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Cardiac arrest

Rescue breathing better in paediatric drowning arrest

Decline in rescue breathing and its impact on outcomes in pediatric out-of-hospital cardiac arrest due to drowning: a nationwide study, 2012–2023
Resuscitation · Added 27 July 2026

In pediatric drowning OHCA, CO-CPR was associated with worse survival and neurological outcomes than RB-CPR.

Study type

Registry

Design

Retrospective nationwide registry cohort

Participants

740 children ≤17 years with drowning OHCA receiving bystander CPR

Main finding

CO-CPR vs RB-CPR was associated with higher 30-day mortality (aRR 1.38, 95% CI 1.14–1.67), higher prehospital absence of ROSC and worse neurological outcomes; RB-CPR use declined over 2012–2023.

Caveat

Observational registry data; confounding by indication cannot be excluded

Bottom line

Supports current practice

Learning goal

Strengthen my judgement on when rescue breathing improves outcomes in paediatric drowning cardiac arrest.

More

• Topic: Cardiac arrest
• Daily scan: 27 July 2026

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