Fainting in Children

Fainting in Children

| |  Pediatric Critical Care Medicine

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Fainting - a sudden brief loss of consciousness associated with a sharp outflow of blood from the brain. Clinically, this pathology looks as follows.

First, there are severe weakness, dizziness, nausea, ringing in the head, or darkening of the front sight in the eyes, discomfort in the abdomen and heart. The child turns pale and falls, collapsing to the floor.

This state can last from a few seconds up to 2-3 minutes, then a child is unconscious, not responding to an appeal to him, and the blood pressure is reduced, breathing and heartbeat weakened. Fainting even without assistance stoped by own, child wakes up. After fainting are typical feeling unwell, weakness, headache, discomfort in the heart and stomach, paleness, cold sweat.

It is necessary to distinguish a syncope from epileptic seizures, acute heart failure, comatose states. Small epileptic seizure is characterized by loss of consciousness for 1 2 seconds, a child "congeals" in any occupation with a fixed gaze; observed slight twitching of the eyelids or facial muscles.

Comatose states are characterized by more prolonged loss of consciousness, severe general condition, disorder of vital functions, symptoms corresponding to a certain type of coma.

Causes of syncope in Children

  • Infectious disease;
  • Acute blood loss;
  • Severe pain;
  • Motional stress;
  • Hunger;
  • Long stay in a stuffy room;
  • Frequent deep breathing;
  • Children with disorders of the autonomic nervous system;
  • Children with low blood pressure;
  • Traumatic brain injury, such as concussion.

Frequent fainting cause some heart disease. Complete blockade of the conduction system of the heart, the blockade of Morgagni-Adams-Stokes clinically are manifested by bouts of loss of consciousness and seizures, accompaning by a sharp pale or bluish skin. Usually attack occurs at night, alone or requires emergency medical care.

The tactics of the first aid at fainting

  • Place your baby horizontally without a pillow with raised at an angle of about 30 ° down. In this position, the blood flow from the legs to the brain.
  • Provide access to fresh air (unbutton the collar, remove child tight clothing, open window).
  • Awake from fainting will help any sudden stimuli (spray the face or chest of a child with cold water, pat him on the cheeks and rub his ears, give to smell ammonia, or spirits).
  • When the child come in itself, let him lie down in the same position with raised legs. Give him to drink hot sweet tea, food, if he is hungry, warm him.

If frequent fainting and without reason, need a serious survey of the existing pathology. Recall that fainting - one of the leading symptoms of serious heart disease, so the child is required to make an electrocardiogram (ECG).

Similar fainting attacks may occur in epilepsy or diabetes: consult a child neurologist, check the patient's blood sugar.

The cause of frequent fainting sometimes are hysterical seizures when a child is consciously or unconsciously manipulates by adults. Such variations in the behavior of children treats psychiatrist.

      If frequent fainting and without reason, need a serious survey of the existing pathology. Recall that fainting - one of the leading symptoms of serious heart disease, so the child is required to make an electrocardiogram (ECG).

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