Deputy Head of Subsequent intensive care Department for Children, Hořovice Hospital, Hořovice, Czech Republic
Department of paediatric anesthesiology and resuscitation, University Hospital Brno, Brno, Czech Republic
ERC Paediatric Life Support - Science and Education Committee
This algorithm covers the one truly actual topic – the CPR in-hospital cardiac arrest in COVID-19 positive patient. The algorithm will guide you step by step through the CPR, including the Advanced CPR features. Each step is organized within the algorithm in a logical manner, and the correct and incorrect answers are provided with sufficient explanation. The text is concise, easily understandable and maintains the professional standard. All the abbreviations are explained. The multimedia helps to imagine the situation of ongoing CPR, though more sophistication could add to the realistic background of the situation.
However, the velocity of the creation of this algorithm by the AKUTNE.CZ team is exceptional. I consider the information and the guidelines, included in this algorithm, up to date and reliable according to the available data of SARS-CoV-2 infection. The guidelines are consistent with the one presented by the UK Resuscitation Council. The information about the virus pandemic and the infection may change and the algorithm than should be updated.
The algorithm works with very realistic situation of sudden child collapse during sports activity and describes a case of the malignant arrhythmia in child. Although this is a very rare situation, the right initial steps and reactions of the rescuer are what can contribute by far the most to the survival of a child with a high quality neurological result. This makes the algorithm very useful. The algorithm is structured and logically organized. It shows all important steps - from the initial reaction of the rescuer to the postresuscitation care. Both correct and incorrect answers are presented with argumentation, which gives sufficient explanation. The language of the algorithm is sufficiently brief and compact and at the same time retains the necessary expertise in the terms used in Czech as well as in English version. Multimedia used the algorithm help to imagine and understand the idea of situation and complement algorithm appropriately. In my opinion, all recommendations and argumentations correspond to the current guidelines of the European and the Czech resuscitation council and the knowledge we currently have about malignant arrhythmias in children. Of course, there is a possibility of need for an update of the algorithm after the publications of the new resuscitation guidelines 2021. 14th May 2020