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BackgroundPercutaneous extracorporeal membrane oxygenation (ECMO) is administered to pediatric patients with cardiogenic shock or cardiacarrest. Additionally, raw data images of apical 2-chamber and 4-chamber views were utilized for EF assessment via a Pediatric ECMO Quantification machine learning-enabled AI (automated-EF).ResultsThere
The American Heart Association and the American Academy of Pediatrics update recommendations for untrained lay rescuers and trained rescuers resuscitating adults and children who have drowned.
Updated Guideline Highlights: The American Heart Association and the American Academy of Pediatrics update recommendations for untrained lay rescuers and trained rescuers resuscitating adults and children who have drowned. One important update is the.
The impact of chest compression (CC) pause duration on survival outcomes in pediatric in-hospital cardiacarrests remains unclear, despite the American Heart Association’s recommendation to limit pauses to less than 10 seconds for children without solid evidence. Original article: Lauridsen KG et al.
The post EM Quick Hits 5 Ludwig’s Angina, Transient Monocular Vision Loss, D-dimer for PE Workup in Pregnancy, Pediatric Nasal Foreign Bodies, Trimethoprim Drug Interactions, Airway Management in CardiacArrest appeared first on Emergency Medicine Cases.
-based OSF HealthCare's Childrens Hospital of Illinois became the first in the world to implant an extravascular implantable, cardioverter-defibrillator in a pediatric patient who had suffered sudden cardiacarrest.
In this month's EM Quick Hits podcast, Anand Swaminathan on postpartum hemorrhage, Justin Morgenstern on phenobarbital in pediatric status epilepticus, Michelle Klaiman on managed alcohol programs, Andrew Petrosoniak on traumatic cardiacarrest, Brit Long on cholangitis pearls and pitfalls and Bourke Tillman on ED approach to ARDS.
BackgroundTelecommunicator CPR (T‐CPR), whereby emergency dispatch facilitates cardiacarrest recognition and coaches CPR over the telephone, is an important strategy to increase early recognition and bystander CPR in adult out‐of‐hospital cardiacarrest (OHCA).
The odds on whether a child survives a cardiacarrest may depend on where they live, according to a new study from the University of Missouri School of Medicine.
Does hospital median cardiopulmonary resuscitation (CPR) duration in patients without return of circulation (ROC) predict survival among hospitalized children?
Understanding why ETCO2 is recommended in cardiacarrest with Swami, practical steps to organ donation in the ED with Dr. Andrew Healy, using your hospital food court to treat paraphimosis, rectal prolapse and food bolus obstruction with Dr. Sarah Foohey, QI Corner with Dr. Tahara Bhate, 4 Medicolegal Myths with Dr. Jennifer C.
Arrhythmias can lead to cardiacarrest (CA) and heart failure. When intractable, heart transplant (HTX) can become the only viable treatment. This rare, high-risk cohort has not been reported as a distinct group.
The most common MAE was arrhythmia, representing 46% of MAE, followed by cardiacarrest and bleeding each 20%. Conclusion:Cardiac catheterization is a safe procedure in pediatric patients with cardiomyopathy, with an overall MAE rate of 1.6%. We collected demographic, pre-procedural, procedural, and outcome-related variables.
the acute and/or sub-acute brain MRI findings with known stroke dates(N=41), the week prior, 8(20%) of Pts had a cardiac surgery, 4(10%) had a cardiac cath, 3(7%) had a cardiacarrest, 7(17%) had an arrest+procedure, 5(12%) arrest+cath, 3(7%) had a cath+ procedure, and 1(3%) had an arrest+cath+procedure.Of
Topics addressed by systematic reviews this year include resuscitation of cardiacarrest from drowning, extracorporeal cardiopulmonary resuscitation for adults and children, calcium during cardiacarrest, double sequential defibrillation, neuroprognostication after cardiacarrest for adults and children, maintaining normal temperature after preterm (..)
Hilary Whyte, Dr. Jabeen Fayyaz, Dr. Emily MacNeill discuss a neonatal resuscitation algorithm, airway management, fluid resuscitation, central access tips, glucose and temperature control and transport tips.
In this pediatric study, it was 71% successful and better than amiodarone. Procainamide is another reasonable solution to the problem. It does not block the AV node but does slow phase 0 of depolarization, which will also frequently break the re-entrant cycle.
Researchers at Oregon Health & Science University have found that quality of care for pediatric patients who experience cardiacarrest outside of the hospital is lower compared with adults, prompting an urgent call to action to improve care delivery for the potentially deadly event.
Drowning generally progresses from initial respiratory arrest due to submersion-related hypoxia to cardiacarrest; thus, it can be challenging to distinguish respiratory arrest from cardiacarrest because pulses are difficult to accurately palpate within the recommended 10-second window.
BackgroundPediatric out‐of‐hospital cardiacarrest (POHCA) is associated with significant mortality and poor neurological outcomes. The case group included children (aged 1 day to 17 years) who experienced an out‐of‐hospital cardiacarrest between 2004 and 2020.
BackgroundRapid recognition of pediatric outofhospital cardiacarrest (POHCA) is a critical component to prompt initiation of bystander interventions. Journal of the American Heart Association, Ahead of Print.
Praluent (alirocumab) (Approved: 03/11/2024) Extended to pediatric patients aged 8+ with heterozygous familial hypercholesterolemia (HeFH). These expanded approvals broaden treatment options across various patient populations, particularly in lipid management and cardiovascular risk reduction.
Pediatric and elderly patients were more predisposed to developing an arrhythmic event in the setting of fever [7]. Recently the rate of true arrhythmic events related to fevers in the classic Brugada Type 1 syndrome was explored by Michowitz et al.
It is seldom done in pediatric age group. There is a potential risk for drug challenge in that life threatening ventricular arrhythmias could be precipitated. Hence drug challenge is to be done only in a monitored intensive care facility. With proper precautions, risk can be reduced. while fever-induced type 1 ECG has 3 points.
Pediatric and elderly patients were more predisposed to developing an arrhythmic event in the setting of fever [7]. Recently the rate of true arrhythmic events related to fevers in the classic Brugada Type 1 syndrome was explored by Michowitz et al.
However, according to these diagnostic criteria (JACC 2011; 57(7):802), it is a Bazett corrected QT of less than 330-370, depending on other diagnostic criteria, including 1) h/o cardiacarrest, 2) sudden syncope, 3) family hx of sudden unexplained arrest at age less than 40, 4) family hx of SQTS. Some other points: 1.
The primary composite outcome included sustained ventricular arrhythmia, appropriate implantable cardioverter defibrillator (ICD) therapy, aborted cardiacarrest, or sudden cardiac death.RESULTS:A total of 100 primary prevention children were included (7.15.6 males), with a mean follow-up of 8.65.5
On this month's EM Quick Hits podcast: Stephen Freedman on pediatric bloody diarrhea, S-TEC and hemolytic uremic syndrome, Justin Morgenstern on the evidence for IM epinephrine in out of hospital cardiacarrest, Matthew McArther on recognition and ED management of dengue fever, Andrew Petrosoniak on imaging decision making in trauma in older patients, (..)
Further history later: This patient personally has no further high risk features (syncope / presyncope), but her mother had sudden cardiacarrest in sleep. We repeated the ECG: Brugada pattern is mostly resolved. Follow up the next AM: Brugada pattern is resolved Below is what the electrophysiologist recommended.
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