What should you do for a child in respiratory arrest with a central pulse of 55 bpm?

In cases of respiratory arrest, especially in pediatric patients, it is crucial to take immediate action, as their condition can deteriorate rapidly. When recognizing respiratory arrest, a child may still have a central pulse, but if the pulse is significantly low—such as 55 beats per minute—it indicates that the child is likely not getting adequate oxygenation. In such scenarios, assessing the child's responsiveness and ensuring that they have an open airway is essential.

Initiating CPR in this context is vital because it combines both chest compressions and rescue breaths to restore oxygenation to the child’s vital organs. Chest compressions help to circulate any blood that is still present, while ventilation assists in delivering the oxygen necessary for survival.

Monitoring without intervention would not be suitable because the child’s low pulse rate and respiratory arrest require more than observation; they require proactive measures to prevent cardiac arrest and further deterioration. Providing supplemental oxygen alone may not be adequate as the child is not breathing on their own and needs immediate support.

In essence, starting CPR promptly is the correct action as it maximizes the chances of recovery and addresses both the respiratory and potential circulatory issues present in the child.