trauma Shock 2010;3:261-266

How to cite this URL:
Haskell SE, Atkins DL. Defibrillation in children. J Emerg Trauma Shock [serial online] 2010 [cited 2019 Dec 15 ];3:261-266
Available from:;year=2010;volume=3;issue=3;spage=261;epage=266;aulast=Haskell;type=0