Inpatient Treatment after Multi-Dose Racemic Epinephrine for Croup in the Emergency Department.

Background: Emergency department (ED) discharge is safe when croup-related stridor has resolved after corticosteroids and a single dose of racemic epinephrine (RE). Little evidence supports the traditional practice of hospital admission after ≥ 2 doses of RE.

Objective: Our aim was to describe the frequency and timing of clinically important inpatient interventions after ≥ 2 ED RE doses.

Anomalous aortic origin of the left coronary artery: in-hospital cardiac arrest and death despite bed rest.

A ten-year-old female was admitted with syncope and a myocardial infarction, was resuscitated, and was diagnosed with anomalous left coronary artery from right aortic sinus. After initial stabilization, she was on bed rest in the intensive care unit awaiting surgery and experienced sudden arrest and could not be resuscitated, resulting in death.