For Pediatric Stable Bradycardia, what is the recommended action?

• A. Oxygenation & Ventilation
• B. Transcutaneous Pacing
• C. Monitor and transport
• D. Atropine

Answer: (C)

In pediatric stable bradycardia, the priority is to monitor the child and arrange rapid transport to a facility equipped to manage pediatric arrhythmias, while continuing assessment and addressing potential reversible causes. Because the child is hemodynamically stable, there isn’t an immediate need for invasive or aggressive interventions. Focus on continuous monitoring of ECG and vital signs, securing the airway and breathing if needed, and ensuring adequate perfusion. Establish IV/IO access, administer oxygen only if there is hypoxia or respiratory distress, and begin evaluating reversible factors such as hypoxia, dehydration, fever, electrolyte disturbances, or drug effects. Definitive care is typically provided after transport, and more active treatments (like pacing or atropine) are reserved for scenarios where the child becomes unstable or shows signs of poor perfusion. If stability deteriorates, escalate to the appropriate interventions promptly.