Resuscitation
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To report the patient characteristics and clinical outcome of paediatric in-hospital cardiac arrest in the United Kingdom (UK) National Cardiac Arrest Audit (NCAA) database. ⋯ These first results from the NCAA database describing the outcome of paediatric in-hospital cardiac arrest in UK hospitals will serve as a benchmark from which to assess the future impact of changes in service delivery, organisation and treatment for in-hospital cardiac arrest in young people. Outcomes for specialist paediatric centres should be studied further as higher rates of ROSC and survival to hospital discharge were observed.
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Editorial Comment
After the Lights and Sirens: Patient access delay in cardiac arrest.
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Review Meta Analysis
Association between sex and mortality in adults with in-hospital and out-of-hospital cardiac arrest: a systematic review and meta-analysis.
Women experience a higher mortality from out-of-hospital cardiac arrest.
pearl -
To conduct a systematic review to evaluate the impact of emergency medical service (EMS) practitioner's years of career experience and exposure to out-of-hospital cardiac arrest (OHCA) on patient outcomes. ⋯ Very low certainty evidence suggests higher exposure to attempted resuscitation cases, but not years of clinical EMS experience, is associated with improved OHCA patient outcomes. This review highlights the need for EMS to monitor OHCA exposure, and the need for further research exploring the relationship between EMS exposure and patient outcomes.