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

Place a Broslow Tape on the bed and pull the pediatric arrest cart into the room

No specific preparation is required

Close all the other patient room doors

Contact pharmacy for extra medication supply

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

15 compressions to 2 ventilations

30 compressions to 2 ventilations

15 compressions to 5 ventilations

Continuous compressions with ventilations 10 times per minute

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

Evaluate reversible causes (H’s and T’s) of the arrest. Particularly respiratory failure (hypoxia) and/or hypovolemia

Interview the parents to rule out any type of abuse

What type of insurance the parents have

The name of the patient’s pediatrician

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

Administer epinephrine 0.01mg/kg IO followed by a saline flush

Administer amiodarone 0.5mg/kg IO followed by a saline flush

Administer lidocaine 0.1mg/kg IO followed by a saline flush

Administer one nebulized epinephrine treatment via BVM

In regard to asystole

The key to reversal is to discover the underlying cause and treat it.

Asystole should be defibrillated immediately using 2 joules/kg.

Applying pacemaker pads and pacing at a rate of 80 is likely to result in return of spontaneous circulation.

Should never be treated as it is a hopeless situation, especially in infants.

PALS hospital-based cardiac arrest scenario

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

PALS hospital-based cardiac arrest scenario

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