A 6 week old infant is brought to the ED by ambulance for lethargy. She is pale appearing and minimally responsive. VS: T 37°C HR 270 RR 70 BP 58/32 and SpO2 94% on RA.
The following rhythm strip is obtained:
ECG courtesy of Dr. Rebekah Burns
She already received 2 doses of IV adenosine en route to the ED. Which of the following is the next best step?
- Obtain a fingerstick glucose level
- Administer an isotonic fluid bolus
- Immediately start cardiopulmonary resuscitation
- Perform synchronized cardioversion
This question appears in Med-Challenger Pediatric Emergency Medicine 3rd Edition Exam Review with CME
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