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February 2017

Pediatric Out-of-Hospital Cardiac Arrest: Pushing for Progress in Public Response

Author Affiliations
  • 1Department of Pediatrics, University of Iowa Children’s Hospital, Iowa City
  • 2Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City
JAMA Pediatr. 2017;171(2):113-115. doi:10.1001/jamapediatrics.2016.3694

Cardiac arrest has been recognized as a public health problem affecting nearly 600 000 people annually, with 2% to 3% being children.1 Significant efforts have been made to educate and engage laypersons to perform cardiopulmonary resuscitation (CPR), beginning with American Heart Association courses in the 1970s. The Chain of Survival was developed to emphasize the need for early recognition and response as well as a systems-oriented approach. But despite concerted efforts, national survival statistics remain static. Nevertheless, survival rates of up to 50% have been achieved in selected communities that emphasize early CPR and adherence to current guidelines.2

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