Are Pediatrics Being Left Out of the Equation?

当她遭受突然的心脏骤停（SCA）时，奥利维亚Quigley六岁了。她在一年级，在突然崩溃时，在健身房班上做热身。

她很幸运，她的学校已经排练了立即医疗应急响应计划。两位教师进行了六分钟的心肺复苏（CPR）后，紧急医疗技术人员（EMTS）达到了冬季奥利维亚的除颤器。她幸存下来。叙述经验，她的父亲说，“心脏骤停不是稀有 - 生存是”。“¹

每年在美国，超过7000名儿童经历了医院外心脏骤停（OHCA）。²Their chances of survival are largely dependent on whether bystanders and practitioners act with the same confidence and skill set with which they would treat an adult.³

Only 9% of children survive, and many have poor neurological outcomes.⁴

Olivia’s story shows the best possible outcome for a pediatric victim of SCA. Witnesses saw her collapse, teachers began bystander CPR right away, and EMS arrived within minutes to take over. Her survival is a testament to howpreparation can make the difference between life and death。但是，可悲的是，可以忽视儿科患者的实践练习。人们不喜欢想象在孩子身上做CPR。

In this article, we share an overview of the challenges presented in a pediatric SCA and discuss how increasing the frequency and quality of hands-on practice for pediatric resuscitation can help.

Training for the unexpected is one of the many benefits offered through simulation. This can be particularly true for healthcare professionals who are more likely to treat adult patients and are now faced with a pediatric patient in SCA. Treating pediatric patients can often provoke a sense of anxiety and discomfort among EMS personnel.¹⁴The EMS for Children Survey (April 2020) found that 43.6% of EMS agencies see, on average, fewer than one pediatric patient per month.¹⁵This indicates that there is certainly a lack of real-life pediatric practice.

EMS professionals training for pediatric QCPR.

在过去的30年里，院前生存率仍然存在。¹⁵与医院内的价格相比，这与持续增加的率。¹⁶

Why is this?据彼得安特维尔博士称，许多EMTS和医护人员倾向于自动运输儿科患者，而不是留在成人患者的现场上。¹⁷When these first, critical minutes are used to transport patients, the chances of survival decrease.¹⁸This is precisely why training for pediatric victims is so important –developing the confidence and skills to stay put makes all the difference.

值得注意的是，即使儿科医院存活率正在改善，仍然是规则的例外。据美国心脏协会（AHA）介绍，儿科医院心脏骤停（IHCA）只有36％的存放率。¹⁹The majority of children do not recover, even with immediate attention from healthcare professionals.

Research shows that only 10% of professionals achieve the necessary chest compression fraction, chest compression depth, and chest compression rate in a pediatric resuscitation.²⁰What all of this points to is the need for additional training – more specifically, training with a focus on high-quality CPR.

质量CPR用于儿科学不再是猜测游戏。通过提供立即提供反馈和纠正指导的培训人体模型，专业人员可以确信他们正在申请救生技术。

Of the arrests that are witnessed,bystander CPR is only performed 35% of the time。¹⁰Experts suggest that one way to improve pediatric survival rates is to build bystander confidence to take action.

One study found that a one-hour crisis resource management training improved the trainees’ response time in the initial steps in a pediatric resuscitation.¹¹And, another study found that self-efficacy increased and anticipated anxiety about CPR decreased one month after parents received CPR training.¹²This research highlights the impact that quality CPR training can make within a community.Reducing the fear factor means increasing survival.

In order to effectively train community members in CPR and ensure that they will leave the classroom confident in their ability save a life, it helps to use more engaging learning methods. It’s been shown that learners achieve the greatest competency through interactive activities. Incorporating measurement, assessment, and feedback into pediatric CPR training can better prepare them for optimal performance, and can help you rest assured that你刚刚教过一类未来的救生员。

为了增加儿童的SCA生存率，培训需要掌握最有可能与他们在一起的人 - 父母，教师，教练，甚至儿童年龄为9岁。¹³从事课程，提供这些学习者需要的儿科练习是制作训练棒的一种方式。

Pediatric cardiac arrest is unsettling and challenging to treat.Children are less likely than adults to experience cardiac arrest, but that shouldn’t create a void for pediatrics in CPR training.相反，应对这些低频，高敏锐事件的培训同样重要。

By incorporating a pediatric manikin into your existing training curriculum, bystanders and healthcare professionals alike can improve their pediatric resuscitation skills. Laerdal Medical offers a range of pediatric CPR skills manikins that incorporate Quality CPR feedback and which will allow your learners to train to the highest CPR standards possible.