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Cardiac arrest in a one-year-old child after an electric shock

Stig Arild Stenersen, Audhild Prytz, Trond Nordseth

    Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
    |August 23, 2021
    PubMed

    Insights

    Accidental electrocution can cause cardiac arrest in toddlers. Prompt cardiopulmonary resuscitation (CPR) and defibrillation are crucial for survival in pediatric electrocution emergencies.

    Area of Science:

    • Pediatric emergency medicine
    • Toxicology and environmental health

    Background:

    • Cardiac arrest in toddlers is rare.
    • Accidental electrocution is a potential cause of pediatric arrhythmias.

    Observation:

    • A one-year-old experienced cardiac arrest after electrocution from a shoe-warmer.
    • Cardiopulmonary resuscitation (CPR) was initiated by the mother, followed by emergency medical services.
    • Ventricular tachycardia was the initial rhythm, treated with defibrillation.

    Findings:

    • The child regained spontaneous breathing post-defibrillation.
    • Initial blood gas analysis revealed acidosis and elevated lactate.
    • The patient survived without neurological sequelae, despite requiring skin grafts for hand burns.

    Implications:

    • Healthcare providers must be prepared for pediatric cardiac arrest scenarios, including those from electrocution.
    • Early defibrillation is critical in managing life-threatening arrhythmias caused by electrical injuries in children.
    • This case highlights the importance of rapid response and advanced life support in pediatric electrocution incidents.
    Abstract

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