PALS 2025 Heartcode Questions and Correct Answers

What is the priority in initially managing arrhythmias? Answer- The initial management of both stable and unstable arrhythmias are identical to the treatment for any critically-ill child. Begin with the support of the airway, breathing, and circulation and treating the underlying cause of the arrhythmia. What are the causes of secondary bradycardia? Answer- Hypoxia, hypotension, hypothermia, acidosis, drugs. What are the causes of primary bradycardia? Answer- Congenital or acquired heart conditions. What are the ECG characteristics of bradycardia? Answer- P wave and QRS may be unrelated. Heart rate slow for age. QRS may be narrow or wide. In what patients would asymptomatic bradycardia not be problematic? Answer- A well-conditioned athlete. A healthy child who is sleeping. Define bradycardia. Answer- A heart rate that is: - slow for normal range - activity - clinical condition What is the leading cause of symptomatic bradycardia? Answer- Tissue hypoxia. What is the dose for epinephrine? Answer- Epinephrine every 3-5 mins - 0.01 mg/kg IV - 0.1 mg/kg ET