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<p>Pediatric cardiac arrest is a rare but life-threatening condition that often arises from respiratory failure. While survival rates in pediatric emergency settings are generally low, outcomes are significantly worse in low-resource environments. Most resuscitation guidelines are designed for high-resource settings, limiting their applicability in low- and middle-income countries, where infrastructure, staffing, and equipment shortages pose critical challenges. This narrative review explores emerging trends in pediatric cardiac arrest resuscitation in low-resource settings, focusing on the application of basic and advanced life support protocols, telemedicine, and low-cost technologies. Furthermore, we address post-resuscitation care gaps and propose practical solutions for improving survival and neurological outcomes. Key barriers to guideline implementation include ethical challenges, infrastructural limitations, and educational constraints. Tailored interventions, including community-based Cardiopulmonary Resuscitation training and low-cost resuscitation tools, are critical to improving outcomes in these regions. Future research should focus on developing context-specific guidelines and sustainable healthcare infrastructure to bridge the gap in pediatric cardiac arrest care between high- and low-resource settings.</p>

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Cardiac arrest in children: emerging trends in resuscitation and outcomes in low-resource pediatric emergency departments

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年11月3日

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  • Mohammed Alsabri,
  • Mayar M. Aziz,
  • Hamza A. Abdul-Hafez,
  • Basel A. Zaben,
  • Mirna Hussein,
  • Rayan R. Salahaldin,
  • Henar El Makhzangy,
  • Anas R. Tuqan

摘要

Pediatric cardiac arrest is a rare but life-threatening condition that often arises from respiratory failure. While survival rates in pediatric emergency settings are generally low, outcomes are significantly worse in low-resource environments. Most resuscitation guidelines are designed for high-resource settings, limiting their applicability in low- and middle-income countries, where infrastructure, staffing, and equipment shortages pose critical challenges. This narrative review explores emerging trends in pediatric cardiac arrest resuscitation in low-resource settings, focusing on the application of basic and advanced life support protocols, telemedicine, and low-cost technologies. Furthermore, we address post-resuscitation care gaps and propose practical solutions for improving survival and neurological outcomes. Key barriers to guideline implementation include ethical challenges, infrastructural limitations, and educational constraints. Tailored interventions, including community-based Cardiopulmonary Resuscitation training and low-cost resuscitation tools, are critical to improving outcomes in these regions. Future research should focus on developing context-specific guidelines and sustainable healthcare infrastructure to bridge the gap in pediatric cardiac arrest care between high- and low-resource settings.