Bradycardia & Asystole Hurry, don’t let time run out! Sorry, time is up! 0 Hours 0 Minutes 0 Seconds Step 1 of 4 25% Untitled 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%. 1. What is the initial step in management?* Check blood sugar Initiate CPR Administer atropine Cardiac pacing You 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?* Discontinue CPR and intubate Synchronized cardioversion Cardiac pacing Administer epinephrine You 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 3-5 minutes Defibrillate Synchronized cardioversion Continue CPR, administer epinephrine every 10 minutes 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. 4. What are the next steps in management?* Immediately transfer patient to higher level or care You have completed resuscitation and no further management is required Continue comprehensive monitoring and assessment, consider pressor support, consider therapeutic hypothermia for persistently comatose patient Cardiac pacing
