@article{86a8f4d0c9bd48f4b57e27e69fc9bf8d,
title = "Sudden death in children and adolescents",
abstract = "This article focuses on sudden unexpected cardiac death (SCD) in children and adolescents. The authors discuss the epidemiology of SCD in children and adolescents, its incidence and etiologies, and strategies for prevention. Because most of the episodes of SCD or sudden cardiac arrest in children and adolescents occur in asymptomatic individuals unknown to have an underlying abnormality before their {"}event,{"} the issues in this article primarily focus on this group of individuals.",
author = "Stuart Berger and Lori Utech and {Fran Hazinski}, Mary",
note = "Funding Information: Finally, in September 2003, the Public Access Defibrillation Trial (a study funded by the AHA, the National Heart, Lung, and Blood Institute, and the defibrillator manufacturers) concluded data collection. This prospective, randomized, controlled clinical study involved 24 field centers in the United States and Canada in approximately 1200 community units. It was designed to test whether volunteer nonmedical responders can improve survival from adult out-of-hospital cardiac arrest by using AEDs. All rescuers were trained to recognize adult cardiac emergencies, phone the EMS system (911), and perform CPR. Rescuers in the study group also were trained and equipped to perform early defibrillation with an AED. The primary outcome that was evaluated was the number of adult out-of-hospital cardiac arrest victims who survived to hospital discharge. Secondary outcomes that were evaluated included neurologic status, health-related quality of life, cost, and cost-effectiveness [78] . Final results are expected to be published soon, but preliminary results reported at the AHA Scientific Sessions showed that the use of AEDs when added to early recognition, early EMS activation, and early CPR doubled survival compared with early recognition, early EMS activation, and early CPR without use of AEDs [78] . The control group (CPR alone) experienced 266 presumed cardiac arrests, with 15 survivors (5.6%), whereas the group that was trained to use and AED in addition to administering CPR experienced 260 presumed cardiac arrests, with 29 survivors (11%). ",
year = "2004",
month = dec,
doi = "10.1016/j.pcl.2004.07.004",
language = "English (US)",
volume = "51",
pages = "1653--1677",
journal = "Pediatric Clinics of North America",
issn = "0031-3955",
publisher = "W.B. Saunders Ltd",
number = "6 SPEC. ISS.",
}