title: Extracorporeal life support for cardiac arrest in a paediatric emergency department.
abstract: The initiation of extracorporeal membrane oxygenation (ECMO) in the emergency department (ED) is a rare event. Herein, we report a case of acute fulminant myocarditis in a nine-year-old girl who was successfully resuscitated by early initiation of ECMO support in the paediatric ED of KK Women's and Children's Hospital, Singapore. The patient had rapidly progressed into a witnessed pulseless ventricular tachycardia on presentation, and ECMO was started in the ED following the failure of standard resuscitation measures to establish spontaneous circulation. ECMO was continued for nine days. The patient recovered well with normal neurocognitive function. The initiation of ECMO in the ED is potentially life-saving in the resuscitation of children with witnessed in-hospital cardiac arrest due to a reversible cause.
authors.forename: So-phia
authors.initials: SP
authors.lastname: Chew
authors.affiliation: Department of Emergency Medicine, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899. tham.lai.peng@kkh.com.sg.
authors.forename: Lai Peng Sharon
authors.initials: LP
authors.lastname: Tham
mesh_terms: D016887:Cardiopulmonary Resuscitation; D002648:Child; D018450:Disease Progression; D004635:Emergency Medicine; D004636:Emergency Service, Hospital; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005260:Female; D006323:Heart Arrest / Q000628:therapy*; D006760:Hospitalization; D006801:Humans; D009205:Myocarditis / Q000628:therapy*; D010372:Pediatrics / Q000379:methods; D012151:Resuscitation; D013610:Tachycardia / Q000175:diagnosis; D016896:Treatment Outcome; D014693:Ventricular Fibrillation