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10 things to know to improve pediatric out-of-hospital cardiac arrest survival in your community
May 28 , 2021

Follow these 10 steps when treating pediatric cardiac arrest to save lives.

Easy problems have easy answers–complex problems require complex answers. However, in pediatrics, we’ve taken an easy problem and made it unnecessarily complicated. Pediatric resuscitation isn’t that complex (BVM–compressions– Epi), yet over the last 3 decades we’ve been convinced otherwise. Why? Many have focused on one thing–getting the child’s weight.  We’ve been convinced that a single tool or widget will get us through a difficult pediatric call.  It’s time to change this mentality.
As a pediatric emergency physician for 17 years, and EMS medical director for the last 7, Peter Antevy, MD. has seen both sides of the story and have much greater clarity and insight into something that has eluded us for some time. There is one thing that is undeniably true, yet is contrary to popular belief–success in pediatric arrest relies highly on efforts prior to arrival on scene. This includes the efforts of bystanders, the emergency call-takers, and those of EMS professionals.  Some of these ideas are contrarian, yet we now have data to back them up.  Here are 10-steps your agency can take to improve pediatric out-of-hospital cardiac survival in your community.

1.KNOW YOUR DATA!
2.DEVELOP AN ONGOING BYSTANDER CPR PLAN IN YOUR COMMUNITY
3.LISTEN TO EVERY PEDIATRIC CARDIAC ARREST 911 AUDIO
4.IMPLEMENT A “NO-NO-GO” STRATEGY FOR T-CPR
5.HAVE A PRE-ARRIVAL DISCUSSION WITH YOUR PARTNER EN-ROUTE TO THE SCENE
6.ADD AN AGE BASED DOSING STRATEGY AND CUSTOMIZE THE TOOL TO YOUR AGENCY
7.OWN THE SCENE
8.STAY ON SCENE WITH KIDS IN CARDIAC ARREST
9.GET TO CLOSURE
10.TREAT KIDS LIKE LITTLE ADULTS

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