P6418Chest-compression-only bystander cardiopulmonary resuscitation for children with out-of-hospital cardiac arrest

Background/Introduction: In the Guidelines 2000 for cardiopulmonary resuscitation (CPR) by the American Heart Association (AHA) with the International Liaison Committee on Resuscitation (ILCOR), an “adult” is defined as a person aged ≥8 years (approximately >25 kg body weight) throughout the “Adult Basic Life Support” section. In 2008, AHA recommended chest-compression-only CPR (CC-CPR) for adults with out-of-hospital cardiac arrest (OHCA) to increase bystander CPR. However, CC-CPR for cardiac arrest does not apply to paediatric cases. In 2015, ILCOR recommend that rescuers provide conventional CPR with rescue breaths for paediatric cardiac arrest; if rescue breaths could not be provided, chest compressions should at least be performed. Therefore, we hypothesise that CC-CPR by bystanders leads to neurologically intact survival equivalent to the outcome of conventional CPR after OHCA in children aged ≥8 years. Purpose: We aimed to compare the proportions of 30-day survival and 30-day neurologically intact survival (Cerebral Performance Category 1 or 2) between 2 types of bystander CPR (CC-CPR or conventional CPR) among children with OHCA.