Related Experiment Video
Updated: Dec 24, 2025

Complete and Partial Aortic Occlusion for the Treatment of Hemorrhagic Shock in Swine
Published on: August 24, 2018
A Four-Year-Old with History of Kawasaki Disease Presenting in Acute Shock
Insights
Pediatric shock following Kawasaki disease is a critical emergency. Early recognition and prehospital intervention are vital to prevent fatal outcomes like cardiac arrest in children with coronary aneurysms.
Area of Science:
- Pediatric Cardiology
- Emergency Medical Services
- Critical Care Medicine
Background:
- Kawasaki disease can lead to giant coronary artery aneurysms.
- These aneurysms pose a significant risk for severe cardiac complications, including shock.
- Pediatric shock in this context requires urgent recognition and management.
Abstract:
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.
Related Concept Videos
Blood Pressure Imbalances and Circulatory Shock
Blood Pressure: Hypertension and Hypotension
Normal blood pressure is 120/80 mm Hg. Elevated blood pressure is 120-129/under 80 mm Hg. Hypertension, warranting treatment at 130/80 mm Hg, is often asymptomatic and can lead to severe cardiovascular events, aneurysms, peripheral arterial disease, chronic renal disease, or cardiac...
Cardiopulmonary Resuscitation IV: Pharmacological Management
Acute Coronary Syndrome I: Introduction
Acute Coronary Syndrome IV: Interprofessional Care
Rheumatic Heart Disease IV: Nursing Management
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

