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Published on: April 7, 2023
Interim Singapore guidelines for basic and advanced life support for paediatric patients with suspected or confirmed
Gene Yong-Kwang Ong1, Beatrice Hui Zhi Ng2, Yee Hui Mok3
1Children's Emergency, KK Women's and Children's Hospital, Singapore.
Insights
This study adapted Singapore
Area of Science:
- Emergency Medicine
- Pediatric Resuscitation
- Infectious Disease Epidemiology
Background:
- The COVID-19 pandemic presented unique challenges for pediatric resuscitation.
- Infants and children with suspected or confirmed COVID-19 required modified care protocols.
Purpose of the Study:
- To develop interim modifications to existing Singapore pediatric resuscitation guidelines.
- To provide a framework for managing pediatric cardiac arrest during the pandemic, prioritizing safety.
Main Methods:
- Extrapolation of data from existing literature.
- Consensus from local multidisciplinary pediatric experts.
- Incorporation of institutional best practices.
Main Results:
- Development of interim guideline modifications for pediatric resuscitation during the COVID-19 pandemic.
- Consideration of safety for first responders, medical providers, and healthcare workers.
Conclusions:
- The modified guidelines offer a framework for improved outcomes in pediatric cardiac arrest during public health crises.
- Adaptation of resuscitation protocols is crucial for vulnerable pediatric populations in pandemic scenarios.
Abstract:
The COVID-19 pandemic has resulted in significant challenges for the resuscitation of paediatric patients, especially for infants and children who are suspected or confirmed to be infected. Thus, the paediatric subcommittee of the Singapore Resuscitation and First Aid Council developed interim modifications to the current Singapore paediatric guidelines using extrapolated data from the available literature, local multidisciplinary expert consensus and institutional best practices. It is hoped that this it will provide a framework during the pandemic for improved outcomes in paediatric cardiac arrest patients in the local context, while taking into consideration the safety of all community first responders, medical frontline providers and healthcare workers.
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