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Pediatric Resuscitation: Pearls and Pitfalls

Haley Huber1, Jessica Wall2

  • 1Pediatric Emergency Medicine, University of Washington, Seattle Children's Hospital, Seattle, WA, USA.

Emergency Medicine Clinics of North America
|October 17, 2025
PubMed

Insights

Pediatric resuscitation requires preparation, including knowledge of airway management and mechanical ventilation. High-quality cardiopulmonary resuscitation (CPR) and hemodynamic support are crucial for critically ill children facing unique risks.

Area of Science:

  • Pediatric Emergency Medicine
  • Critical Care
  • Resuscitation Science

Background:

  • Pediatric resuscitation presents unique challenges, including infrequent events, equipment size variability, and anatomical differences.
  • Effective preparation is vital for managing pediatric emergencies.

Purpose of the Study:

  • To summarize current evidence and practical insights for pediatric resuscitation.
  • To highlight key considerations for peri-arrest and cardiac arrest scenarios in children.

Main Methods:

  • Review of up-to-date evidence and expert experience.
  • Focus on foundational knowledge for airway management, mechanical ventilation, and hemodynamic support.

Main Results:

  • Optimizing hemodynamics in peri-arrest involves crystalloids, vasopressors, and blood products.
  • High-quality CPR, minimal interruptions, and adequate ventilation are central to pediatric cardiac arrest management.
  • Critically ill children are at increased risk for hypoglycemia, hypothermia, overdose, and trauma.

Conclusions:

  • A strong foundation in pediatric resuscitation principles is essential.
  • Addressing specific risks in critically ill children improves outcomes.
  • This review provides practical guidance for healthcare providers involved in pediatric resuscitation.

Keywords:
AirwayCardiac arrestCirculationEquipmentPediatricPreparationResuscitation

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