11 times out of 10, get that heart rate better. If the initial vials are normal (esp HR & RR), I don't always need d/c vials, but I've added the latest HR as a column in my epic track board to make sure I remember to make it normal before dc. Most kids will probably be fine, but most pediatricians know a story about a kid who was fine but persistently tachycardia who was actually in shock (or had myocarditis) and often suffered a bad outcome.

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