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10:02
We review a general approach to syncope in children.
Hosts:
Brian Gilberti, MD
Ellen Duncan, MD
Show Notes
- Initial Evaluation and Management:
- Similar initial workup for children and adults: checking glucose levels for hypoglycemia and conducting an EKG.
- The history and physical exam are crucial.
- Dextrose Administration in Children:
- Explanation of the ‘rule of 50s’ for determining the appropriate dextrose solution and dosage for children.
- ECG Analysis:
- Importance of ECG in diagnosing dysrhythmias like long QT syndrome, Brugada syndrome, catecholamine polymorphic V tach, ARVD, ALCAPA, and Wolff-Parkinson-White syndrome.
- Younger children’s dependency on heart rate for cardiac output and the risk of arrhythmias in kids with congenital heart disease.
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