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?* Administer atropine Check blood sugar Cardiac pacing Initiate CPR 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?* Cardiac pacing Administer epinephrine Discontinue CPR and intubate Synchronized cardioversion 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?* Defibrillate Continue CPR, administer epinephrine every 10 minutes Synchronized cardioversion Continue CPR, administer epinephrine every 3-5 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?* Continue comprehensive monitoring and assessment, consider pressor support, consider therapeutic hypothermia for persistently comatose patient You have completed resuscitation and no further management is required Immediately transfer patient to higher level or care Cardiac pacing
