Adult and Pediatiic Resuscitation Finding Common Ground

摘要

IN IHLS ISSUE OF JAMA, NADKARNI AND COLLEAGUES1 compaie the outcomes of pediatiic and adult in-hospital caidiac anests in the National Registry of Cardiopulmonary Resuscitation (NRCPR) In this largest pediatiic inpatient cohoit reported, the suivival rate for children (27%) was higher than foi adults (18%), with similar neurological outcomes for survivors, primarily due to better outcome in those patients with asystole The initial pulseless rhythm proved the independent predictor of the outcome Why compare adult and pediatric arrests? For decades, pediatiic resuscitation has focused on the etiology of the arrest, which in children is most commonly respiratory Adult resuscitation has focused on caidiac rhythm, which often is ventricular fibrillation (VF) This difference has formed the basis of 2 very different approaches to cardiac arrest care, training emphasis, and development and use of technologies The results of Nadkarni et al raise the issue as to whether approaches for pediatric and adult resuscitation should differ