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Cardiogenic shock.

A 4 year-old boy is brought in with chest pain, difficulty breathing, and fever. He has had flu-like symptoms, malaise, muscle weakness, and vomiting. His status worsens with fluid administration. He develops a wide-complex tachycardia and pulmonary edema.

Goals and Objectives

Objectives (Medical and CRM):


  • Recognize the nonspecific presentation of myocarditis in children, and have a low threshold of suspicion in a child presenting with fever and respiratory symptoms.
  • Recognize cardiogenic shock.
  • Recognize management of wide-complex tachycardia with a pulse.
  • Discuss basic myocarditis management principles.


  • Demonstrate effective team communication.



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