Anaphylaxis Shock Resuscitation in Pediatric

Anaphylaxis is a potentially life-threatening systemic allergic reaction mediated by IgE antibody, resulting in the release of histamine, leukotrienes and vasoactive mediators. The commonest etiologies are specific environmental allergens, e.g. food, insect bites, drugs, blood products and radiocontrast...

Choking Treatment in Pediatric

Every year, hundreds of children die, particularly in the preschool age group, after inhaling a foreign body, the commonest cause of accidental death in the under 1-year-old group.  [1] Consumer product safety standards have helped decrease this number by dictating the minimum size of toys and...

Post-resuscitation Stabilization in Pediatric Cardiopulmonary Emergency

Following the return of spontaneous circulation, damage still continues by way of reperfusion injury, hence stabilization is essential. The child will need complete ventilatory support until cardiac stability is achieved in a designated intensive care unit. Often inotropic support with dopamine, dobutamine...

Pediatric Cardiopulmonary Emergency Drugs

In a cardiorespiratory arrest, drugs are usually given intravenously. However, prior to obtaining vascular or intraosseous access, many drugs can be administered via the tracheal route, namely epinephrine (adrenaline), lignocaine, naloxone and atropine. At least two to three times the intravenous dose,...

Advanced Life Support Cardiopulmonary Emergency

Basic life support should continue uninterrupted until the arrival of appropriately trained personnel and equipment. Asystole is the primary rhythm encountered in pediatric practice, ventricular fibrillation accounting for less than 10% of cases. Pulseless electrical activity also presents as cardiac arrest....

Basic Life Support Cardiopulmonary Emergency

Cardiopulmonary arrest is simply defined as the cessation of spontaneous respiratory effort and circulation manifest as apnoea, absence of central pulses and lack of responsiveness. Overall fewer than 10% of children suffering cardiopulmonary arrest survive to hospital discharge. As cardiopulmonary...