Use of Automated External Defibrillators for Children: An Update: An Advisory Statement From the Pediatric Advanced Life Support Task Force, International Liaison Committee on Resuscitation (original) (raw)
Related papers
2000
On the basis of the published evidence to date, the Pediatric Advanced Life Support (PALS) Task Force of the International Liaison Committee on Resuscitation (IL-COR) has made the following recommendation (October 2002): • Automated external defibrillators (AEDs) may be used for children 1 to 8 years of age who have no signs of circulation. Ideally the device should deliver a pediatric dose. The arrhythmia detection algorithm used in the device should demonstrate high specificity for pediatric shockable rhythms, ie, it will not recommend delivery of a shock for nonshockable rhythms (Class IIb). In addition: • Currently there is insufficient evidence to support a recommendation for or against the use of AEDs in children Ͻ1 year of age. • For a lone rescuer responding to a child without signs of circulation, the task force continues to recommend provision of 1 minute of CPR before any other action, such as activating the emergency medical services (EMS) system or attaching the AED. • Defibrillation is recommended for documented ventricular fibrillation (VF)/pulseless ventricular tachycardia (VT) (Class I). The American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest. This statement was approved by the American Heart Association Science Advisory and Coordinating Committee on February 11, 2003. A single reprint is available by calling 800-242-8721
Report of the American Heart Association (AHA) Scientific Sessions 2012, Los Angeles
Circulation Journal, 2013
The AHA CPR Guidelines were revised in 2005. These new guidelines recommend a compression-to-ventilation ratio of 30:2, and complete chest recoil after chest oppression. The Resuscitation Science Symposium heard that the AHA 2005 guidelines for CPR and emergency CV care have probably improved patient survival rates. 1 The importance of Hands-Only (compression only) CPR was originally reported from Japan, 2 and the AHA encourages Hands-Only CPR and initial chest oppression before rescue breaths (C-A-B) in the 2010 guidelines. 3 In the Science & Technology Hall, the AHA provided CPR-training manikins and the soundtrack to "Stayin' Alive", which produces the necessary 103 beats/min, and people practiced CPR to the rhythm of this popular 70 s music (Figure 2A). The AHA keeps challenging us to popularize CPR with such unique civic education initiatives. Opening Session In the opening session, the AHA President, Donna Arnett, addressed the global threat of hypertension (Figure 2B). She emphasized the importance of the relationship between genetic background and environment, pointing out that the human genome evolved over 8,000 generations, whereas over only 4 generations the human environment (high sodium and low physical activity) has changed rapidly. She also highlighted that even a small reduction in salt can improve hypertension, resulting in lower mortality and heart disease rates. She concluded her talk by addressing the importance of initiation, innovation, T The opinions expressed in this article are not necessarily those of the editors or of the Japanese Circulation Society.
American Heart Journal, 1998
Implantation Trial (MADIT)I was a randomized clinical trial comparing patients receiving prophylactic therapy for coronary disease with asymptomatic, nonsustalned ventricular tachycardia (3 to 30 beats) and an implanted defibrillator with conventional medical therapy in patients with previous myocardial infarction and left ventricular dysfunction. In this study, the pattern and predictors of shock delivery in the implantable defibrillator arm of the trial were examined. Ninety patients with inducible but not suppressible ventricular tachycardia at electrophysiologic testing, mean age 62 _+ 9, mean left ventricular ejection fraction of 27% -+ 7%, who received an implantable defibrillator were followed-up for up to 5 years. Patients who received shocks (group 1, n = 44) were compared with those who did not receive shocks (group 2) regarding their demographic, clinical, arrhythmia, and electrophysiologic characteristics.The mean ejection fraction of patients receiving shocks was slightly lower (26% + 7%) than those who did not (28% + 6%, p = 0.09).At baseline, group 1 had a higher incidence of more than one myocardial infarction than did group 2 (49% vs 24%,p = 0.013) and a trend toward more diabetes.There was no other clinical difference between groups and no significant difference in the use of drug therapy, coronary artery bypass grafting, or percutaneous transltuninal coronary angioplasty. Both groups had simi-Interpretation: In MADIT patients who received implantable defibrillators, history of recurrent myocardial infarction, diabetes mellitus, and longer ventricular tachycardia episodes were associated with an increased incidence of shock delivery.
Use of Automated External Defibrillators for Children: An Update
Circulation, 2003
On the basis of the published evidence to date, the Pediatric Advanced Life Support (PALS) Task Force of the International Liaison Committee on Resuscitation (IL-COR) has made the following recommendation (October 2002): • Automated external defibrillators (AEDs) may be used for children 1 to 8 years of age who have no signs of circulation. Ideally the device should deliver a pediatric dose. The arrhythmia detection algorithm used in the device should demonstrate high specificity for pediatric shockable rhythms, ie, it will not recommend delivery of a shock for nonshockable rhythms (Class IIb). In addition: • Currently there is insufficient evidence to support a recommendation for or against the use of AEDs in children Ͻ1 year of age. • For a lone rescuer responding to a child without signs of circulation, the task force continues to recommend provision of 1 minute of CPR before any other action, such as activating the emergency medical services (EMS) system or attaching the AED. • Defibrillation is recommended for documented ventricular fibrillation (VF)/pulseless ventricular tachycardia (VT) (Class I). The American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest. This statement was approved by the American Heart Association Science Advisory and Coordinating Committee on February 11, 2003. A single reprint is available by calling 800-242-8721
Use of the Wearable External Cardiac Defibrillator in Children
Pacing and Clinical Electrophysiology, 2010
The wearable cardiac defibrillator (WCD) is an alternative to the implantation of cardioverter defibrillator (ICD) for patients at risk for sudden death who do not fulfill standard criteria for ICD implantation or in whom the risk:benefit ratio is equivocal. Published data pertaining to the WCD in children is sparse. We describe the utility of the WCD in children at a single tertiary care center.