PALS Self-Assessment | ECG Rhythm Identification Answer Sheet 2023

PALS Self-Assessment | ECG Rhythm Identification Answer Sheet 2023. Pediatric ECG tip: In the absence of detectable pulses, this organized rhythm is one of the cardiac arrest rhythms—Pulseless electrical activity (PEA) (PEA). It is treated using the asystole/PEA portion of the PALS Pulseless Arrest algorithm. This particular rhythm may be described as an idioventricular escape rhythm (an escape rhythm originating from a slow ventricular pacemaker during periods of significant sinus bradycardia or high-grade AV block). It is characterized by wide QRS complexes, and it is often seen in the setting of a severely hypoxic-ischemic myocardium. For further information: see the PALS Provider Manual Chapter 6Correct answer is C: Sinus bradycardia. Pediatric ECG tip: Sinus bradycardia is characterized by a sinus rhythm with a rate that is slower than normal for the patient’s age. P waves and QRS complexes are usually normal in appearance; the QRS is narrow. For further information: see the PALS Provider Manual Chapter 6: Recognition and Management of Bradyarrhythmias and Tachyarrhythmias. Rhythm 4 (clinical clue: no detectable pulse