Sudden Collapse of a Preschool-Aged Child on the Playground.

Abstract:

PURPOSE:Primary cardiac events are rare in children. There is little information in the literature regarding the most appropriate emergency department (ED) management of this type of pediatric patient, especially with regard to medication use. SUMMARY:This case highlights the pediatric ED evaluation and treatment of sudden collapse in a child with an ultimate diagnosis of hypertrophic cardiomyopathy. Cardiac disorders represent 2% to 6% of cases of pediatric syncope presenting to EDs, particularly if there are previous prodromal symptoms and/or a history of exertion. Evaluation should include electrocardiogram, chest radiograph, and echocardiogram if available. Management should focus on decreasing the potential for a recurring arrhythmia while maintaining cardiac preload, which can be worsened with certain medication use. CONCLUSIONS:Although primary cardiac events in children are rare, a high index of suspicion should be maintained especially with a history of prodromal symptoms or collapse during exertion. If cardiac etiology is suspected, deliberate management should be used to exclude a treatment that could be detrimental. This case report provides an initial assessment and recommendations for management of these patients.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Scheller RL,Johnson LH,Caruso MC,Lorts A

doi

10.1097/PEC.0000000000000547

subject

Has Abstract

pub_date

2017-02-01 00:00:00

pages

116-119

issue

2

eissn

0749-5161

issn

1535-1815

pii

00006565-201702000-00011

journal_volume

33

pub_type

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