RT Book, Section
A1 Hauda, William E.
A2 Tintinalli, Judith E.
A2 Stapczynski, J. Stephan
A2 Ma, O. John
A2 Yealy, Donald M.
A2 Meckler, Garth D.
A2 Cline, David M.
SR Print(0)
ID 1121506776
T1 Resuscitation of Children
T2 Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 9780071794763
LK accessmedicine.mhmedical.com/content.aspx?aid=1121506776
RD 2024/04/24
AB The  resuscitation  of  children  differs  from  that  of  adults  in  a  number  of  important  ways.  For  example,  the  most  common  cause  of  primary  cardiac  arrest  in  adults  is  coronary  artery  disease,  whereas  respiratory  failure  and  shock  are  more  common  causes  among  children  and  infants;  hypoxemia,  hypercapnia,  and  acidosis  subsequently  lead  to  bradycardia,  hypotension,  and  secondary  cardiac  arrest  in  children.  After  resuscitation,  survival  to  discharge  may  be  greater  among  children  and  adolescents  than  in  infants  or  adults.1,2,3,4  The  survival  rate  without  devastating  neurologic  sequelae  in  children  varies  by  age,  ranging  from  1%  to  2%  in  infants  and  young  children  to  11%  for  adolescents  in  whom  a  shockable  rhythm  is  more  common;  survival  rates  as  high  as  30%  have  been  seen  after  sudden  out-of-hospital  witnessed  ventricular  fibrillation.5,6,7  The  best  chance  for  a  good  outcome  is  to  recognize  impending  respiratory  failure  or  shock  and  intervene  to  prevent  the  development  of  cardiopulmonary  arrest.