A 4 year old patient who was in an automobile accident.  She…

A 4 year old patient who was in an automobile accident.  She presents with a BP of 60/40, cyanotic, poor central pulses, and capillary refill of 5-6 seconds, centrally.  Br.S are absent on the left, trachea is deviated to the right, and JVD is present.  Which of the following is true?

A 5 year old is in the ICU with bilateral chest tubes from s…

A 5 year old is in the ICU with bilateral chest tubes from surgery earlier in the day.  As the RT enters the room to respond to the Code Blue call, they notice the chest drainage units that were essentially empty at the previous ventilator check, are now completely full.  The rhythm is above, but there are no palpable pulses.  Which of the following would be most appropriate?