CME Review ArticleUpdated Approaches to Cardiac Electrical Stimulation and Pacing in PediatricsNeubrand, Tara L. MD; Topoz, Irina MD; Mistry, Rakesh D. MD, MSAuthor Information From the Assistant Professors and Professor, Section of Emergency Medicine, Department of Pediatrics (Neubrand, Topoz and Mistry), University of Colorado/Children's Hospital Colorado, Aurora, CO. The authors, faculty, and staff in a position to control the content of this CME activity and their spouses/life partners (if any) have disclosed that they have no financial relationships with, or financial interest in, any commercial organizations relevant to this educational activity. Reprints: Tara Neubrand, MD, 13123 E 16th Ave Aurora, CO 80045 (e-mail: Tara.firstname.lastname@example.org). Pediatric Emergency Care: September 2020 - Volume 36 - Issue 9 - p 430-439 doi: 10.1097/PEC.0000000000002201 Buy Take the CME Test Metrics Abstract Cardiac electrical stimulation is a rarely used but required skill for pediatric emergency physicians. Children who are in cardiac arrest or who demonstrate evidence of hypoperfusion because of cardiac reasons require rapid diagnosis and intervention to minimize patient morbidity and mortality. Both hospital- and community-based personnel must have sufficient access to, and knowledge of, appropriate equipment to provide potentially lifesaving defibrillation, cardioversion, or cardiac pacing. In this review, we will discuss the primary clinical indications for cardioelectrical stimulation in pediatric patients, including the use of automated external defibrillators, internal defibrillators, and pacemakers. We discuss the types of devices that are currently available, emergency management of internal defibrillation and pacemaker devices, and the role of advocacy in improving delivery of emergency cardiovascular care of pediatric patients in the community. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.