Pediatric Cardiac Emergencies

Children have hearts... things can go wrong with them - Michael Gerardi MD

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Pediatric cardiac emergencies

With advancements in the understanding of basic cardiovascular physiology behind such emergencies, their handling has become more focused and etiology oriented; resulting in better outcomes. Cyanotic spells can now be readily managed with various medications and if required urgent surgical intervention. Management of cardiac failure is now more focused on unveiling the underlying cause along with modification of derangements of the various compensatory mechanisms that have taken place. Newborn cardiac emergencies are being regularly handled with the availability of prostaglandin E1 and with the advancements in transcatheter procedures to tide over the crisis. Approach to arrhythmias requires…

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Pediatric Small Talk – Heartache When Kids Don’t Thrive: Finding the 1 in 100,000

Pediatric heart failure is rare with an estimated prevalence between 1 and 7 per 100,000 in the United States and a worldwide presence ranging as high as 83/100,000 in some areas. The most common cause of pediatric heart failure in the United States is underlying congenital heart disease.

Cardiac Emergencies in Kids

Encountering a child with congenital heart disease after surgical palliation in the emergency department, specifically the single-ventricle or ventricular assist device, without a basic familiarity of these surgeries can be extremely anxiety provoking. Knowing what common conditions or complications may cause these children to visit the emergency department and how to stabilize will improve the chance for survival and is the premise for this article, regardless of practice setting.

Cardiac Emergencies in the First Year of Life

In approaching cardiac emergencies, cardiac disease can be divided into structural disease, conduction abnormalities, and acquired illnesses. While recognizing that many lesions can be a combination of many defects, structural congenital heart disease can be divided into cyanotic and acyanotic categories.

Episode 84 – Congenital Heart Disease Emergencies

You might be surprised to learn that the prevalence of critical cardiac disease in infants is almost as high as the prevalence of infant sepsis. And if you’re like me, you don’t feel quite as confident managing sick infants with critical heart disease as you do managing sepsis.

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SVT is the most common type of tachyarrhythmia observed in pediatric patients, especially in the neonatal period.

Pediatric Cardiac Emergencies

Children Have Hearts... Things can go wrong with them.

Pediatric Cardiac Emergencies

Extensive summary from airway to resuscitation...

Pediatric cardiac emergencies: Children are not small adults

Pediatric cardiac emergencies comprise a range of pathology including but not limited to undiagnosed congenital heart disease in the infant; complications of palliated congenital heart disease in children; arrhythmias related to underlying cardiac pathology in the teenager and acquired heart disease.

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Most common are; Sinus Tach -50%, SVT - 13%...

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the outcomes are typically poor. Less than 10% of pediatric patients survive cardiac arrest, and only about a third of those who do survive will have a good neurologic outcome.

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