| Description |
This training will support American Heart Association Guidelines. According to the Amercan Heart Association, "Outcomes from pediatric in-hospital cardiac arrest (IHCA) have markedly improved over the past decade. From 2001 to 2009, rates of pediatric IHCA survival to hospital discharge improved from 24% to 39%.4 Recent unpublished 2013 data from the AHA’s Get With The Guidelines®-Resuscitation program observed 36% survival to hospital discharge for pediatric IHCA (Paul S. Chan, MD, personal communication, April 10, 2015). Prolonged CPR is not always futile, with 12% of patients who receive CPR for more than 35 minutes surviving to discharge and 60% of those survivors having a favorable neurologic outcome.5
Unlike IHCA, survival from out-of-hospital cardiac arrest (OHCA) remains poor. Data from 2005 to 2007 from the Resuscitation Outcomes Consortium, a registry of 11 US and Canadian emergency medical systems, showed age-dependent discharge survival rates of 3.3% for infants (younger than 1 year), 9.1% for children (1 to 11 years), and 8.9% for adolescents (12 to 19 years).6 More recently published data from this network demonstrate 8.3% survival to hospital discharge across all age groups.
This training will support EI providers to build confidence to intervene in homes if needed. The students they serve would sometimes be at a greater risk due to their diagnosis. The trainer will focus on positioning for infants with tracheotomies, those with feeding tubes, sensory needs, and or other needs specific to the needs of the DTV's and DTH's present.
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