Children and adults in cardiopulmonary arrest: are advanced life support guidelines followed in the prehospital setting?

Annals of Emergency Medicine
V R KumarR T Kiskaddon

Abstract

To compare the proportions of children and adults in whom advanced life support (ALS) guidelines for prehospital management of cardiopulmonary arrest. We conducted a retrospective cross-sectional study of an urban EMS system and an urban ED. We studied 141 consecutive patients (47 children and 94 adults, matched by date of presentation) in cardiopulmonary arrest who were transported to the pediatric and adult EDs by ALS-trained prehospital providers (paramedics) between January 1992 and July 1995. We reviewed ambulance trip reports and ED records to determine when and which interventions were performed in the prehospital setting. Significance of differences between the groups was determined with Fisher's exact test and Student's t test. In 47 children (median age, 1 year; range, 2 days to 15 years) and 94 adults (median age, 67 years; range, 16 to 95 years), pulselessness was documented at the time of the initial response of the ALS provider. Basic life support was performed in all patients. Among the 21 children and 7 adults who were not intubated, intubation was attempted in 13 children (62%) and in 6 adults (86%) (P = .26). Among the 29 children and 16 adults in whom intravascular access was not established, unsuccessful att...Continue Reading

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Citations

Dec 17, 2003·Pediatric Emergency Care·Annalise SorrentinoWilliam D King
Feb 6, 2004·Pediatric Emergency Care·Timothy H HarrisonSuzanne K Wedel
Aug 5, 2000·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·P V ScribanoK N Shaw
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Sep 19, 2012·Journal of Emergencies, Trauma, and Shock·Abdullah Foraih Al-Anazi
Jan 8, 2000·The Surgical Clinics of North America·J I Sanchez, C N Paidas
Nov 26, 2005·Annals of Emergency Medicine·Aaron J DonoghueUNKNOWN CanAm Pediatric Cardiac Arrest Investigators
Jan 12, 2000·Pediatric Clinics of North America·M D Patterson
Jan 12, 2000·Pediatric Clinics of North America·M Gausche, J S Seidel
Aug 28, 2004·Pediatric Clinics of North America·Dianne L Atkins, Melanie A Kenney
Mar 29, 2014·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Erika K CottrellJeanne-Marie Guise
Dec 23, 2016·Prehospital and Disaster Medicine·Seth A BrownIn K Kim
Oct 6, 2006·Current Opinion in Anaesthesiology·Marianne Gausche-Hill
Oct 3, 2006·Current Opinion in Anaesthesiology·P G Meyer
Apr 17, 2020·Critical Care : the Official Journal of the Critical Care Forum·Alan A GarnerAnna Lee
Jun 30, 2000·Annals of Emergency Medicine·P W GlaeserJ Ball
Sep 5, 2006·Pediatrics·Aaron J DonoghueUNKNOWN American Heart Assocation National Registry of Cardiopulmonary Resuscitation Investigators

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