Answer: The majority of peds cardiac arrest cases fall under ‘reversible causes’, so yes, go ahead and transport after one analysis (generally, these will present as Asystole or PEA). However, the directive allows for use of clinical judgment, case by case where you can stay on scene for peds VF/VT.
Very basically, the medical directive allows for transport after the 1st analysis (because most peds arrests are from reversible causes), OR stay on scene for 3 analyses (plus one immediately prior to transport) in cases of shockable rhythms.