Abstract
Sixty-six patients more than 30 days and less thant 16 years of age suffering an unexpected cardiac arrest in an 18-month period were included in a study of resuscitative measures in children. Six children survived to be discharged from hospital. Respiratory disease accounted for most (29%) of the cardiac arrests, but it also had the most favourable prognosis, 21% of the 19 patients surviving. None of the patients survived whose cardiac arrest was secondary to sepsis or trauma, even when the resuscitative efforts were initially successful. Only 1 of the 41 patients who had a cardiac arrest outside of hospital survived, and only 1 of the 34 patients who presented with asystole survived, and then with considerable damage to the central nervous system. The interval between cardiac arrest and application of basic life support was substantially shorter among the survivors. Also, most of the survivors did not present with asystole. The results of this study suggest that survival among resuscitated children is no better than that among adults but can be improved with early recognition and monitoring of children at risk. earlier application of basic and advanced life support, improved education of medical and lay personnel, and further research into pediatric resuscitative techniques.
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Selected References
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- Conn A. W., Edmonds J. F., Barker G. A. Near-drowning in cold fresh water: current treatment regimen. Can Anaesth Soc J. 1978 Jul;25(4):259–265. doi: 10.1007/BF03005645. [DOI] [PubMed] [Google Scholar]
- Ehrlich R., Emmett S. M., Rodriguez-Torres R. Pediatric cardiac resuscitation team: a 6 year study. J Pediatr. 1974 Jan;84(1):152–155. doi: 10.1016/s0022-3476(74)80580-9. [DOI] [PubMed] [Google Scholar]
- Eisenberg M. S., Bergner L., Hallstrom A. Cardiac resuscitation in the community. Importance of rapid provision and implications for program planning. JAMA. 1979 May 4;241(18):1905–1907. doi: 10.1001/jama.241.18.1905. [DOI] [PubMed] [Google Scholar]
- Guntheroth W. G. Sudden infant death syndrome (crib death). Am Heart J. 1977 Jun;93(6):784–793. doi: 10.1016/s0002-8703(77)80077-x. [DOI] [PubMed] [Google Scholar]
- Pediatric grand rounds: cardiopulmonary resuscitation. Tex Med. 1972 Feb;68(2):117–passim. [PubMed] [Google Scholar]
- Singer J. Cardiac arrests in children. JACEP. 1977 May;6(5):198–205. doi: 10.1016/s0361-1124(77)80497-8. [DOI] [PubMed] [Google Scholar]
- Tweed W. A., Bristow G., Donen N. Resuscitation from cardiac arrest: assessment of a system providing only basic life support outside of hospital. Can Med Assoc J. 1980 Feb 9;122(3):297–300. [PMC free article] [PubMed] [Google Scholar]
- Tweed W. A., Wilson E. Heart-Alert: emergency resuscitation training in the community. Can Med Assoc J. 1977 Dec 17;117(12):1399–1403. [PMC free article] [PubMed] [Google Scholar]