Cool Extremities in Pediatrics — 7yo Child | Pediatric Emergency | SMLE Q#17404

SMLE Question #17404

Pediatrics Pediatric Emergency

Objective: OBJ-OPH-REFERRAL-001

Last updated: February 2026
A 7-year-old boy collapses while playing soccer and is brought to the emergency department. He is lethargic and pale with cool extremities and delayed capillary refill. ECG shows a regular, narrow-complex tachycardia. After brief airway/breathing support and IV access, what is the most appropriate next step in management?

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