Pediatric anesthesia & critical care

Activation of community first responders to pediatric out-of-hospital cardiac arrests in Denmark

ResuscitationPublished Retrospective registry-based descriptive study

Authors' conclusion

CFR activation to pediatric OHCAs was associated with early resuscitative efforts. One-third reported moderate or severe immediate distress, particularly when arriving before EMS, performing CPR, or responding to younger children. The majority of the CFRs remained willing to remain in the system afterwards.

Study context

Population
Community first responders (CFRs) activated to pediatric out-of-hospital cardiac arrests (OHCAs) (ages 0–17) in Denmark, September 2017 to December 2023CFRs activated
Participants
794 cfrs
Outcome
CFR involvement: interventions performed, self-reported immediate distress, and need for follow-up care
Methodological detailsdescriptive and exploratory analyses, national registry
  • Descriptive and exploratory analyses
  • National registry

Main finding

As reported in the abstract

CFR involvement at scene
CFRs arrived at the scene
157
Arrived before EMS
85/157 (54%)
Performed cardiopulmonary resuscitation (CPR)
47/157 (30%)
Provided support to relatives
44/157 (28%)
Moderate or severe self-reported immediate distress
53/157 (34%)
Remained willing to continue volunteering
155/157, 99%

Observational data: associations, not effects.

Further findings

Moderate or severe immediate distress (subgroups)

Among CFRs arriving before EMS
44/85, 52%
Among CFRs performing CPR
30/47, 64%
In cases of children <4 years
35/77, 45%

Original publication

Activation of community first responders to pediatric out-of-hospital cardiac arrests in Denmark. Resuscitation. Published 25 May 2026. doi:10.1016/j.resuscitation.2026.111148

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