Prehospital management of cardiac arrhythmias in children: emergency care strategies — a review
https://doi.org/10.24884/2072-6716-2025-26-4-91-96
Abstract
Objective: to review current national and international literature on the diagnosis and emergency management of pediatric arrhythmias in the prehospital setting. Materials and methods. An analysis of 21 literary sources was conducted, including clinical guidelines, studies, and reviews published in recent years, with a focus on prehospital strategies for managing arrhythmias in children. Results. Cardiac rhythm disturbances in children can be life-threatening, especially in the presence of hemodynamic instability. In the prehospital phase, it is crucial to rapidly perform clinical and instrumental diagnostics, classify the type of arrhythmia, and initiate timely treatment. Effective methods include vagal maneuvers, administration of adenosine, atropine, epinephrine, as well as synchronized cardioversion and defibrillation when indicated. Conclusion. Knowledge of diagnostic and treatment algorithms for pediatric arrhythmias in the prehospital setting significantly improves survival rates and reduces the risk of complications. The findings are of practical relevance for emergency medical service physicians and pediatric intensivists.
About the Authors
Yu. V. Bykov
Stavropol State Medical University; Children’s Regional Clinical Hospital
Russian Federation
Russian Federation
Yuri V. Bykov
Stavropol
A. N. Оbedin
Stavropol State Medical University; Regional Clinical Perinatal Center No. 1
Russian Federation
Russian Federation
Аlexander N. Оbedin
Stavropol
О. V. Zinchenko
Stavropol State Medical University
Russian Federation
Russian Federation
Оleg V. Zinchenko
Stavropol
I. V. Yatsuk
Stavropol State Medical University; City Clinical Hospital of Emergency Medical Care
Russian Federation
Russian Federation
Ivan V. Yatsuk
Stavropol
E. V. Vоlkov
Stavropol State Medical University; Regional Clinical Hospital
Russian Federation
Russian Federation
Evgeny V. Vоlkov
Stavropol
V. V. Fischer
Stavropol State Medical University; Shpakovskaya District Hospital
Russian Federation
Russian Federation
Vasiliy V. Fischer
Stavropol
Mikhailovsk
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Review
For citations:
Bykov Yu.V., Оbedin A.N., Zinchenko О.V., Yatsuk I.V., Vоlkov E.V., Fischer V.V. Prehospital management of cardiac arrhythmias in children: emergency care strategies — a review. EMERGENCY MEDICAL CARE. 2025;26(4):91-96. (In Russ.) https://doi.org/10.24884/2072-6716-2025-26-4-91-96
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