• Lucas Falco, Zebulon Timmons, Ted Swing, William Luciano, and Blake Bulloch.
• From the Department of Pediatric Emergency Medicine, Phoenix Children's Hospital, Phoenix, AZ.
• Pediatr Emerg Care. 2022 Oct 1; 38 (10): 521525521-525.

Aim Of StudyThe aim of this study was to evaluate the quality of cardiopulmonary resuscitation (CPR) as it relates to American Heart Association (AHA) guidelines during cardiac arrests in a pediatric emergency department at a quaternary children's hospital.Background And ObjectivesHigh-quality CPR increases the likelihood of survival from pediatric out-of-hospital cardiac arrest. However, optimal performance of high-quality CPR during transition of care between prehospital and pediatric emergency department providers is challenging, and survival without comorbidities remains extremely low for out-of-hospital cardiac arrest.MethodsThis was a retrospective study of data collected from a free-standing children's hospital emergency department and level 1 trauma center.ResultsThere were 23 pediatric CPR events for subjects younger than 18 years in the emergency department during the time of the study. Median chest compression (CC) fraction was 85% overall with the AHA goal of 80%. Compliance with this recommendation was achieved in all age groups. The CC rate averaged 112 for the entire sample. Median depth was 2.06 cm in subjects younger than 1 year, 3.95 cm in subjects 1 year old to younger than 8 years, and 5.33 cm in subjects 8 years old to younger than 18 years. These compression depth rates fell below the AHA recommendations, with the exception of those 8 years and older.ConclusionsIn our study, CC fraction and CC rate were found to meet AHA targets for all age groups, whereas CC depth only met AHA targets for the 8- to 18-year-old group. The most difficult parameter was CC depth for the group of subjects younger than 1 year.Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

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