If cardiopulmonary compromise is evident in a child with tachycardia, what steps are taken?

Updated: Sep 15, 2020
  • Author: Catharine A Bon, MD; Chief Editor: Kirsten A Bechtel, MD  more...
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Answer

Answer

If cardiopulmonary compromise is evident, the following immediate steps should be taken:

  • Put the patient on supplemental oxygen and assist ventilations as needed
  • Attach cardiac monitoring, blood pressure cuff, pulse oximetry, and defibrillator pads
  • Establish vascular access (IV, or IO if necessary)
  • Get a 12-lead ECG for rhythm analysis
  • Evaluate the ECG and determine if the QRS duration is narrow or wide

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