Want to track your progress? You can complete this SAQ as a guest, but logging in to a free account lets you save attempts, review scores, and see your progress by category. Log in or create an account .

A 5-year-old boy has been given a heart rate monitor watch. His parents present to the ED concerned because they noted bradycardia while he was asleep. You suspect physiological bradycardia associated with sleep. While in the department, the child becomes unresponsive with a HR of <60.

1. List (4) differentials for bradycardia in the paediatric population, apart from physiologic sleep bradycardia. 4 marks

β˜… β˜… β˜… β˜… β˜…

2. List (4) clinical examination findings that would suggest an alternative diagnosis to physiological sleep bradycardia. Provide a clear rationale for each finding. 4 marks

β˜… β˜… β˜… β˜… β˜…

While in the department, the child becomes unresponsive with a HR of <60.

3. List the first (4) steps in the paediatric APLS for paediatric bradycardia. 4 marks

β˜… β˜… β˜… β˜… β˜