PALS hospital-based cardiac arrest scenario

The quiz
An ambulance is five minutes away from the emergency department with a 6 month old infant who was found unresponsive in her crib. CPR is ongoing. The child’s weight is estimated at 7kg.

about 3–5 minutes

Question 1 of 5

What is one important thing that should be done prior to their arrival?

Question 2 of 5

The patient arrives, and two nurses take over CPR. What is the compression to ventilation rate that should be used in this scenario?

Question 3 of 5

The monitor reveals asystole. What is the very important to consider in this scenario?

Question 4 of 5

CPR is in progress and an intraosseous line has been placed. The patient remains in asystole. What is the next step in this resuscitation?

Question 5 of 5

In regard to asystole

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The quiz

Correct answers

  • Place a Broslow Tape on the bed and pull the pediatric arrest cart into the room
  • 15 compressions to 2 ventilations
  • Evaluate reversible causes (H’s and T’s) of the arrest. Particularly respiratory failure (hypoxia) and/or hypovolemia
  • Administer epinephrine 0.01mg/kg IO followed by a saline flush
  • The key to reversal is to discover the underlying cause and treat it

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