Bradycardia & Asystole

A 15-month-old infant is brought to the emergency department for evaluation of lethargy.

Initial vitals demonstrate:

T: 34, BP: 50/20, P: 50, O₂: 90%.

You initiate CPR and provide supplement oxygenation.

Despite these interventions, clinical scenario is unchanged and child is persistently unresponsive.

You continue CPR but unfortunately there is no improvement.

On re-check of pulse, patient is now pulseless and monitor demonstrates the following:

You continue CPR and epinephrine administration every 3-5 minutes.

Fortunately, the patient regains a pulse and is demonstrating improving signs of perfusion, although remains unresponsive.