Evidence and Best Practices in Pediatric Out of Hospital Cardiac Arrest

Special Guest Dr. Sara-Pier Piscopo (Western Pediatric Emergency Medicine Fellow) sits down to talk to Dr. Lauren Valdis (Medical Director of Education at SWORBHP) to discuss the latest evidence and best practices in resuscitation of pediatric out of hospital cardiac arrest.  Topics include: Considerations in when to transport, when to consider IO vs. IV access and some hot-off-the-press local data to share.

March 2022 - Ask MAC referenced: SWORBHP Ask MAC

References:

• Burgert, JM et al.  An Evidence-Based Review of Epinephrine Administered via the Intraosseous Route in Animal Models of Cardiac Arrest, Military Medicine, Volume 179, Issue 1, January 2014, Pages 99–104,
• Hansen HL et al. Time to epinephrine administration and survival from nonshockable out-of-hospital cardiac arrest among children and adults. Circulation. 2018; 137:2032-2040
• Nguyen L et al. Effect of intravenous versus intraosseous access in prehospital cardiac arrest. Air Medical Journal. 2019; 38:147-149
• Matsuyama T et al. Pre-hospital administration of epinephrine in pediatric patients with out-of-hospital cardiac arrest. JACC. 2020; 75:194-204
• Meyers LA et al. Prehospital peripheral intravenous vascular access success rates in children. Prehosp emerg care. 2013; 17:425-428
• Meyers LA et al. Semiautomatic intraosseous devices in pediatric prehospital care. Prehosp emerg care. 2011; 15:473-476
• Reades R et al. Comparison of first-attempt success between tibial and humeral intraosseous insertions during out-of-hospital cardiac arrest. Prehosp Emerg Care. 2011 Apr-Jun;15(2):278-81. doi: 10.3109/10903127.2010.545479. Epub 2011 Jan 28. PMID: 21275573.
• Tijssen, JA et al. Time on the scene and Interventions are associated with improved survival in pediatric out-of-hospital cardiac arrest. Resuscitation. 2015; 94:1-7
• Wampler D et al. Paramedics successfully perform humeral EZ-IO intraosseous access in adult out-of-hospital cardiac arrest patients. Am J Emerg Med. 2012 Sep;30(7):1095-9. doi: 10.1016/j.ajem.2011.07.010. Epub 2011 Oct 24. PMID: 22030185.