Challenger Medical Education Blog

14 year-old girl, pulseless, CPR ongoing

Written by Med-Challenger | Nov 5, 2024 4:24:09 PM

A 14 yo girl presents to the ED after collapsing at a basketball game. She was found to be pulseless, and CPR is ongoing.  An intraosseous line is in place. You put her on monitors and see the following rhythm: 

Pediatric Emergency Medicine, 3rd Edition, ECG courtesy of Dr. Rebekah Burns

You cannot feel a pulse. After resuming chest compressions, which of the following should be administered?

  • Lidocaine loading dose
  • Normal saline bolus
  • IV/IO epinephrine
  • Shock of 2J/kg

 

This question appears in Med-Challenger Pediatric Emergency Medicine Exam Review with CME - 3rd Edition.

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