Epidemiology and treatment analysis of children with out-of-hospital cardiac arrest.
- Author:
Xiao-fan ZHANG
1
;
Chang-chun LIN
;
Jian-hui CHEN
Author Information
- Publication Type:Journal Article
- MeSH: Advanced Cardiac Life Support; education; Cardiopulmonary Resuscitation; methods; Chi-Square Distribution; Child; Child, Preschool; China; epidemiology; Emergency Medical Services; methods; organization & administration; Female; Humans; Infant; Infant, Newborn; Male; Out-of-Hospital Cardiac Arrest; epidemiology; etiology; therapy; Pediatrics; education; Retrospective Studies; Risk Factors; Survival Rate; Time Factors; Treatment Outcome
- From: Chinese Journal of Pediatrics 2013;51(2):141-144
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo study the weak loop in the treatment of children with out-of-hospital cardiac arrest (OHCA) and the treatment strategy for improvement.
METHODData of a total of 133 patients with OHCA who were rescued by Wuxi pre-hospital care center during the 2005 - 2011 were analyzed.
RESULTThe main causes of pediatric OHCA were drowning (52/133) and accidental injury disease (30/133). The cases of OHCA were mainly located in public places (60/133) and the majority occurred in winter and summer. The emergency rescue response time was (13.21 ± 8.09) min, the rate of first witness treatment was 3.91%, intubations was performed in 11.11%, opening of vein access was 23.15% and one case got restoration of spontaneous circulation (ROSC).
CONCLUSIONThe rate of ROSC of pre-hospital cardiac arrest in children was significantly lower than that of hospital cardiac arrest. Preventive interventions on children's accidents and the skills of pre-hospital staff on pediatric advanced life support (PALS) need to be urgently improved.
