title: [Epidemiology and treatment analysis of children with out-of-hospital cardiac arrest].
abstract: OBJECTIVE
  To study the weak loop in the treatment of children with out-of-hospital cardiac arrest (OHCA) and the treatment strategy for improvement.
  
  
  METHODS
  Data of a total of 133 patients with OHCA who were rescued by Wuxi pre-hospital care center during the 2005 - 2011 were analyzed.
  
  
  RESULTS
  The main causes of pediatric OHCA were drowning (52/133) and accidental injury disease (30/133). The cases of OHCA were mainly located in public places (60/133) and the majority occurred in winter and summer. The emergency rescue response time was (13.21 ± 8.09) min, the rate of first witness treatment was 3.91%, intubations was performed in 11.11%, opening of vein access was 23.15% and one case got restoration of spontaneous circulation (ROSC).
  
  
  CONCLUSIONS
  The rate of ROSC of pre-hospital cardiac arrest in children was significantly lower than that of hospital cardiac arrest. Preventive interventions on children's accidents and the skills of pre-hospital staff on pediatric advanced life support (PALS) need to be urgently improved.
authors.affiliation: Wuxi Pre-hospital Care Center, Wuxi, Jiangsu, Wuxi 214023, China.
authors.forename: Xiao-fan
authors.initials: XF
authors.lastname: Zhang
authors.forename: Chang-chun
authors.initials: CC
authors.lastname: Lin
authors.forename: Jian-hui
authors.initials: JH
authors.lastname: Chen
mesh_terms: D022561:Advanced Cardiac Life Support / Q000193:education*; D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D016009:Chi-Square Distribution; D002648:Child; D002675:Child, Preschool; D002681:China / Q000453:epidemiology; D004632:Emergency Medical Services / Q000379:methods* / Q000458:organization & administration; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D058687:Out-of-Hospital Cardiac Arrest / Q000453:epidemiology* / Q000209:etiology / Q000628:therapy*; D010372:Pediatrics / Q000193:education; D012189:Retrospective Studies; D012307:Risk Factors; D015996:Survival Rate; D013997:Time Factors; D016896:Treatment Outcome