Cessation of Unsuccessful Pediatric Resuscitation—How Long Is Too Long?

O'Marcaigh, Aengus; Koenig, William; Rosekrans, Julia A.; Berseth, Carol Lynn

doi:10.1016/s0025-6196(12)60126-8

Cited by 18 publications

(3 citation statements)

References 11 publications

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“…98 On the basis of the literature to date, the reluctance stems from provider and public ignorance of out-of-hospital arrest outcomes, [26][27]29,[103][104][105] fear related to inadequate preparation for communication with acutely grieving family members, 26,106 perceived determinants of family adaptation to loss, and concerns regarding legal liability for providers. The issue of whether families benefit from futile resuscitative measures in the field and ED has not been studied.…”

Section: Discussionmentioning

confidence: 99%

Withholding or Termination of Resuscitation in Pediatric Out-of-Hospital Traumatic Cardiopulmonary Arrest

Fallat¹,

Cooper²,

Salomone³

et al. 2014

Pediatrics

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This multiorganizational literature review was undertaken to provide an evidence base for determining whether recommendations for outof-hospital termination of resuscitation could be made for children who are victims of traumatic cardiopulmonary arrest. Although there is increasing acceptance of out-of-hospital termination of resuscitation for adult traumatic cardiopulmonary arrest when there is no expectation of a good outcome, children are routinely excluded from state termination-of-resuscitation protocols. The decision to withhold resuscitative efforts in a child under specific circumstances (decapitation or dependent lividity, rigor mortis, etc) is reasonable. If there is any doubt as to the circumstances or timing of the traumatic cardiopulmonary arrest, under the current status of limiting termination of resuscitation in the field to persons older than 18 years in most states, resuscitation should be initiated and continued until arrival to the appropriate facility. If the patient has arrested, resuscitation has already exceeded 30 minutes, and the nearest facility is more than 30 minutes away, involvement of parents and family of these children in the decision-making process with assistance and guidance from medical professionals should be considered as part of an emphasis on family-centered care because the evidence suggests that either death or a poor outcome is inevitable. Pediatrics 2014;133:e1104-e1116

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Section: Discussionmentioning

confidence: 99%

Withholding or Termination of Resuscitation in Pediatric Out-of-Hospital Traumatic Cardiopulmonary Arrest

Fallat¹,

Cooper²,

Salomone³

et al. 2014

Pediatrics

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show abstract

“…In a recent survey, there was no clear consensus among clinicians on the optimal duration of resuscitative efforts in pediatric patients. 5 In our study, we sought to determine the rate of survival among children after an out-of-hospital arrest, to compare current survival rates with survival 10 years ago, to identify predictors of survival in pediatric patients, and to propose guidelines for limiting the duration of CPR in children.…”

Section: Discussionmentioning

confidence: 99%

Outcome of Out-of-Hospital Cardiac or Respiratory Arrest in Children

et al. 1996

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“…However, only three of the studies included in this analysis involved paediatric emergency care, and one (of these) was directed towards attitude to resuscitation rather than outcome. 19 The second was written before any specific paediatric courses were devised and related findings to the adult Advanced Cardiac Life Support (ACLS) course. 20 The remaining study found that there was improved confidence and preparedness in office pediatricians who had undertaken either ACLS or (a US version of ) APLS.…”

Section: Do They Work?mentioning

confidence: 99%

Resuscitation training of paediatricians

Jewkes¹

2003

Archives of Disease in Childhood

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Cessation of Unsuccessful Pediatric Resuscitation—How Long Is Too Long?

Cited by 18 publications

References 11 publications

Withholding or Termination of Resuscitation in Pediatric Out-of-Hospital Traumatic Cardiopulmonary Arrest

Withholding or Termination of Resuscitation in Pediatric Out-of-Hospital Traumatic Cardiopulmonary Arrest

Outcome of Out-of-Hospital Cardiac or Respiratory Arrest in Children

Resuscitation training of paediatricians

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