Syncope
A syncopal attack is brief, usually with sudden loss of consciousness and muscle tone caused by cerebral ischemia or inadequate oxygen or glucose to the brain.
Features
• It usually lasts only a few seconds
• The child limp and unresponsive
• Tonic—clonic movements can occur with prolonged...
Supraventricular Tachycardia in Pediatric
Supraventricular tachycardia will usually present with signs of congestive cardiac failure or shock, but will also depend on the age of the child. Sinus tachycardia can be up to about 200 beats per minute. Supraventricular tachycardia (SVT) is usually above 220 beats per minute.
Assessment
Symptoms
Infants...
Management of Shock in Pediatric
Airway and breathing
The resuscitation mantra of Airway, Breathing, Circulation or ‘ABC’ remains the management priority in the shocked child as in any other. Before assessment of the nature or severity of shock can be made, the clinician must ensure that the airway is patent...
Clinical Signs of Shock in Pediatric
Clinical Signs of Shock
Most physical signs are consistent regardless of the origin of shock; there are some exceptions. Table below presents the principal clinical findings in the shocked child.
Physical examination may give clues as to the etiology of shock, which may...
Classification of Shock in Pediatric
Classification of shock
The diagnosis of shock is purely clinical. It is possible to classify shock into physiological categories but in reality there is usually overlap between these in individual patients. Classification may be useful in diagnosis since clinical signs may differ between types, as...
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