This 2019 focused update to the American Heart Association pediatric basic life support guidelines follows the 2019 systematic review of the effects of dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) on survival of infants and children with out-of-hospital cardiac arrest. This systematic review and the primary studies identified were analyzed by the Pediatric Task Force of the International Liaison Committee on Resuscitation. It aligns with the International Liaison Committee on Resuscitation’s continuous evidence review process, with updates published when the International Liaison Committee on Resuscitation completes a literature review based on new published evidence. This update summarizes the available pediatric evidence supporting DA-CPR and provides treatment recommendations for DA-CPR for pediatric out-of-hospital cardiac arrest. Four new pediatric studies were reviewed. A systematic review of this data identified the association of a significant improvement in the rates of bystander CPR and in survival 1 month after cardiac arrest with DA-CPR. The writing group recommends that emergency medical dispatch centers offer DA-CPR for presumed pediatric cardiac arrest, especially when no bystander CPR is in progress. No recommendation could be made for or against DA-CPR instructions when bystander CPR is already in progress.

中文翻译：

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2019年美国心脏协会重点关注儿科基本生命支持的更新：《美国心脏协会心肺复苏和紧急心血管护理指南》的更新。

这是2019年针对美国心脏协会儿科基本生活支持指南的重点更新，是在2019年对调度员协助的心肺复苏（DA-CPR）对院外心脏骤停婴儿和儿童生存的影响进行系统评估之后进行的。国际复苏委员会联络的儿科工作组对这项系统的审查和确定的主要研究进行了分析。它与国际复苏联络委员会的持续证据审查流程保持一致，并与国际复苏联络委员会根据新发表的证据完成文献审查时发布的更新保持一致。此更新总结了支持DA-CPR的可用儿科证据，并提供了针对DA-CPR的儿科院外心脏骤停的治疗建议。回顾了四项新的儿科研究。对这些数据的系统评价发现，DA-CPR使心脏骤停后1个月的旁观者CPR率和生存率显着改善。撰写小组建议紧急医疗调度中心为假定的小儿心脏骤停提供DA-CPR，尤其是在没有进行旁观者CPR的情况下。当旁观者心肺复苏已经在进行中时，不可以针对DA-CPR指令提出建议或反对。特别是在没有进行旁观者心肺复苏术的情况下。当旁观者心肺复苏已经在进行中时，不可以针对DA-CPR指令提出建议或反对。特别是在没有进行旁观者心肺复苏术的情况下。当旁观者心肺复苏已经在进行中时，不可以针对DA-CPR指令提出建议或反对。