title: Management of suspected myocarditis during critical-care transport.
abstract: Myocarditis and malignant dysrhythmias are unusual presentations in pediatric patients. We report a series of 4 patients with myocarditis and arrhythmia who presented to community emergency departments and were transported to a pediatric tertiary-care center. Three of the patients required extracorporeal life support. We discuss considerations for stabilization and transport: airway and ventilation, hemodynamic support, induction and sedation medication choices, transport decisions, and the traits of an ideal receiving center.
authors.affiliation: Division of Critical Care Medicine, Department of Anesthesia, Children's Hospital Boston, MA 02115, USA. gerhard.wolf@childrens.harvard.edu
authors.forename: Gerhard K
authors.initials: GK
authors.lastname: Wolf
authors.forename: Michael A
authors.initials: MA
authors.lastname: Frakes
authors.forename: Michael
authors.initials: M
authors.lastname: Gallagher
authors.forename: Catherine K
authors.initials: CK
authors.lastname: Allan
authors.forename: Suzanne K
authors.initials: SK
authors.lastname: Wedel
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D001145:Arrhythmias, Cardiac / Q000175:diagnosis / Q000453:epidemiology; D002648:Child; D003422:Critical Care; D004562:Electrocardiography; D006801:Humans; D008193:Lyme Disease / Q000150:complications / Q000175:diagnosis; D008297:Male; D009205:Myocarditis / Q000453:epidemiology / Q000382:microbiology / Q000628:therapy*; D010360:Patient Transfer