PALS Megacode 3 In-Hospital

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You are a pediatric intensivist at a major metropolitan hospital. You have been paged STAT to a hospital room to evaluate a 4-month-old male for respiratory distress who was admitted yesterday for acute interstitial pneumonitis. You enter the room and conduct a rapid initial impression (ABCs) which reveals the following:

  • Appearance: Unresponsive
  • Breathing: Decreased respiratory effort
  • Circulation: Skin is pale
1. A rapid initial impression reveals that the child is unresponsive. What are your initial actions?*