Out-of-hospital arrests attending an Australian tertiary paediatric emergency department over 13 years: An observational study

Emergency Medicine Australasia : EMA
Elisabeth Day, Jason R Hort

Abstract

In paediatric cardiopulmonary arrest, International Liaison Committee on Resuscitation (ILCOR) states, 'there are no simple guidelines to determine when resuscitative efforts become futile'. Considerations to assist this decision-making include cause of arrest, pre-existing medical conditions, age, site of arrest, duration of untreated cardiopulmonary arrest, witnessed arrest and presence of shockable rhythm. Outcomes are poor in out-of-hospital cardiac arrests (OHCA), particularly for infants. This single-centre observational study describes the characteristics and outcomes of the subgroup of children presenting to our hospital's ED following OHCA still receiving cardiac compressions, to assist development of guidelines for future resuscitation efforts in our ED, particularly for cessation of cardiopulmonary resuscitation (CPR). The ED database was searched for children presenting in cardiopulmonary arrest receiving cardiac compressions. Data were reviewed on pre-hospital, ED and hospital management and outcome, particularly looking at considerations outlined by ILCOR. From January 2000 to December 2013, 60 children were identified: median age 1.71 years; 87% arresting at home; 68% with bystander CPR; median CPR duration pre-h...Continue Reading

References

May 1, 1986·Critical Care Medicine·J GillisJ Edmonds
Nov 14, 1996·The New England Journal of Medicine·M B SchindlerG Barker
Nov 1, 1996·Resuscitation·S C SchultzS R Evans
Feb 1, 1997·Acta Anaesthesiologica Scandinavica·P SuominenK T Olkkola
Jan 29, 1999·Annals of Emergency Medicine·K D Young, J S Seidel
Jul 12, 2002·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Raymond PitettiMananda S Bhende
Nov 26, 2005·Annals of Emergency Medicine·Aaron J DonoghueUNKNOWN CanAm Pediatric Cardiac Arrest Investigators
Jan 5, 2006·JAMA : the Journal of the American Medical Association·Vinay M NadkarniUNKNOWN National Registry of Cardiopulmonary Resuscitation Investigators
May 4, 2006·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Richard Bradley GereinUNKNOWN OPALS Study Group
Dec 5, 2006·Pediatrics·Peter A MeaneyUNKNOWN American Heart Association National Registry of Cardiopulmonary Resuscitation Investigators
Mar 11, 2009·Circulation·Dianne L AtkinsUNKNOWN Resuscitation Outcomes Consortium Investigators
May 20, 2009·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Kathleen L MeertUNKNOWN Pediatric Emergency Care Applied Research Network
Mar 6, 2010·Lancet·Tetsuhisa KitamuraUNKNOWN implementation working group for All-Japan Utstein Registry of the Fire and Disaster Management Agency
Oct 12, 2010·Journal of Emergencies, Trauma, and Shock·Sandeep SahuIndu Lata
Oct 12, 2010·Journal of Emergencies, Trauma, and Shock·Antti Kämäräinen
Aug 16, 2011·Pediatric Cardiology·Dianne L Atkins, Stuart Berger
Sep 11, 2012·Lancet·Zachary D GoldbergerUNKNOWN American Heart Association Get With The Guidelines—Resuscitation (formerly National Registry of Cardiopulmonary Resuscitati
Oct 20, 2015·Resuscitation·Ian K MaconochieUNKNOWN Paediatric life support section Collaborators
Oct 20, 2015·Resuscitation·Leo L BossaertUNKNOWN ethics of resuscitation and end-of-life decisions section Collaborators

❮ Previous
Next ❯

Citations

Oct 21, 2018·Emergency Medicine Australasia : EMA·Sascha L Baldry, Peiter F Fouche

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.