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14 minute station

Paediatric Cardiac Arrest Following Submersion

Dispatch

Cat 1 — 4-year-old child pulled from garden pond, unresponsive, not breathing, parent performing rescue breaths.

On arrival

Child unresponsive, apnoeic, cyanosed, parent giving rescue breaths as instructed by call handler. No pulse palpable.

Initial observations

Airway
Water suctioned, airway opened with head tilt/chin lift
Breathing
Apnoeic
Rhythm
On the monitor — interpret the strip below
Pulse
Absent
Weight (estimated)
16 kg
Temp
34.2 °C

Monitor, lead II — paediatric pads applied

II · 25 mm/s · 10 mm/mV

Interpret the trace yourself — the mark sheet expects your rate, rhythm, axis and ST analysis, not a written finding.