Bradycardia

A five-year-old patient presents after suspected accidental beta-blocker overdose.

Initial vitals demonstrate HR: 65, BP: 100/50, O₂: 100%, R: 20.

The same patient is noted to be continuously bradycardic and now with suppressed mental status, although still maintaining an airway.

You note the following on the monitor:

You continue CPR on the same patient, and after the initial cycle of CPR, check a rhythm which demonstrates persisting bradycardia and now you are unable to feel a pulse.

With aggressive CPR, the patient regains a pulse but is poorly responsive.

You plan to initiate when the nurse tells you the patient has become bradycardia, with a heart rate in the 30’s.