The Last Word: Tia Raymond, MD, on Preventing Pediatric Cardiac Arrest

“The best CPR is no CPR.”

Tia Raymond, MD
Pediatric Cardiac Intensivist
Medical City Children’s Hospital
.…on reducing cardiac arrests in pediatric cardiac ICUs.

A recent study featuring research at Dallas’ Medical City Children’s Hospital is helping to improve and save the lives of children in cardiac intensive care units, according to the hospital.

Tia Raymond, MD

The study, published July 5 in JAMA Pediatrics, included research at 15 hospitals across the U.S. The investigators report that “implementing several low-technology cardiac arrest prevention tactics reduced in-hospital cardiac arrest in the pediatric CICU an average of 30% across the participating centers.”

Dr. Raymond was the physician lead investigator at Medical City Children’s Hospital, which has enrolled more than 200 patients in the study since 2018.

Many experts have considered in-hospital cardiac arrest a largely unavoidable outcome for some children in CICUs, Medical City says. But the report points to ways it can be prevented.

“This project was able to prevent CPR in almost 200 high-risk pediatric patients at these 15 hospitals helping to create healthier tomorrows for these children,” Dr. Raymond said in a statement. 

Each hospital in the study implemented a “bundle” of cardiac arrest prevention (CAP) practices, including a twice-daily huddle with the bedside nurse, nurse leader, attending physician, first-responding provider, and respiratory therapist. The goal is for the entire team to recognize early deterioration and have a plan of action specific to each patient, such as pre-drawn medications.

The study’s investigators say the CAP bundle program could be adapted to other critically ill populations, including general pediatric and adult intensive care patients, along with adult cardiovascular ICUs.


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