Lukas Cuchrac, Jana Simonova, Jozef Firment, Janka Vaskova, Slovak Republic
Cardiopulmonary resuscitation (CPR) of children and adolescents in pre-hospital health care is not as common as resuscitation of adults. At the same time, the most common causes of cessation of circulation in childhood are different from those occurring in the adult population. Cardiac failure is the most common cause of death in adults, in contrast to airway obstruction and hypoxia in children. Therefore, based on the recommendations of the European Resuscitation Council (ERC), every CPR begins with 5 initial rescue breaths before chest compression in children. This case report describes the course of CPR during cessation of circulation of a three-year-old child with asphyxia after aspirating stomach contents. It describes the co-operation of rescue units starting with telephone-assisted basic emergency resuscitation by relatives and later by members of the police corps. This includes the procedure of extended resuscitation, from securing the airway to the restoration of circulation using "off-label" procedures and their explanations. It also describes the ongoing hospital post-resuscitation care, the results of the examinations of laboratory parameters and imaging methods, and a supplementary physical examination which also revealed previously hidden signs of physical abuse.