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

BACKGROUND

Cardiac arrest in toddlers is rare, but accidental electrocution may induce arrhythmias.

CASE PRESENTATION: A previously healthy one-year-old child suffered electrocution from an old shoe-warmer and went into cardiac arrest. Her mother started cardiopulmonary resuscitation (CPR) and the ambulance arrived after seven minutes. The first registered rhythm was ventricular tachycardia and the child was defibrillated with an energy dose of 50 joules. One minute after the shock, the child regained spontaneous breathing and was transported to the nearby hospital. The child was unconscious on arrival, intubated and sedated. The first capillary blood gas showed a pH of 7.20, a pCO2 of 5.2 kPa and lactate of 8.4 mmol/l. The child was extubated five hours later. Apart from burn injuries to both hands that necessitated skin transplants, the child survived without sequelae.

INTERPRETATION: Healthcare providers must be prepared to apply a defibrillator in cases of paediatric cardiac arrest.