What should be the immediate action for a pediatric patient with signs of poor perfusion and a heart rate less than 60 BPM?

For a pediatric patient exhibiting signs of poor perfusion combined with a heart rate under 60 beats per minute (BPM), the immediate action to take is to provide oxygenation and ventilation. In this scenario, ensuring the patient receives adequate oxygen is crucial for maintaining vital organ function, especially since a low heart rate may indicate significant cardiovascular compromise.

Poor perfusion suggests that the body is not receiving enough blood flow to maintain essential functions, and the inadequate heart rate exacerbates this issue. By providing oxygenation, you improve the amount of oxygen available to the tissues, which is particularly important in pediatric patients who often have less physiological reserve than adults. Ventilation may also be necessary if the patient is showing signs of respiratory distress or if there is a risk of airway compromise. This immediate intervention aims to stabilize the child's condition and supports the physiological needs until further assessment and treatment can be provided.

Other options may be necessary later in the management plan, but the priority must be ensuring that the patient is adequately oxygenated and ventilated in this critical situation.