A. Broides et al., Outcome of "Out of hospital" cardiopulmonary arrest in children admitted to the emergency room, ISR MED ASS, 2(9), 2000, pp. 672-674
Background: The outcome of cardiopulmonary arrest in children is poor, with
many survivors suffering from severe neurological defects. There are few d
ata on the survival rate following cardiopulmonary arrest in children who a
rrived at the emergency room without a palpable pulse.
Objective: To determine the survival rate and epidemiology of cardiopulmona
ry arrest in children who arrived without a palpable pulse at a pediatric E
R in southern Israel.
Methods: We retrospectively reviewed the medical records of all patients wi
th cardiopulmonary arrest who arrived at the ER of the Soroka University Me
dical Center during the period January 1995 to June 1997.
Results: The study group included 35 patients. Resuscitation efforts were a
ttempted on 20, but the remaining 15 showed signs of death and were not res
uscitated. None of the patients survived, although one patient survived the
resuscitation but succumbed a few hours later. The statistics show that mo
re cardiopulmonary arrests occurred among Bedouins than among Jews (32 vs.
3, P<0.0001).
Conclusions: The probability of survival from cardiopulmonary arrest in chi
ldren who arrive at the emergency room without palpable pulse is extremely
low. Bedouin children have a much higher risk of suffering from out-of-hosp
ital cardiopulmonary arrest than Jewish children.