I recently updated the pediatric arrest talk in Studio and included some clips of my conversation with Dr. Banerjee. The conversation was too good not to publish as a podcast, and I think you will find it helpful to optimize your performance during a pediatric arrest.
Banerjee was the lead author of a paper in Resuscitation that evaluated pediatric arrest scene times and survival.
The survival rate with good neurological outcomes was impressive, to say the least. Their team went from a ROSC rate of 5.3% between 2012-2013 to a ROSC rate of 30.4% and survival with intact neuro of 23.2%.
What did they do? Well besides just not grabbing the kid and flying to the hospital, they implemented several key performance changes that made a drastic difference. Check out the podcast to learn more!
References
Andersen, L. W., Berg, K. M., Saindon, B. Z., Massaro, J. M., Raymond, T. T., Berg, R. A., Nadkarni, V. M., Donnino, M. W., & American Heart Association Get With the Guidelines–Resuscitation Investigators (2015). Time to Epinephrine and Survival After Pediatric In-Hospital Cardiac Arrest. JAMA, 314(8), 802–810. https://doi.org/10.1001/jama.2015.9678
Banerjee, P., Ganti, L., Stead, T. G., Vera, A. E., Vittone, R., & Pepe, P. E. (2020). Every one-minute delay in EMS on-scene resuscitation after out-of-hospital pediatric cardiac arrest lowers ROSC by 5. Resuscitation plus, 5, 100062. https://doi.org/10.1016/j.resplu.2020.100062
Banerjee, P. R., Ganti, L., Pepe, P. E., Singh, A., Roka, A., & Vittone, R. A. (2019). Early On-Scene Management of Pediatric Out-of-Hospital Cardiac Arrest Can Result in Improved Likelihood for Neurologically-Intact Survival. Resuscitation, 135, 162–167. https://doi.org/10.1016/j.resuscitation.2018.11.002
