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PHILIPS MEDICAL SYSTEMS
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TREATING INFANTS AND CHILDREN
WARNING: Most cardiac arrests in children are not caused by heart
problems. When responding to cardiac arrest in an infant or child:
• Provide infant/child CPR while a bystander calls EMS and brings the
OnSite.
• If no bystander is available, provide 1-2 minutes of CPR before calling EMS
and retrieving the OnSite.
• If you witnessed the child's collapse, call EMS immediately and then get the
OnSite.
Alternatively, follow your local protocol.
If the patient is under 25 kg (55 pounds) or 8 years old, and you have an infant/child
SMART Pads Cartridge:
• Remove the Infant/Child Pads Cartridge from its package.
*
• Locate the latch at the top edge of the defbrillator, and slide it to the
side. The pads cartridge will be released. Remove the old cartridge.
• Install the new cartridge: slide the bottom end of the cartridge into the
recess, then press in the cartridge until the latch clicks into place. Be
sure the green handle is pressed down firmly. The OnSite will tell you
that infant/child pads have been inserted, then it will turn off to be
ready for use.
• Pull the green handle to start the rescue.
• Remove all clothing from the upper body, to bare both the chest and
the back. Place one pad in the center of the chest between the nipples,
and the other in the center of the back (anterior-posterior).
With the infant/child SMART Pads Cartridge inserted, the OnSite automatically
reduces the defibrillation energy from the adult dose of 150 joules to 50 Joules
†
and provides optional infant/child CPR Coaching. Place the pads exactly as
shown on the illustration on the pads.
* Philips recommends that the OnSite be stored with an adult pads cartridge
installed, as pediatric cardiac arrest is not common.
† This lower energy level may not be effective for treating an adult.
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