This transcript has been edited for clarity.
Robert D. Glatter, MD: Hi. I'm Dr Robert Glatter, medical advisor for Medscape Emergency Medicine. More than 20,000 pediatric cardiac arrests occur annually in the US, but the outcomes for about 7000 annual pediatric out-of-hospital cardiac arrests have remained poor, with no significant improvement for decades in overall survival and neurologically intact survival. To address this ongoing issue, the PALS (pediatric advanced life support) guidelines committee made some recent changes. But the issue with the changes is whether the evidence truly supports the change in practice suggested by these guidelines.
Joining me today to discuss this are two seasoned EMS physicians. The first is Dr Peter Antevy, a pediatric emergency physician at Joe DiMaggio Children's Hospital in South Florida, and medical director for Coral Springs–Parkland Fire Department, Davie Fire Rescue, in Palm Beach County in Florida.
Also joining me today is Dr Paul Pepe, professor at UT Health Science Center in Houston. Welcome, gentlemen. It's really great to have you with us today.
Peter M. Antevy, MD: Thanks, Rob. Great to be here.
Glatter: The impetus for this discussion came from your suggestion that these guidelines need to be discussed ,as many people may be unaware of these changes that slipped into the 2020 guidelines.
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COMMENTARY
New Pediatric Advanced Life Support Guidelines Raise Questions
Robert D. Glatter, MD; Paul E. Pepe, MD, MPH; Peter M. Antevy, MD
DisclosuresMay 06, 2021
This transcript has been edited for clarity.
Robert D. Glatter, MD: Hi. I'm Dr Robert Glatter, medical advisor for Medscape Emergency Medicine. More than 20,000 pediatric cardiac arrests occur annually in the US, but the outcomes for about 7000 annual pediatric out-of-hospital cardiac arrests have remained poor, with no significant improvement for decades in overall survival and neurologically intact survival. To address this ongoing issue, the PALS (pediatric advanced life support) guidelines committee made some recent changes. But the issue with the changes is whether the evidence truly supports the change in practice suggested by these guidelines.
Joining me today to discuss this are two seasoned EMS physicians. The first is Dr Peter Antevy, a pediatric emergency physician at Joe DiMaggio Children's Hospital in South Florida, and medical director for Coral Springs–Parkland Fire Department, Davie Fire Rescue, in Palm Beach County in Florida.
Also joining me today is Dr Paul Pepe, professor at UT Health Science Center in Houston. Welcome, gentlemen. It's really great to have you with us today.
Peter M. Antevy, MD: Thanks, Rob. Great to be here.
Glatter: The impetus for this discussion came from your suggestion that these guidelines need to be discussed ,as many people may be unaware of these changes that slipped into the 2020 guidelines.
Medscape Emergency Medicine © 2021 WebMD, LLC
Any views expressed above are the author's own and do not necessarily reflect the views of WebMD or Medscape.
Cite this: New Pediatric Advanced Life Support Guidelines Raise Questions - Medscape - May 06, 2021.
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Authors and Disclosures
Authors and Disclosures
Authors
Robert D. Glatter, MD
Attending Physician, Department of Emergency Medicine, Lenox Hill Hospital, New York, NY
Disclosure: Robert D. Glatter, MD, has disclosed no relevant financial relationships.
Paul E. Pepe, MD, MPH
Professor, Department of Management, Policy, and Community Health, University of Texas Health Sciences Center, Houston; Medical Director, Emergency Medical Services, Public Safety, Fire Rescue, Dallas County, Dallas, Texas
Disclosure: Paul E. Pepe, MD, MPH, has disclosed no relevant financial relationships.
Peter M. Antevy, MD
Medical Director, Davie Fire Rescue, Coral Springs–Parkland Fire Department, Miami, Florida
Disclosure: Peter M. Antevy, MD, has disclosed the following relevant financial relationships:
Serve(d) as a director, officer, partner, employee, advisor, consultant, or trustee for: Pediatric Emergency Standards, Inc.