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Emergency Medicine Cases

Best Case Ever 42 Pediatric Cardiac Arrest

Emergency Medicine Cases

Dr. Anton Helman

Education, Health & Fitness, Courses, Medicine, Science

4.7602 Ratings

🗓️ 18 November 2015

⏱️ 21 minutes

🧾️ Download transcript

Summary

When was the last time you saw ventricular fibrillation in a 4 month old? Dr. Simard tells his Best Case Ever of a Pediatric Cardiac Arrest in which meticulous preparation, sticking to his guns, early activation of the transportation service, and clever use of point of care ultrasound helped save the life of a child. He explains the importance of debriefing your team after an emotionally charged case.

Transcript

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0:00.0

Good.

0:01.4

Great.

0:02.0

That was good.

0:03.1

Cool.

0:03.9

Best case ever.

0:05.3

Best case ever.

0:10.6

Yes.

0:13.3

This is E.N.K.'s' best case ever mini podcast series, and I'm your host, Dr. Anton Helman.

0:34.7

For this month's best case ever, we have Dr. Rob Samard.

0:38.6

He's an emergency physician at Sunny Brook Health Sciences Center and North York General Hospital. He's one of the few ED docs who's completed a point of care ultrasound

0:43.3

fellowship in Canada. He's an ultrasound educator extraordinaire and a medical director for

0:49.1

A-CLS and P-A-L-S. So Rob, let it rip. Let's hear your best case ever.

1:00.8

My best case ever starts off at the Janus General Community Hospital. I am giving the heads

1:06.6

up about a four-month-old boy who's coming into the emergency department with CPR ongoing.

1:12.8

Whoa, CPR ongoing, four-month-old, sphincter tightening.

1:17.1

All right, what happened?

1:18.3

I'm giving the heads up that they're two minutes away, and I'm starting to think, okay,

1:23.5

how am I going to prepare for this child when this child arrives?

1:26.5

So I start preparing the room.

1:28.4

I get the usual stuff.

1:29.6

We have our crash card.

1:30.6

I make sure we have the proper pediatric sizes of our airway equipment, our pediatric equipment.

...

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