Bystander CPR Improves Survival in Pediatric Out-of-Hospital Cardiac Arrest

Survival rates were almost 4% higher in children who received bystander cardiopulmonary resuscitation than in those who did not.

Cardiac arrest in children most commonly has a respiratory etiology, versus a cardiac etiology in adults. Some studies suggest that bystander cardiopulmonary resuscitation (CPR) is effective in children (NEJM JW Emerg Med May 2012 and Crit Care Med 2012; 40:1410; NEJM JW Emerg Med Jun 2014 and J Am Heart Assoc 2014; 3:499) and that compression-only CPR is more effective than conventional CPR (compressions plus ventilations; NEJM JW Emerg Med Apr 2010 and Lancet 2010; 375:1347).

Investigators reviewed a U.S. database of out-of-hospital cardiac arrests from 2013 through 2015 to determine outcomes in children younger than 18 years.

Of 3900 children included in the database, more than half were infants (<1 year old). Bystander CPR was provided to…

Reviewing Author

Daniel J. Pallin, MD, MPH

Disclosures

Consultant/Advisory BoardPortola Pharmaceuticals, Inc.

Speaker’s BureauPeerView Institute for Medical Education

Grant/Research SupportAgency for Healthcare Research and Quality; CDC; NIH–National Center for Advancing Translational Sciences; NIH–National Institute of Allergy and Infectious Diseases (NIAID); NIH–NIAID–Antibacterial Resistance Leadership Group; Merck; Pfizer; Boehringer-Ingelheim; Shire; Portola Pharmaceuticals, Inc.; Novartis; bioMérieux; Siemens; Rapid Pathogen Screening; Magnolia; Stago; Innovative Biosensors; Molecular Detection, Inc.; Dyax Corp.; Trius Pharmaceuticals

Daniel J. Pallin, MD, MPH

Disclosures

Consultant/Advisory BoardPortola Pharmaceuticals, Inc.

Speaker’s BureauPeerView Institute for Medical Education

Bystander CPR Improves Survival in Pediatric Out-of-Hospital Cardiac Arrest

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Reviewing Author