Advanced Review

Form Approved

OMB Number: 0920-1092

Expiration Date: XX/XX/2022

Attachment 7B

Advanced review team discussion topics

A. Review the death and the death investigation

B. Review factors surrounding the death event

C. Discuss and understand the child’s health, family history and social history

D. Identify risk factors present in the death

1. Identify whether a previously undiagnosed heart condition or other medical condition was present that could result in sudden death.

2. Identify whether previous symptoms at rest or during exercise associated with sudden death were known.

3. Identify whether the child had a family history that put him/her at-risk for sudden death.

E. Evaluate whether changes are needed to the agencies and/or systems that were involved with the child and/or responded to the death

1. Identify whether a previously undiagnosed heart condition or other medical condition was present that could result in sudden death.

2. Identify whether previous symptoms at rest or during exercise associated with sudden death were known.

3. Identify whether the child had a family history that put him/her at-risk for sudden death.

F. Identify and develop recommendations for primary and secondary prevention of SDY

Public Reporting of this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a current valid OMB number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road NE, MS D-74, Atlanta, GA, 30033; ATTN: PRA (0920-1092).