A 2 mo previously healthy girl is brought to the ED with poor feeding and fussiness for several hours. She has had 2 episodes of non-bloody, non-bilious emesis. On examination, she is afebrile and mildly tachypneic. She has a capillary refill time of 2 seconds and is appropriately fussy with examination.
She has HR 288, and you note the following rhythm on the monitor:
ECG courtesy of Dr. Rebekah Burns
After your initial maneuvers have failed, which of the following is the most appropriate next step in management assuming her physical exam is unchanged?
This question appears in Med-Challenger Pediatric Emergency Medicine 3rd Edition Exam Review with CME
Try for free and save. Ace your exams and meet your CME/MOC requirements.