AB> Greetings all from North of the 49th.
 AB> I am a part-time EMT with 5 years experience. Today my partner, and I
 AB> responded to a Child S.O.B. call. Upon arrival at scene we found a 10
 AB> month female being cared for by the rural fire dept. first responders.
 AB> O/E child was lethargic and drowsy, pupils sluggish, resps 'gurgling',
 AB> and decreased air entry to bases. Child had apparantly no history to
 AB> speak of other than a bout of diarrhea about a week ago, which was
 AB> treated with pedialyte, I assume for dehydration. No other meds or
 AB> allergies. Deciding baby was unstable, we initiated rapid transport to
 AB> local hosp (20 mins away). En route child became increasingly dyspniac,
 
I'm assuming you are a Basic Life Support unit, and couldn't intubate? But, 
ini
iated 02 via nonrebreather?
 AB> eventually going into respiratory arrest shortly after arrival at
 AB> emerg.  Endotracheal intubation was initiated and pediatricians, RT's,
 AB> X-Ray, 12-lead, and lab was called.  Blood gucose was measured at 0.7 ,
 
0.7 mg/dl? Wow.
 
 AB> and D50 was started.  White count was 32, however temp was normal. 
 AB> Baby continued to deteriorate, eventually showing arrythmias which
 AB> continued on to pulseless V-Tach.  Full pediatric ACLS was performed,
 AB> with no treatment proving helpful, and baby was pronounced some time
 AB> later, after every effort had been made. Upon questioning one
 AB> of the ERP's post-arrest, no explanation was given to me regarding
 AB> possible causes of the arrest.  It has been my experience with other
 AB> follow-up questions that information is hard to come by.
 AB> My question is what would/could cause such an arrest?  Also,
 AB> although we were within protocol in our pre-hospital care, is there
 AB> possibly any other treatment that might have had a beneficial effect
 AB> with our patient? We are equiped with the Spacelabs 610 A.E.D, although
 AB> protocol restricts use to 12 years/100 pounds.  
 
I'm not familiar with this AED. Sounds like your hands were tied there.
 AB> defibrillation was performed 5 times, ranging from 50 to 200 joules.  I
 AB> am interested in hearing from anyone with experience in this area as to
 AB> opinions on this call, other people's experiences, etc.  Any
 AB> information would be greatly appreciated.
 AB> Thanks in advance.
I can't offer much. Those calls are tough to deal with. But, try to 
follow-up. 
n my area, we have always been able to get follow-up info, until about 2 
months
ago. Now it's like pulling teeth. But, it would be worth a try...
Chris
EMT-I
... Wok:  Something you throw at a wabbit.
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