A Four-Year-Old with History of Kawasaki Disease Presenting in Acute Shock.
Katherine StaatsAdriana H TremouletHelen HarveyJane C BurnsJ Joelle Donofrio-OdmannPublished in: Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors (2020)
We present a case in which emergency medical services (EMS) intervened on a critically ill child with known giant coronary aneurysms as sequela to her severe complicated Kawasaki disease. This patient's severe shock ultimately ended in cardiac arrest and death. We discuss the keys to recognition, and critical importance to early intervention of pediatric shock in prehospital care. We also detail the cardiac ramifications of Kawasaki disease, steps for prompt identification of high risk complaints in these patients, and opportunities for treatment.
Keyphrases
- emergency medical
- cardiac arrest
- healthcare
- end stage renal disease
- cardiopulmonary resuscitation
- randomized controlled trial
- mental health
- chronic kidney disease
- newly diagnosed
- ejection fraction
- early onset
- primary care
- drug induced
- palliative care
- coronary artery
- prognostic factors
- coronary artery disease
- liver failure
- heart failure
- respiratory failure
- patient reported outcomes
- left ventricular
- combination therapy
- quality improvement
- atrial fibrillation
- hepatitis b virus
- intensive care unit
- young adults
- patient reported
- mechanical ventilation
- pain management
- bioinformatics analysis