• Time on the scene and interventions are associated with improved survival in pediatric out-of-hospital cardiac arrest

    by Alan Batt. Last modified: 10/09/15

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    Tijssen JA1, Prince DK2, Morrison LJ3, Atkins DL4, Austin MA5, Berg R6, Brown SP2, Christenson J7, Egan D8, Fedor PJ9, Fink EL10, Meckler GD11, Osmond MH12, Sims KA2, Hutchison JS13; Resuscitation Outcomes Consortium. Time on the scene and interventions are associated with improved survival in pediatric out-of-hospital cardiac arrest. Resuscitation. 2015 Sep;94:1-7. PMID: 26095301.

    Abstract

    Background

    Survival is less than 10% for pediatric patients following out-of-hospital cardiac arrest. It is not known if more time on the scene of the cardiac arrest and advanced life support interventions by emergency services personnel are associated with improved survival.

    Aim

    This study was performed to determine which times on the scene and which prehospital interventions were associated with improved survival.

    Methods

    We studied patients aged 3 days to 19 years old with out-of-hospital cardiac arrest, using the Resuscitation Outcomes Consortium cardiac arrest database from 11 North American regions, from 2005 to 2012. We evaluated survival to hospital discharge according to on-scene times (<10, 10 to 35 and >35min).

    Results

    Data were available for 2244 patients (1017 infants, 594 children and 633 adolescents). Infants had the lowest rate of survival (3.7%) compared to children (9.8%) and adolescents (16.3%). Survival improved over the 7 year study period especially among adolescents. Survival was highest in the 10 to 35min on-scene time group (10.2%) compared to the >35min. group (6.9%) and the

    Conclusions

    In this observational study, a scene time of 10 to 35min was associated with the highest survival, especially among adolescents. Access for fluid resuscitation was associated with increased survival but advanced airway and resuscitation drugs were not.

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    Alan Batt

    Alan Batt

    Paramedic, educator, researcher
    Alan is a critical care paramedic, paramedic educator and prehospital researcher, currently working around the world as an educator and researcher. He has previously worked and studied across Europe, North America and the Middle East. He holds a Graduate Certificate in Intensive Care Paramedic Studies, and an MSc in Critical Care. His main interests are in care of the elderly, end-of-life care, patient safety, professionalism (including role and identity), and paramedic education.

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