Bradycardia & AsystoleHurry, don’t let time run out!Sorry, time is up!0 Hours 0 Minutes 0 SecondsStep 1 of 425%UntitledA 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%.1. What is the initial step in management?*Initiate CPRCardiac pacingAdminister atropineCheck blood sugarYou initiate CPR and provide supplement oxygenation.Despite these interventions, clinical scenario is unchanged and child is persistently unresponsive.2. What is the next step in management?*Administer epinephrineDiscontinue CPR and intubateSynchronized cardioversionCardiac pacingYou continue CPR but unfortunately there is no improvement.On re-check of pulse, patient is now pulseless and monitor demonstrates the following:3. What is the next step in management?*Continue CPR, administer epinephrine every 10 minutesSynchronized cardioversionDefibrillateContinue CPR, administer epinephrine every 3-5 minutesYou 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.4. What are the next steps in management?*Continue comprehensive monitoring and assessment, consider pressor support, consider therapeutic hypothermia for persistently comatose patientCardiac pacingImmediately transfer patient to higher level or careYou have completed resuscitation and no further management is required This iframe contains the logic required to handle Ajax powered Gravity Forms.
