文本框: PEDIATRIC CARDIOPULMONARY ARREST IN THE EMERGENCY DEPARTMENT – PATIENT PROFILE IN A PRIVATE MEDICAL CENTER Tiglao J, Co LA Makati Medical Center, NCR, Philippines Objective: The published rates of discharge for pediatric patients in cardiopulmonary arrest (CPA) ranges from 0-21%. This local study was done to describe the population of pediatric patients in prehospital CPA seen at the Makati Medical Center Emergency Department (MMC-ED) and report their post resuscitation outcome. Methods: A case series study was done of pediatric patients seen from January 1997 to August 2000. Patients included were aged 0-18 y/o in CPA. CPA is defined as CR = 0, RR = 0, and unobtainable BP. Results: Only 0.001% of the total adult and pediatric patients seen during the study period met the inclusion criteria. Forty-eight patient records were retrieved and reviewed. Thirty-three out of 48(69%) were male and most were Filipino 47/48(97%). Infants 0-2 years old (35%) and adolescents 13-18 y/o (22%) were the most commonly seen in CPA. Thirty of the 48 (63%) resided within the district and classified as indigents (54%). In 15 out of 48 (31%) the cause for the CPA was unknown because there were no guardians with the patient or the companions give a very poor history. Respiratory failure/aspiration was the most common of the known causes (23%). Other known causes were trauma (15%), septicemia (10%), and congenital heart defects (6%). Interestingly, there were no cases of battered child syndrome. Twenty out of forty eight (42%) could not be resuscitated and died immediately. Twenty-six patients (54%) died within 24 hours of their arrest, and only 2 (4%) survived longer than 24 hours. No autopsies were performed. Conclusion: This study confirms the poor outcome of prehospital CPA in children. Recommendations for the improvement of emergency medical services for children are enumerated. 0937