Cardiac arrest & resuscitation
Comparison of Resuscitation Quality in Simulated Pediatric and Adult Out-of-Hospital Cardiac Arrest
Authors' conclusion
In this simulation study of OHCA, resuscitation quality was significantly lower for pediatric than adult resuscitation.
Study context
- Population
- Fire-based emergency services (EMS) engine company crews, Portland, Oregon metropolitan area, September 2020–August 202139 crews · 156 simulations
- Participants
- 215 participants
- Exposure
- Pediatric vs adult simulated out-of-hospital cardiac arrest (OHCA) scenarios
- Outcome
- Defect-free care (correct CPR depth, rate and compression to ventilation ratio, time to bag-mask ventilation, time to defibrillation if applicable)
Methodological detailsrandomised scenario order, direct observation by an experienced physician
- Randomised scenario order
- Direct observation by an experienced physician
Main finding
As reported in the abstract
Defect-free care
Observational data: associations, not effects.
Secondary outcomes
Mean
| Outcome | Pediatric | Adult | P value |
|---|---|---|---|
| NASA-TLX mental demand subscale | 59.1 (SD 20.7) | 51.4 (SD 21.1) | P = 0.01 |
Teamwork (clinical teamwork scale) and defect-free care
- Teamwork scores not associated with defect-free care
Original publication
Comparison of Resuscitation Quality in Simulated Pediatric and Adult Out-of-Hospital Cardiac Arrest. JAMA Netw Open. Published 1 May 2023. doi:10.
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