RT Book, Section A1 Phillips, Julie A1 Estrada, Cristina M. A2 Stone, C. Keith A2 Humphries, Roger L. A2 Drigalla, Dorian A2 Stephan, Maria SR Print(0) ID 1176580587 T1 Special Needs & High-Tech Children T2 CURRENT Diagnosis & Treatment: Pediatric Emergency Medicine YR 2014 FD 2014 PB McGraw-Hill Education PP New York, NY SN 9780071799454 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1176580587 RD 2024/03/28 AB Recent medical advances have led to longer survival of chronically ill children, often referred to as the “high-tech” child. As a result, emergency departments are seeing these medically-fragile patients more frequently. Patients with a cerebrospinal fluid (CSF) shunt, a tracheostomy tube, the need for chronic oxygen therapy, invasive or noninvasive ventilatory support, chronic dialysis, a gastrostomy tube (GT), or an indwelling central venous catheter (CVC), among others, are defined as technology dependent. Review of available previous medical records and contacting the medical home or primary care physician early in the patient’s course can provide information that may help guide the decision-making process.