Paeds Vivas · acute-care-resuscitation-and-toxicology
Cardiorespiratory arrest and post-arrest care — branching viva
Branching viva on paediatric cardiorespiratory arrest and post-arrest care: recognising the arrest, achieving return of spontaneous circulation, running the post-arrest bundle, and prognosticating honestly.
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Target exams
Branch 1 — Confirming and managing the arrest
Examiner. How do you confirm this child is in arrest, and what are the first three things you do?[2]
Confirm in under 10 seconds: unresponsive, no normal breathing (gasping is agonal and counts as a respiratory arrest sign), and no central pulse (carotid or femoral, brachial in a young infant). The first three actions are call for help, start high-quality chest compressions, and ventilate with 100 percent oxygen by bag-valve-mask, using 15 compressions to 2 ventilations with two rescuers.[2][3]
You have read the opening of this viva. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship atlas.
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- [1]Topjian AA, de Caen A, Wainwright MS, et al. Pediatric Post-Cardiac Arrest Care: A Scientific Statement From the American Heart Association. Circulation, 2019.PMID 31242751
- [2]Topjian AA, Raymond TT, Atkins D, et al. Part 4: Pediatric Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation, 2020.PMID 33081526
- [3]Lasa JJ, Dhillon GS, Duff JP, et al. Part 8: Pediatric Advanced Life Support: 2025 American Heart Association and American Academy of Pediatrics Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation, 2025.PMID 41122885
- [8]Sutton RM, Wolfe HA, Reeder RW, et al. Effect of Physiologic Point-of-Care Cardiopulmonary Resuscitation Training on Survival With Favorable Neurologic Outcome in Cardiac Arrest in Pediatric ICUs: A Randomized Clinical Trial. JAMA, 2022.PMID 35258533