If a pediatric patient is apneic but has a pulse, what is the first action you should take?

In a situation where a pediatric patient is apneic but maintains a pulse, the priority is to ensure the airway is open and clear. The initial action of repositioning the airway addresses the potential causes of apnea, such as airway obstruction or poor positioning. Infants and young children are particularly susceptible to airway compromise due to anatomical considerations, and a simple adjustment can often restore effective respirations.

By checking for respirations after repositioning, you are assessing the patient's current condition and determining if further intervention is necessary. If breathing does not resume, further actions, such as administering rescue breaths or calling for advanced care, may be indicated.

This approach prioritizes maintaining the patient's respiratory status while considering their ongoing cardiovascular function, given that they still have a pulse. It promotes a methodical evaluation of the patient's condition before proceeding to more invasive measures like CPR or calling for advanced medical support.