8/13/2019 Sudden Death in Youth

1/26

Morning Report

January 10, 2014

Stefanie Ames, MD PGY2

8/13/2019 Sudden Death in Youth

2/26

CASE PRESENTATION

Youre in the PICU hen you !et a nea"mit#$

11 year o%" ma%e ho &o%%a'se" at a so&&er

!amePrior to e(ent, 'atient &om'%aine" of hea"a&he

an" ha" 1 e'iso"e of emesis &ausin! him toha(e to sit out$

)e ent *a&+ into the !ame an" as runnin!hen he !ra**e" his stoma&h, starte" (omitin!an" &o%%a'se"$

8/13/2019 Sudden Death in Youth

3/26

Events prior to admission

Un&%e untraine"- !a(e . min CP/

MS arri(e" an" 'atient in ($fi*,sho&+e" 1 then ent into PA

Pro(i"e" CP/ an" !i(en e'i 2

S'ontaneous return of &ir&u%ation after

1. minutes of CP/ ransferre" to PC) PICU for further

e(a%uation

8/13/2019 Sudden Death in Youth

4/26

PMH

Past me"i&a% history

Pre(ious%y hea%thy

Me"i&ations

3&&asiona% y%eno%

Immuniations

U' to "ate, 'er 'arents

A%%er!ies

56DA

8/13/2019 Sudden Death in Youth

5/26

FMH

7ami%y me"i&a% history

5o fami%y history of si!nifi&ant i%%nessin&%u"in! heart "isease, neuro%o!i&a%

&on"itions, SIDS or su""en "eath

So&ia% history

S'anish s'ea+in!$ 8ery a&ti(e &hi%"

8/13/2019 Sudden Death in Youth

6/26

ROS

Patient as i%% ith (ira% i%%ness onemonth a!o

5o re&ent shortness of *reath, rash or"e&rease" eer&ise to%eran&e, nosyn&o'e or seiures

)a" history of &hest 'ain aa+in! himfrom s%ee' at ni!ht o&&asiona%%y

8/13/2019 Sudden Death in Youth

7/26

Physical Exam

9:$1 )/ 19. // 2;

SIM8 40? 7i32, / 22, 8 900 PP ; PS ;

Genera%@ Intu*ate", unres'onsi(e

)5@ 5CA, 'u'i%s 2 mm an" rea&ti(e

C8@ ta&hy&ar"i& ithout murmur or !a%%o'$5orma% S1, S2$ 5orma% femora% 'u%ses, Ca'

refi%% 9s /es'@ CA