First Documented Rhythm and Clinical Outcome From In-Hospital Cardiac Arrest Among Children and Adults

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Abstract
The approach to cardiopulmonary resuscitation (CPR) differs for children and adults because of presumed differences in the etiology and pathophysiology of cardiac arrests.1-4 Adults with cardiac arrest typically have sudden, unexpected ventricular fibrillation (VF) and often have underlying coronary artery disease with myocardial ischemia.5,6 The focus of adult-oriented treatment is prompt defibrillation.7 Outcomes from witnessed VF are often excellent, but outcomes from asystole and pulseless electrical activity (PEA) are generally poor.8