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

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.

Question 1 of 5

What is one important thing that should be done before 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 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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How we reviewed this article

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Current version
Jun 23, 2020

Written by:

rob
Sep 16, 2018

Reviewed by:

rob
Changes: Updated quiz questions and scenarios