Related Experiment Video
Updated: Feb 27, 2026

Author Spotlight: Simulating Pediatric Cardiac Surgery Using a Neonatal Piglet Model
Published on: May 26, 2023
[Materials for the paediatric resuscitation trolley or backpack: Expert recommendations]
Jesús López-Herce Cid1, Antonio Rodríguez Núñez2, Ángel Carrillo Álvarez3
1Servicio de Cuidados Intensivos Pediátricos, Hospital General Universitario Gregorio Marañón de Madrid. Instituto de investigación sanitaria del Hospital Gregorio Marañón. Facultad de Medicina. Universidad Complutense de Madrid. Grupo Español de Reanimación Cardiopulmonar Pediátrica y Neonatal. Red de Salud Maternoinfantil y del Desarrollo (RedSAMID). RETICS financiada por el PN I+D+I 2008-2011, ISCIII - Subdirección General de Evaluación y Fomento de la Investigación y el Fondo Europeo de Desarrollo Regional (FEDER), ref. RD16/0022.
Insights
Cardio-respiratory arrest (CRA) requires immediate pediatric and neonatal resuscitation readiness in all healthcare settings. Standardized CPR trolleys and backpacks with essential supplies and medications ensure efficient emergency response for critically ill children.
Area of Science:
- Pediatric Emergency Medicine
- Neonatal Resuscitation
- Cardiopulmonary Resuscitation
Background:
- Cardio-respiratory arrest (CRA) is uncommon but critical in pediatric and neonatal populations.
- Healthcare facilities must maintain constant readiness for pediatric resuscitation.
- Existing protocols necessitate expert consensus on essential resuscitation resources.
Purpose of the Study:
- To establish expert consensus on essential materials and medications for pediatric and neonatal resuscitation.
- To define guidelines for the distribution and utilization of resuscitation equipment.
- To promote standardization of cardiopulmonary resuscitation (CPR) carts, trolleys, and backpacks.
Main Methods:
- Consensus development among experts from the Spanish Paediatric and Neonatal Resuscitation Group.
- Review and standardization of essential equipment and medication for pediatric CPR.
- Recommendations for the strategic placement and accessibility of CPR trolleys and backpacks.
Main Results:
- CPR trolleys and backpacks must contain essential materials for rapid and effective pediatric CPR.
- Guidelines specify the required availability and accessibility of CPR trolleys across various healthcare settings.
- Standardized equipment lists, including spare parts and adequate drug doses, are crucial.
Conclusions:
- Standardization and unification of pediatric CPR carts, trolleys, and backpacks are essential.
- Personnel training in the use of standardized resuscitation equipment is a critical component of pediatric CPR.
- Ensuring readily available, well-stocked, and familiar resuscitation resources improves emergency care for children.
Abstract:
Cardio-respiratory arrest (CPA) is infrequent in children, but it can occur in any place and at any time. This fact means that every health care facility must always have the staff and material ready to resuscitate a child. These recommendations are the consensus of experts of the Spanish Paediatric and Neonatal Resuscitation Group on the material and medication for paediatric and neonatal resuscitation and their distribution and use. CPR trolleys and backpacks must include the essential material to quickly and efficiently perform a paediatric CPR. At least one CPR trolley must be available in every Primary Care facility, Paediatric Intensive Care Unit, Emergency Department, and Pre-hospital Emergency Areas, as well as in paediatric wards, paediatric ambulatory areas, and radiology suites. This trolley must be easily accessible and exclusively include the essential items to perform a CPR and to assist children (from newborns to adolescents) who present with a life-threatening event. Such material must be familiar to all healthcare staff and also include the needed spare parts, as well as enough drug doses. It must also be re-checked periodically. The standardisation and unification of the material and medication of paediatric CPR carts, trolleys, and backpacks, as well as the training of the personnel in their use are an essential part of the paediatric CPR.
Related Concept Videos
Cardiopulmonary Resuscitation IV: Pharmacological Management
Cardiopulmonary Resuscitation II: ACLS Airway Management
Cardiopulmonary Resuscitation III: AED Use
Cardiopulmonary Resuscitation I: Adult
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:

