Author: Zoe Hinchcliffe / Editor: Steve Corry-Bass / Codes: RP3, SLO5, XC2 / Published: 12/11/2021
You are working alongside a paramedic in a rapid response vehicle (RRV) as a part of a PHEM-rotation.
You are allocated to a “red” call which states: “3-year-old cardiac arrest. Unsupervised child fallen into outdoor pond. Not breathing. Not responsive”. You are 5 minutes away from the scene.
After safely travelling and arriving at scene, you find the child in her mother’s arms, floppy and blue in colour. The mother is very distressed and crying uncontrollably.
You and your colleague assess the patient for signs of life and confirm cardiac arrest – you start cardiopulmonary resuscitation (CPR).
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Question 1 of 3
1. Question
Following a scene assessment and checking for signs of life, what is the most important first step in this resuscitation?
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Question 2 of 3
2. Question
After delivering your rescue breaths, you begin chest compressions, apply the defibrillator pads, achieve a definitive airway with an endotracheal tube and establish intra-osseous access (IO) in the anterior tibia. The child’s core temperature is 28.6ºC. Estimated weight is 14 kg.
You perform a rhythm check which shows this pattern on the defibrillator:
Fig.1 Adapted from Life in the Fast Lane4
What are the correct next steps in this circumstance?
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Question 3 of 3
3. Question
After attempting to warm the child using external warming techniques, the core temperature reads 31.3ºC. The defibrillator still reads pulseless electrical activity (PEA) on the next rhythm check.
What are your next steps in resuscitation?
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