Ahogamientos y casi ahogamientos en niños

Alonso, J. Blasco; Pérez, David Moreno; Manso, G. Milano; Macías, Custodio Calvo; Ortiz, A. Jurado

doi:10.1157/13070176

Cited by 13 publications

(13 citation statements)

References 18 publications

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“…53,[55][56][57][58][59][60][61][62][63][64] Of the 7 pediatric studies, 6 found that young age, variably defined as less than 3, 4, 5, or 6 years, was not associated with favorable neurologic outcome. [55][56][57][58][59]61 A single pediatric study including 166 children aged less than 15 years reported better outcomes in children aged less than 5 years (RR, 0.12; 95% CI, 0.03-0.44).…”

Section: Consensus On Sciencementioning

confidence: 99%

“…60 Four studies considered drowning victims of all ages; 3 found no relationship between age and outcome. [62][63][64] One reported worse outcomes among children aged greater than 5 years (RR, 0.66; 95% CI, 0.51-0.85). 53 For the critical outcome of survival, we identified verylow-quality evidence (downgraded for risk of bias, inconsistency, indirectness, and imprecision) from 6 observational studies, which included 1313 patients.…”

Section: Agementioning

confidence: 99%

“…Salinity For the critical outcome of favorable neurologic outcome, we identified very-low-quality evidence (downgraded for risk of bias, indirectness, and imprecision) from 4 observational studies, 53,59,63,72 which included 1842 drowning victims, of which 370 occurred in salt water and 1427 in fresh water. Two showed salt water was associated with better outcomes (RR, 1.3; 95% CI, 1.12-1.…”

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confidence: 99%

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Part 3: Adult Basic Life Support and Automated External Defibrillation

Travers¹,

Perkins²,

Berg³

et al. 2015

Circulation

235

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Introduction This Part of the 2015 International Consensus on Cardiopul monary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) Science With Treatment Recommendations (CoSTR) presents the consensus on science and treatment recommendations for adult basic life support (BLS) and automated external defibrillation (AED). After the publication of the 2010 CoSTR, the Adult BLS Task Force developed review questions in PICO (population, intervention, comparator, outcome) format.1 This resulted in the generation of 36 PICO questions for systematic reviews. The task force discussed the topics and then voted to prioritize the most important questions to be tackled in 2015. From the pool of 36 questions, 14 were rated low priority and were deferred from this round of evidence evaluation. Two new questions were submitted by task force members, and 1 was submitted via the public portal. Two of these (BLS 856 and BLS 891) were taken forward for evidence review. The third question (368: ForeignBody Airway Obstruction) was deferred after a preliminary review of the evidence failed to identify compelling evidence that would alter the treatment recommendations made when the topic was last reviewed in 2005. 2 Each task force performed a systematic review using detailed inclusion and exclusion criteria, based on the recommendations of the Institute of Medicine of the National Academies.3 With the assistance of information specialists, a detailed search for relevant articles was performed in each of 3 online databases (PubMed, Embase, and the Cochrane Library).Reviewers were unable to identify any relevant evidence for 3 questions (BLS 811, BLS 373, and BLS 348), and the evidence review was not completed in time for a further question (BLS 370). A revised PICO question was developed for the opioid question (BLS 891). The task force reviewed 23 PICO questions for the 2015 consensus on science and treatment recommendations, including BLS 811, BLS 373, and BLS 348. The PICO flow is summarized in Figure 1.Using the methodological approach proposed by the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) Working Group, 4 the reviewers for each question created a reconciled risk-of-bias assessment for each of the included studies, using state-of-the-art tools: Cochrane for randomized controlled trials (RCTs), 5 Quality Assessment of Diagnostic Accuracy Studies (QUADAS)-2 for studies of diagnostic accuracy, 6 and GRADE for observational studies that inform both therapy and prognosis questions.7 GRADE evidence profile tables 8 were then created to facilitate an evaluation of the evidence in support of each of the critical and important outcomes. Critical outcomes were defined as neurologically favorable outcome (level 9), survival (level 8), and return of spontaneous circulation (ROSC; level 7). Given the heterogeneity of time points evaluated in the studies related to BLS/AED, time intervals were pooled across outcomes. For neurologic outcome and survival, we considered the outcomes at discharge,...

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Section: Consensus On Sciencementioning

confidence: 99%

Section: Agementioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Part 3: Adult Basic Life Support and Automated External Defibrillation

Travers¹,

Perkins²,

Berg³

et al. 2015

Circulation

235

View full text Add to dashboard Cite

show abstract

“… 355 Four studies considered drowning victims of all ages; 3 found no association between age and outcome. 357 , 358 One reported worse outcomes associated with children aged greater than 5 years (RR, 0.66; 95% CI, 0.51–0.85). 359 …”

Section: Special Circumstancesmentioning

confidence: 99%

“…For the critical outcome of survival with favorable neurological outcome, we identified very-low-certainty evidence (downgraded for risk of bias, indirectness, and imprecision) from 6 observational studies 354 , 357 , 359a,359b , 367 , 368 1799 including 3 584 drowning victims, of which 980 occurred in salt water and 2 604 in fresh water. Two reported that drowning in salt water was associated with better outcomes (RRs, 1.3 [95% CI, 1.12–1.5] 357 and 1.2 [95% CI, 1.1–1.4], 354 and 4 found no association between water salinity and outcome (RRs, 1.1 [95% CI, 0.95–1.2], 367 1.14 [95% CI, 0.9–1.4], 359 1.1 [95% CI, 0.70–1.72], 368 and 1.15 [95% CI, 0.91–1.45). 359a …”

Section: Special Circumstancesmentioning

confidence: 99%

Adult Basic Life Support

Berg¹,

Soar²,

Andersen³

et al. 2020

Resuscitation

100

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This 2020 International Consensus on Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care Science With Treatment Recommendations on basic life support summarizes evidence evaluations performed for 20 topics that were prioritized by the Basic Life Support Task Force of the International Liaison Committee on Resuscitation. The evidence reviews include 16 systematic reviews, 3 scoping reviews, and 1 evidence update. Per agreement within the International Liaison Committee on Resuscitation, new or revised treatment recommendations were only made after a systematic review. Systematic reviews were performed for the following topics: dispatch diagnosis of cardiac arrest, use of a firm surface for CPR, sequence for starting CPR (compressions-airway-breaths versus airway-breaths-compressions), CPR before calling for help, duration of CPR cycles, hand position during compressions, rhythm check timing, feedback for CPR quality, alternative techniques, public access automated external defibrillator programs, analysis of rhythm during chest compressions, CPR before defibrillation, removal of foreign-body airway obstruction, resuscitation care for suspected opioid-associated emergencies, drowning, and harm from CPR to victims not in cardiac arrest. The topics that resulted in the most extensive task force discussions included CPR during transport, CPR before calling for help, resuscitation care for suspected opioid-associated emergencies, feedback for CPR quality, and analysis of rhythm during chest compressions. After discussion of the scoping reviews and the evidence update, the task force prioritized several topics for new systematic reviews.

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Pediatric Drowning: The Cold Water Blues

Bressler

Reynolds

2019

Case Studies in Emergency Medicine

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Ahogamientos y casi ahogamientos en niños

Cited by 13 publications

References 18 publications

Part 3: Adult Basic Life Support and Automated External Defibrillation

Part 3: Adult Basic Life Support and Automated External Defibrillation

Adult Basic Life Support

Pediatric Drowning: The Cold Water Blues

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