Aggressive Crystalloid Resuscitation Outcomes in Low-Severity Pediatric Trauma

Elkbuli, Adel; Zajd, Sarah; Ehrhardt, John D.; McKenney, Mark; Boneva, Dessy

doi:10.1016/j.jss.2019.10.009

Cited by 16 publications

(13 citation statements)

References 17 publications

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“…The 2020 CoSTR for PLS addresses the topic of graded volume resuscitation for infants and children with traumatic haemorrhagic shock as well as management of the child with cardiac arrest after trauma. The ScopRev on graded volume resuscitation identified a single observational study in the prehospital setting assessing the volume of fluid given to children with traumatic injuries, 44 with an additional 4 studies comparing total crystalloid volume given over 24 hours 45 , 46 , 47 , 48 and 1 study evaluating the volume of crystalloids given to children who needed transfusion. 49 The task force agreed that the evidence was sufficient to consider a SysRev in the near future.…”

Section: Pediatric Life Support (Basic and Advanced)mentioning

confidence: 99%

Executive Summary 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Nolan¹,

Maconochie²,

Soar³

et al. 2020

Resuscitation

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requiring first aid, related education and implementation strategies, and systems of care. After the publication of the 2015 International Consensus on CPR and ECC Science With Treatment Recommendations, ILCOR also committed to sponsoring a continuous evidenceevaluation process, with topics prioritized for review by the task forces and with CoSTR updates published annually. For this 2020 CoSTR, the 6 ILCOR task forces performed structured reviews of 184 topics, completing the most ambitious evidence review that ILCOR has attempted to date.The ILCOR systematic review process continues to be based on the methodological principles published by the National Academy of Health and Medicine (formerly the Institute of Medicine) 2 ; Cochrane 3,4 ; Grading of Recommendations Assessment, Development, and Evaluation (GRADE) 5 ; and the reporting guidelines based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses recommendations. 6,7 Three types of evidence evaluation provided the basis for this 2020 CoSTR: the systematic review, the scoping review, and the evidence update. Based on recommendations from the ILCOR Scientific Affairs Committee and agreement of the task forces, only systematic reviews could result in new or modified treatment recommendations.

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Section: Pediatric Life Support (Basic and Advanced)mentioning

confidence: 99%

Executive Summary 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Nolan¹,

Maconochie²,

Soar³

et al. 2020

Resuscitation

View full text Add to dashboard Cite

show abstract

“…Six retrospective pediatric studies were identified. 41 , 42 , 43 , 44 , 45 , 46 All were derived from trauma registries. Only 1 study assessed the volume of fluid given to children with traumatic injuries in the prehospital setting.…”

Section: Pals: Recognition and Prearrest Treatments For Shockmentioning

confidence: 99%

“…Only 1 study assessed the volume of fluid given to children with traumatic injuries in the prehospital setting. 41 Four studies compared the total crystalloid volume given in 24 hours, 42 , 44 , 45 , 46 and 1 study assessed the volume of crystalloid given to patients needing transfusion. 43 The study that reported the critical outcome of survival to 24 hours 41 found no benefit to survival associated with graded/“limited” volume compared with standard care for trauma resuscitation.…”

Section: Pals: Recognition and Prearrest Treatments For Shockmentioning

confidence: 99%

“…For the critical outcome of survival to discharge, 4 studies found no benefit associated with graded/limited volume administration compared with standard care. 41 , 44 , 46 , 47 One study reported lower survival to hospital discharge associated with high-volume crystalloid administration (greater than 60 mL/kg per 24 hours) compared with low- and moderate-volume crystalloid administration (ie, 0–40 mL/kg per 24 hours or 40–60 mL/kg per 24 hours), 42 and 1 reported lower survival rates associated with higher transfusion volumes (ie, greater than 50 mL/kg per 24 hours compared with those receiving 150 mL/kg or less per 24 hours). 43 Five studies reported an increased hospital or intensive care length of stay associated with higher crystalloid volume administration in the first 24 hours.…”

Section: Pals: Recognition and Prearrest Treatments For Shockmentioning

confidence: 99%

“… 43 Five studies reported an increased hospital or intensive care length of stay associated with higher crystalloid volume administration in the first 24 hours. 42 , 43 , 44 , 46 , 47 All studies were retrospective, and they reported different interventions on differing patient populations and differing associated outcomes. Although it is difficult to compare results, there is a suggestion of a possible advantage of using limited volume resuscitation.…”

Section: Pals: Recognition and Prearrest Treatments For Shockmentioning

confidence: 99%

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Pediatric Life Support

Maconochie¹,

Aickin²,

Hazinski³

et al. 2020

Resuscitation

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This 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations (CoSTR) for pediatric life support is based on the most extensive evidence evaluation ever performed by the Pediatric Life Support Task Force. Three types of evidence evaluation were used in this review: systematic reviews, scoping reviews, and evidence updates. Per agreement with the evidence evaluation recommendations of the International Liaison Committee on Resuscitation, only systematic reviews could result in a new or revised treatment recommendation. Systematic reviews performed for this 2020 CoSTR for pediatric life support included the topics of sequencing of airway-breaths-compressions versus compressions-airway-breaths in the delivery of pediatric basic life support, the initial timing and dose intervals for epinephrine administration during resuscitation, and the targets for oxygen and carbon dioxide levels in pediatric patients after return of spontaneous circulation. The most controversial topics included the initial timing and dose intervals of epinephrine administration (new treatment recommendations were made) and the administration of fluid for infants and children with septic shock (this latter topic was evaluated by evidence update). All evidence reviews identified the paucity of pediatric data and the need for more research involving resuscitation of infants and children.

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Lebensrettende Maßnahmen bei Kindern (Paediatric Life Support, PLS)

Voorde

Turner

Djakow

et al. 2021

Notfall Rettungsmed

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Die Leitlinien des European Resuscitation Council (ERC) zu den lebensrettenden Maßnahmen bei Kindern (Paediatric Life Support, PLS) basieren auf dem 2020 verfassten „International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations“ der ILCOR (International Liaison Committee on Resuscitation). Dieses Kapitel beinhaltet Leitlinien zur Behandlung kritisch kranker oder verletzter Säuglinge, von Kindern und Jugendlichen vor, während und nach einem Atem-Kreislauf-Stillstand.

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Aggressive Crystalloid Resuscitation Outcomes in Low-Severity Pediatric Trauma

Cited by 16 publications

References 17 publications

Executive Summary 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Executive Summary 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Pediatric Life Support

Lebensrettende Maßnahmen bei Kindern (Paediatric Life Support, PLS)

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