Schindler M, et al. Outcome of out-of-hospital cardiac or respiratory arrest in children. N Engl J Med 1996;335 : 1473-1479 Arrive in ER in cardiac arrest (N = 80) Admit PICU (N=43) 54 % Died in ER (N=37) 46% Mod Deficit (N=3) PVS at 12 mos (N=2) Dead at 12 mos (N=1) Died in ICU (N=37) 46% Outcome of cardiac arrest in children
Survival from Respiratory Arrest Respiratory Arrest Alone – more than 50% neurologically intact survival rate
Pediatric Chain of Survival Prevention ALS CPR EMS
To Simplify the Message… Early Defibrillation 8 years Age With exceptions… (submersion, trauma, drug overdose) With exceptions… (sudden collapse, cardiac history)
PREVENTION 1992 SIDS SIDS More Than 50%... "BACK TO SLEEP"
Respiratory Distress Respiratory Failure and Respiratory Arrest BLS