Prehospital care of the pulseless, nonbreathing pediatric patient

Joseph D. Losek, Halim Hennes, Peter Glaeser, Gail Hendley, David B. Nelson

Research output: Contribution to journalArticle

70 Scopus citations

Abstract

The performance of life-saving procedures by prehospital care personnel was reviewed in the cases of 114 pulseless, nonbreathing pediatric patients. Children 18 months to 18 years of age had a significantly greater chance of having prehospital endotracheal intubation and vascular access established compared to children younger than 18 months of age. For all patients, witnessed arrest and initial rhythm of ventricular fibrillation were significantly associated with survival. In the younger children, endotracheal intubation also was associated significantly with survival. Nine (8%) patients survived, and only three of the survivors were without neurologic sequelae. The number of neurologically intact survivors was too small to show a statistically significant association with these factors.

Original languageEnglish (US)
Pages (from-to)370-374
Number of pages5
JournalAmerican Journal of Emergency Medicine
Volume5
Issue number5
DOIs
StatePublished - Sep 1987

Keywords

  • Endotracheal intubation
  • pediatric patient
  • prehospital care
  • survival

ASJC Scopus subject areas

  • Emergency Medicine

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