Pediatric bradycardic arrest transition
Educational use only. Not clinically reviewed6-year-old girl for calm pediatric bradycardia-to-arrest recognition, qualified resuscitation ownership, and active-risk handoff. About 8 simulated minutes.
What you will practise
- Connect the supplied effective breathing support, persistent bradycardia, pulse, perfusion, and whole-child trajectory.
- Recognize pediatric bradycardia below 60/min with persistent cardiopulmonary compromise despite supplied effective ventilation with oxygen.
- Activate qualified pediatric CPR and resuscitation ownership without waiting for pulse loss.
- After resuscitation is active, review support evidence, open causes, pulse surveillance, and the arrest-transition boundary.
- At the elapsed qualified checkpoint, recognize pulse loss with organized electrical activity and preserve the nonshockable pathway.
- Hand off active nonshockable resuscitation, support, open causes, pulse-loss trajectory, and unresolved outcome.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Lasa JJ, Dhillon GS, Duff JP, et al. Part 8: Pediatric Advanced Life Support: 2025 AHA/AAP Guidelines for CPR and ECC. Circulation. 2025;152(suppl 2):S479-S537. doi:10.1161/CIR.0000000000001368.
- American Heart Association and American Academy of Pediatrics. Pediatric Bradycardia With a Pulse Algorithm. 2025.
- American Heart Association and American Academy of Pediatrics. Pediatric Cardiac Arrest Algorithm. 2025.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.