Illustrative CasesTranscutaneous Pacing of a 4-Year-Old ChildJones, David MD, MCR∗; Ran, Ran MD† Author Information From the Departments of ∗Emergency Medicine †Critical Care, Oregon Health and Science University, Portland, OR. Disclosure: The authors declare no conflicts of interest. Reprints: David Jones, MD, MCR, Department of Emergency Medicine, Oregon Health and Science University, CDW-EM, 3181 SW Sam Jackson Park Rd, Mail Stop L466, Portland, OR 97239 (e-mail: [email protected]). Pediatric Emergency Care: September 2019 - Volume 35 - Issue 9 - p e162-e163 doi: 10.1097/PEC.0000000000001910 Buy Metrics Abstract Complete heart block is rare in children and is usually owing to congenital abnormalities. These children are often pacemaker dependent. However, pacemaker complications can require emergency interventions, including external pacing. This case presents a child in complete heart block requiring external pacing and then discusses some of the literature behind such interventions. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.