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If patent with ETT airway deteriorates rapidly - DOPE: Reversible Causes of Pediatric Cardiac Arrest (H&T's): Management of Shock After ROSC Algorithm: Pediatric Bradycardia, Pulse Present, Poor Perfusion Algorithm: Pediatric Tachycardia, Pulse Present, Poor Perfusion Algorithm: Pediatric Septic Shock Algorithm: First Hour, - establish central venous and intra-arterial pressure monitoring, Bradycardia/Cardiac Arrest: every 3-5 min, P: Stridor on inspiration (high-pitched sound on inspiration), P: Grunting, stiff lungs, increased WOB, tachypnea, crackles, Assign team member roles (& effectively communicate t/o), Core Case Resp 2: LAO (Bronchiolitis or Asthma), Admin O2 100% non-rebreather after finishing neb tx, re-assess, Core Case Resp 3: Lung Tissue Disease (Pneumonia or Aspiration), Admin O2 100% non-rebreather after finishing neb tx, re-assess, titrate O2 to 94-99%, Core Case Resp 4: Disordered Control of Breathing (Respiratory Depression after Seizure or Drugs or IICP), Core Case Shock 1: Hypovolemic (Dehydration), Admin high-flow O2 non-rebreather, re-assess, Core Case Shock 2: Obstructive (Tension Pneumothorax), Core Case Shock 4: Cardiogenic (Myocarditis), Core Case Cardiac 1: SVT with pulses present.