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This was a retrospective analysis of pediatric cardiac arrests that occurred out of hospital in Japan, where no pediatric termination of resuscitation is allowed. 1007 arrests were included. Patients that were placed on ECMO were excluded. This study included both medical and traumatic arrests looking at a primary outcome of 1 month moderate or better neurological disability. CPR time for both EMS and the hospital prior to ROSC were included. Bystander CPR was not included in these calculations. Possible downtime prior to CPR was not taken into consideration.
Overall, less than 1% of pediatric patients exhibited one-month moderate disability or better neurological outcome when total CPR duration is more than 64 minutes.
References
Yasuda M, Amagasa S, Kashiura M, Yasuda H, Uematsu S. Duration of prehospital and in-hospital cardiopulmonary resuscitation and neurological outcome in paediatric out-of-hospital cardiac arrest. Emerg Med J. Published online October 15, 2024. doi:10.1136/emermed-2023-213730