What should be done if ventilations are adequate but the child's pulse remains low?

When a child is receiving adequate ventilations but their pulse remains low, it is critical to recognize that the heart's rhythm does not improve with just oxygenation. Instead, a low pulse indicates a potential cardiopulmonary failure or significant underlying issue that could lead to cardiac arrest.

Starting cardiopulmonary resuscitation (CPR) immediately is essential in this scenario. CPR helps maintain blood circulation and oxygen delivery to vital organs, addressing the problem more effectively than simply monitoring or improving oxygen levels. Additionally, discontinuing ventilation in this situation could further compromise the child's condition, as they may still need respiratory support.

Thus, taking immediate action through CPR can help restore heart function, especially in cases where the child is unresponsive or showing signs of severe distress. This approach aligns with the guidelines for sudden cardiac events in children, emphasizing the urgency of intervention when vital signs do not stabilize despite adequate ventilation.