What is the appropriate action for a pediatric patient who is apneic and pulseless?

The scenario presented involves a pediatric patient who is both apneic (not breathing) and pulseless (no heartbeat). In emergency medical protocols, when a patient exhibits these critical signs, it typically indicates a state of cardiac arrest. In pediatric patients, the standard of care dictates that immediate intervention is crucial for survival.

Administering CPR is the standard and most appropriate action in cases of cardiac arrest, regardless of a patient's age. This resuscitative effort is vital as it helps maintain blood flow to vital organs and can double the chances of survival if performed promptly and correctly. The practice is consistent with protocols regarding advanced pediatric care.

Treating as critical also plays a role in emergency response; however, it does not specifically direct action as effectively as initiating CPR would. Transporting immediately without providing life-saving measures would compromise the patient’s chances of survival. Making the determination of "deceased" prematurely disregards the potential for successful resuscitation, which is not an appropriate response when a patient exhibits signs that require immediate intervention.

Therefore, when faced with a pediatric patient who is apneic and pulseless, the appropriate action is to administer CPR to attempt to restore breathing and circulation, thereby addressing the immediate life-threatening condition.