Pediatric cardiac arrest presents an infrequent but high-stakes event for emergency clinicians, who need to maintain expertise in this area. Evidence regarding pediatric resuscitations has been accumulating substantially over the past decade and highlights the unique considerations and challenges when resuscitating children.Â
Our recent issue A Review of the 2020 Update of the Pediatric Advanced Life Support Guidelines reviews resuscitation principles of children in cardiac arrest while addressing the newest evidence-based and best-practice recommendations by the American Heart Association. Â
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Here are a few key points:
- Assess for the presence of a pulse at the initial evaluation and throughout CPR.
- In assessing for presence of pulse, focus on only 1 consistent anatomic location for <10 seconds.
- Automated external defibrillators (AEDs) can be used without attenuation for children aged ≥8 years. For children aged <8 years, pediatric pads or a dose attenuator are preferred. If neither are available, standard AED equipment can be used.
- The Neonatal Resuscitation Program (NRP) guidelines should be followed for infants in the immediate newborn period (after ED delivery or presenting after a home birth). For all other children, follow the PALS guidelines.
Read the full issue and earn 4 CME credits