High School Cardiac Emergency Response Plans and Sudden Cardiac Death in the Young.

Unlabelled: Introduction Sudden cardiac death (SCD) is responsible for 5%-10% of all deaths among children 5-19 years-of-age. The incidence of SCD in youth in Michigan (USA) and nationwide is higher in racial/ethnic minorities and in certain geographic areas. School cardiac emergency response plans (CERPs) increase survival after cardiac arrest.

Availability of Automated External Defibrillators in Public High Schools.

Objectives: To assess automated external defibrillator (AED) distribution and cardiac emergency preparedness in Michigan secondary schools and investigate for association with school sociodemographic characteristics.

Study Design: Surveys were sent via electronic mail to representatives from all public high schools in 30 randomly selected Michigan counties, stratified by population. Association of AED-related factors with school sociodemographic characteristics were evaluated using Wilcoxon rank sum test and χ(2) test, as appropriate.

Successful staged neonatal repair of tetralogy of Fallot with long-segment hypoplasia of the aorta.

We describe an extremely rare combination of tetralogy of Fallot (TOF), right-sided cervical aortic arch with long-segment hypoplasia, and other vascular anomalies. A two-stage surgical approach included aortic arch reconstruction followed by right ventricular muscle bundle division and ventricular septal defect closure a few weeks later. The initial clinical presentation, perioperative course, and imaging studies are presented along with a review of the relevant literature.

Hostility and anomie: links to preterm delivery subtypes and ambulatory blood pressure at mid-pregnancy.

Underlying maternal vascular disease has been implicated as one of several pathways contributing to preterm delivery (PTD) and psychosocial factors such as hostility, anomie, effortful coping, and mastery may be associated with PTD by affecting maternal vascular health. Using data from the Pregnancy Outcomes and Community Health (POUCH) study, we included 2018 non-Hispanic White and 743 African American women from 52 clinics in five Michigan, USA communities. Women were interviewed at 15-27 weeks' gestation and followed to delivery.

ED management of pediatric syncope: searching for a rationale.

Objective: The aim of this study was to evaluate emergency department (ED) management of childhood syncope, focusing on diagnostic tests ordered, whether a reason for specific testing was recorded, and hospital admission rates.

Methods: We reviewed ED records of patients aged 5 to 20 years who presented to a community hospital ED with syncope or near-syncope over a 1-year period (April 1, 2004, to March 31, 2005). Patient charts were nonelectronic (paper).