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On November 14, 2024, ILCOR released their latest recommendations for adult and pediatric basic and advancedlifesupport. Yet at the same time, despite a large-scale Holmberg study involving over 6,000 patients suggesting potential harm, epinephrine remained part of the pediatric symptomatic bradycardia protocol.
Data from the AHA and the Pediatric AdvancedLifeSupport (PALS) guidelines consistently report neurologic intact survival from pediatric cardiac arrest to be 3% for infants and 10% for children. By Peter Antevy, MD. Bystander CPR, 2. Telephone CPR (T-CPR), and 3. On-scene EMS resuscitation.
For both groups, mean time to basic lifesupport was determined to be one-minute, advancedlifesupport started at 10 minutes, and time to ROSC at 25 minutes. Rates of cardiovascular disease were high and approximately 40% of patients in both groups had an ST-segment elevation myocardial infarction.
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