1. You are working in a pediatric clinic and a 3-year-old child with mild respiratory difficulty and fevers was checked in about 15 minutes ago. Suddenly the mother frantically calls out for help and screams “He’s not breathing!”

You rush to the room in response along with a coworker. The mother is holding the limp child in her lap. What will be your first intervention.

2. You have verified that the scene is safe, and you, therefore, place the child on the floor. You check for responsiveness by tapping the child’s shoulder and shouting “Are you OK?” There is no response from the child. What is your next intervention?

3. Your assistant has gone to activate emergency response and get the AED. What will you do now?

4. As you check for a pulse, you remember that the pulse check can be performed in what two locations for a three-year-old child? (Choose the two correct answers)

5. You palpate for a carotid pulse and scan the victim’s chest for rise and fall (signs of breathing). There is no palpable pulse and no sign of breathing. Help has not yet arrived. What is your next intervention?

6. Your coworker returns with an AED And states that EMS has been called and is on the way. Your coworker takes over with chest compressions and you are now providing rescue breathing.

(True or False) For CPR in infants and children with two rescuers providing CPR, the compression to ventilation ratio is 30:2.

7. While your coworker is providing chest compressions, you turn on and attach the AED. After the round of 15 compressions and 2 rescue breaths, you stop CPR to allow the AED to analyze the victim.

(True or False) You may continue rescue breathing while the AED analyzes the patient’s rhythm.

8. (True or false) If pediatric AED pads are not available, adult AED pads may be used as an alternative.

9. The AED states “No shock advised.” What should you do now?

10. You and your coworker restart CPR with you providing chest compressions and your coworker providing rescue breathing (15:2). You recall that there are two possibilities for allowing the cessation of CPR.

(True or false) You may stop CPR for two reasons. The two reasons are 1.) If ALS providers arrive to take over CPR, or 2.) If the victim starts to move or show other signs of ROSC.

11. Approximately 6 minutes has transpired, and now EMS arrives and takes over with advanced life support. Congratulations on a job well done. Final question.

If this child has a pulse _____ with signs of poor perfusion, you should begin chest compressions.