Outcome of Out-of-Hospital Cardiorespiratory Arrest in Children

Abstract

Mortality of out-of-hospital cardiorespiratory arrest in children is high. When resuscitation is started soon by layperson or paramedics, survival is increased. Duration of resuscitation efforts is the best indicator of mortality. Most of survivors had good long-term neurologic outcome.

Out-of-Hospital Pediatric Cardiorespiratory Arrest in Galicia

“…17,18 To evaluate performance quality of individual EMS, each local institution should review its results and try to compare them with international counterparts. Despite a large amount of data assessing outcomes of out-of-hospital CRA, 2,3,19,20 little information is available about the time needed to implement new resuscitation guidelines 17 and about the impact of the introduction of those guidelines on out-of-hospital CRA survival. 21 Our study gives insight on the results of pediatric out-ofhospital CPR in a region with special demographics that challenge the EMS performance.…”

“…2,7 Out-of-hospital CRA in children uses to occur at home, and therefore, bystander training is essential to improve the victim's outcome, independent of his age. 1,9,10 Indeed, in our study, bystander CPR has significantly increased (group 1 vs group 2, 7 [29%] vs 13 [62%], P = 0.004).…”

“…Cardiac arrest was defined as the inability to palpate a central pulse, unresponsiveness, and apnea or severe bradycardia lower than 60 beats per minute, with poor perfusion in infants requiring external cardiac compressions and assisted ventilation. 2,3,11 Analyzed data included patient-related variables, namely, age, cause of the CRA, and personal background; arrest and life supportYrelated variables, namely, type of arrest, location of the arrest, time elapsed from the arrest to starting of CPR, persons who performed the CPR life support maneuvers, first documented ECG rhythm, and total duration of CPR; and outcome-related variables, namely, return of spontaneous circulation, survival to hospital admission, and discharge.…”

Pediatric Prehospital Evaluation of NYC Respiratory Arrest Survival (PHENYCS)

“…Historically, pediatric CA has a poor outcome, with survival less than 10%, 1 whereas out-of-hospital pediatric RA (OOHRA) has a much better outcome, with survival at 43% to 82.5%. 2,3 Improved survival in adult CA studies has been associated with witnessed arrest, bystander cardiopulmonary resuscitation (CPR), initial rhythm of ventricular fibrillation (VF), and short response time between arrest and resuscitation. 4 Associations with survival in pediatric OOHRA studies have not been well defined, because of a small number of studies, design limitations, and small numbers of patients assessed.…”

Convergence Study about Relationship between Nursing Students' Knowledge, Attitude, and Confidence to Infant Cardiopulmonary Resuscitation

“…임상에서 환자를 가장 가까이 하는 간호사들 은 응급상황을 발견하게 된다 [7,8]. 응급상황시 즉각적인 심폐소생술의 시행은 순환 회복률을 높여 생존률을 올리 는데 매우 중요하므로 최초 목격자인 간호사들은 심정지 환자들에게 심폐소생술을 즉시 시행할 수 있어야 한다 [9]. 하지만 우리나라의 심폐소생술 시행 사례를 아동 심 정지 사례 61명 중 38명이 간호사에 의해 최초 목격되었 으나 심폐소생술은 오직 한 사례만 시행되었다 [10].…”