Non-Perfused Brain and Retino-Dural Hemorrhage

10 cases of pneumonia causing cardiac arrest and non-perfused brain occurred at ages 40 days-30 months, in a medico-legal setting. In each deceased child, both the pneumonia and non-perfused brain were verified histologically. Upper respiratory infection and mouth-breathing accompanied the pneumonia, with ongoing choking on formula or food in three cases, and vomiting in an additional five cases. In eight of the 10 cases, the pre-terminal event was a quiet respiratory arrest while sleeping, or being carried in the arms. Adrenaline was given up to 7 times during CPR lasting 44±32 minutes, with up to 2 hours CPR and fall in body temp to LEARNING OBJECTIVES This presentation will enable the learner to: 1. Investigate infant deaths including workup for interstitial pneumonia. 2. Know cerebral blood flow changes in development, and cranial blood flow dynamics in non-perfused brain.