A Nationwide Retrospective Analysis of Out-of-Hospital Pediatric Cardiopulmonary Resuscitation Treated by Helicopter Emergency Medical Service in the Netherlands.

Autor: Moors XRJ; Department of Anesthesiology, Erasmus University Medical Center, Sophia Children's Hospital, Rotterdam, The Netherlands; HEMS Lifeliner 2, Erasmus University Medical Center, Rotterdam, The Netherlands. Electronic address: x.moors@erasmusmc.nl., Alink MO; Department of Anesthesiology, Erasmus University Medical Center, Sophia Children's Hospital, Rotterdam, The Netherlands., Bouman S; Department of Anesthesiology, Maastricht University Medical Center, Maastricht, The Netherlands., Schober P; Department of Anesthesiology, Amsterdam University Medical Center, VU Medical Center, Amsterdam, The Netherlands; HEMS Lifeliner 1, Amsterdam University Medical Center, Amsterdam, The Netherlands., De Leeuw M; Department of Anesthesiology, Amsterdam University Medical Center, VU Medical Center, Amsterdam, The Netherlands; HEMS Lifeliner 1, Amsterdam University Medical Center, Amsterdam, The Netherlands., Hoogerwerf N; Department of Anesthesiology, Pain and Palliative Medicine, Radboud University Medical Center, Nijmegen, The Netherlands; HEMS Lifeliner 3, Radboud University Medical Center, Nijmegen, The Netherlands., Bergsma M; Department of Anesthesiology, University Medical Center Groningen, Groningen, The Netherlands; HEMS Lifeliner 4, University Medical Center Groningen, Groningen, The Netherlands., Hartog DD; Trauma Research Unit Department of Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands., Houmes RJ; HEMS Lifeliner 2, Erasmus University Medical Center, Rotterdam, The Netherlands; Department of Pediatric Intensive Care, Erasmus University Medical Center, Sophia Children's Hospital, Rotterdam, The Netherlands., Stolker RJ; Department of Anesthesiology, Erasmus University Medical Center, Sophia Children's Hospital, Rotterdam, The Netherlands.
Jazyk: angličtina
Zdroj: Air medical journal [Air Med J] 2021 Nov-Dec; Vol. 40 (6), pp. 410-414. Date of Electronic Publication: 2021 Sep 20.
DOI: 10.1016/j.amj.2021.08.004
Abstrakt: Objective: There is generally limited but conflicting literature on the incidence, causes, and outcomes of pediatric out-of-hospital cardiac arrest. This study was performed to determine the incidence and outcome of pediatric out-of-hospital cardiac arrest reported by all helicopter emergency medical services in the Netherlands and to provide a description of causes and treatments and, in particular, a description of the specific interventions that can be performed by a physician-staffed helicopter emergency medical service.
Methods: A retrospective analysis was performed of all documented pediatric (0 < 18 years of age) out-of-hospital cardiac arrests from July 2015 to July 2017, attended by all 4 Dutch helicopter emergency medical service teams.
Results: Two hundred two out-of-hospital cardiac arrests were identified. The overall incidence in the Netherlands is 3.5 out-of-hospital cardiac arrests in children per 100,000 pediatric inhabitants. The overall survival rate for out-of-hospital cardiac arrest was 11.4%. Eleven (52%) of the survivors were in the drowning group and between 12 and 96 months of age.
Conclusion: Helicopter emergency medical services are frequently called to pediatric out-of-hospital cardiac arrests in the Netherlands. The survival rate is normal to high compared with other countries. The 12- to 96-month age group and drowning seem to have a relatively favorable outcome.
(Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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