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Cardiac arrest

Paediatric OHCA survival falls after ~15 min CPR

Duration of Emergency Medical Services-Initiated Prehospital Cardiopulmonary Resuscitation Efforts and Survival for Pediatric Patients with Out-of-Hospital Cardiac Arrest
Resuscitation · Added 14 May 2026

This nationwide cohort study examined whether longer prehospital CPR duration affects survival in paediatric out-of-hospital cardiac arrest, finding that prolonged CPR efforts can still yield favourable neurological outcomes in selected patients.

Study type

Registry

Design

Retrospective cohort from a US/Canada resuscitation registry

Participants

1,313 children with non-traumatic OHCA

Main finding

236 (18.0%) had prehospital ROSC; 136 (10.4%) survived to discharge. Probability of survival during ongoing EMS CPR was 7.9% at 1 min, <1% at 14.8 min, and the upper 95% CI fell below 1% at 22.0 min.

Caveat

Retrospective North American registry data from 2011–2015; survival probabilities are population-level, not individual predictors.

Bottom line

Context only

Learning goal

Weigh when to continue versus cease prehospital resuscitation in paediatric cardiac arrest, considering rare survival beyond prolonged efforts.

More

• Topic: Cardiac arrest
• Daily scan: 14 May 2026

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