A 10mo infant boy is brought to the emergency department. Your initial assessment reveals
a lethargic, pale infant with slow respirations and slow, weak central pulses. -
Answer✅
Epinephrine 0.01 mg/kg IV/IO
Quiz_________________?
A 1yo boy is brought to the emergency department for evaluation of poor feeding,
irritability, and sweating -
Answer✅
Administer adenosine 0.1 mg/kg IV rapid push
Quiz_________________?
A 3yo boy presents with multiple-system trauma. The child was an unrestrained passenger
in a high-speed MVC. On primary assessment, he is unresponsive to voice or painful
stimulation. His respiratory rate is 5/min, heart rate and pulses are 170/min, systolic BP is 60
mmHg, capillary refill is 5 seconds, and spO2 is 75% on room air. Which action should you
take first? -
Answer✅
While a colleague provides spinal motion restriction, open the airway with a jaw thrust and
provide bag-mask ventilation
1
, Quiz_________________?
A 3yo unresponsive, apneic child is brought to the emergency department. EMS personnel
report that the child became unresponsive as they arrived at the hospital. The child is
receiving CPR with bag-mask ventilation. The rhythm shown here is on the cardiac monitor.
A biphasic manual defibrillator is present. You quickly use the length from head to of the
child on a color-coded length-based resuscitation tape to estimate the approximate weight
as 15kg. Which therapy is most appropriate for this child at this time? -
Answer✅
Attempt defibrillation at 30 J, and then resume CPR, beginning with compressions
Quiz_________________?
A 4yo boy is in pulseless arrest in the PICU. High-quality CPR is in progress. You quickly
review his chart and find that his baseline-corrected QT interval on a 12-lead ECG is
prolonged. The monitor shows recurrent episodes of the rhythm shown here. The patient
has received 1 dose of epinephrine 0.01 mg/kg, but the rhythm shown here continues. If this
rhythm persists at the next rhythm check, which medication would be most appropriate to
administer at that time? -
Answer✅
Magnesium sulfate 25-50 mg/kg IV
Quiz_________________?
A 7yo boy is found unresponsive, apneic, and pulseless. CPR is ongoing -
Answer✅
Identify and treat reversible causes
Quiz_________________?
A 9yo boy is agitated and leaning forward on the bed in obvious respiratory distress. -
2