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2019 American Heart Association Focused Update on Pediatric Basic Life Support: An Update to the American Heart

Jonathan P Duff, Alexis A Topjian, Marc D Berg

    Pediatrics
    |November 16, 2019
    PubMed

    Insights

    Dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) significantly improves survival rates in pediatric out-of-hospital cardiac arrest. Emergency dispatch centers should offer DA-CPR when no bystander CPR is underway.

    Area of Science:

    • Pediatric Emergency Medicine
    • Cardiology
    • Public Health

    Background:

    • Out-of-hospital cardiac arrest (OHCA) in children presents unique challenges.
    • Dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) is a critical intervention.
    • Previous guidelines require updates based on emerging evidence.

    Purpose of the Study:

    • To update pediatric basic life support guidelines regarding DA-CPR.
    • To summarize evidence on DA-CPR's impact on pediatric OHCA survival.
    • To provide evidence-based recommendations for DA-CPR in pediatric emergencies.

    Main Methods:

    • Systematic review of pediatric studies on DA-CPR.
    • Analysis by the Pediatric Task Force of the International Liaison Committee on Resuscitation.
    • Inclusion of four new pediatric studies in the review.

    Main Results:

    • DA-CPR is associated with improved bystander CPR rates.
    • DA-CPR shows a significant association with improved survival 1 month post-cardiac arrest.
    • Evidence supports offering DA-CPR when no bystander CPR is present.

    Conclusions:

    • Emergency dispatch centers should offer DA-CPR for presumed pediatric cardiac arrest.
    • DA-CPR is recommended when bystander CPR is not in progress.
    • No recommendation made for DA-CPR when bystander CPR is already occurring.

    Keywords:
    cardiopulmonary resuscitation ▪children ▪emergency medical dispatcher ▪heart arrest ▪pediatrics

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