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Cardiac arrest in children: emerging trends in resuscitation and outcomes in low-resource pediatric emergency departments
Journal article   Open access   Peer reviewed

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

Mohammed Alsabri, Mayar M. Aziz, Hamza A. Abdul-Hafez, Basel A. Zaben, Mirna Hussein, Rayan R. Salahaldin, Henar El Makhzangy and Anas R. Tuqan
International journal of emergency medicine, v 18(1), 228
03 Nov 2025
DOI: https://doi.org/10.1186/s12245-025-00926-z
PMID: 41184747
url
https://doi.org/10.1186/s12245-025-00926-zView
Published, Version of Record (VoR) Open

Abstract

Emergency Medicine Life Sciences & Biomedicine Science & Technology
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.

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