With mortality rates that exceed 50%, in-hospital cardiac arrest remains a significant challenge in the pediatric intensive care unit (PICU). High-quality cardiopulmonary resuscitation (CPR) is crucial for improving survival rates and neurologic outcomes among survivors. Achieving and maintaining high-quality CPR is limited, though, because CPR quality is mostly evaluated via visual assessment methods, which often yield inaccurate and inconsistent estimates. Incorporating real-time feedback devices along with a CPR coach during resuscitation efforts can enhance compliance with CPR quality metrics and improve patient outcomes. Yet CPR quality varies by institution because CPR coach training is not currently standardized or widely available.

This study aimed to evaluate the impact of structured training of quality CPR coaches on CPR delivery during cardiac arrests in the PICU.

The authors conducted a retrospective chart review of patients 18 years old or younger who experienced a cardiopulmonary arrest for more than 1 minute in the institution’s...

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