2026 Pediatric Symposium - High Risk Hearts

Course overview

This session will provide EMS personnel with a focused overview of the pathophysiology and prehospital management of infants following Stage I single ventricle palliation. Participants will gain an understanding of parallel circulation and the balance between systemic and pulmonary blood flow, the key components of the Norwood procedure, and typical baseline findings in this high-risk population. The session will highlight early signs of decompensation, including shunt obstruction, pulmonary over circulation and low cardiac output, and review practical, evidence-informed stabilization principles such as judicious oxygen use, ventilation strategies, and careful fluid administration. Emphasis will be placed on rapid assessment, effective caregiver communication, and timely transport to a pediatric cardiac center to optimize outcomes in this vulnerable interstage group.