Table 2

Results of the consensus development meeting

StatementsResponses, nAgree,
n (%)
Disagree,
n (%)
Don’t know, n (%)Outcome
1Paediatric TCA should be treated in the same way across the entire age range.3931 (79.5)7 (17.9)1 (2.6)Positive
2In paediatric TCA, rescue breaths should be given at the entry to the algorithm.4012 (30.0)28 (70.0)0Negative
3Patients in paediatric TCA with suspected isolated TBI should be managed separately.4016 (40.0)24 (60.0)0N/A
4Do vasopressors have a role in the management of paediatric TCA secondary to isolated TBI?3928 (71.8)4 (10.3)7 (17.9)Positive
5Management of paediatric TCA should be the same regardless of presenting cardiac rhythm (shockable/non-shockable).3928 (71.8)8 (20.5)3 (7.7)Positive
6In paediatric TCA, reversible causes should be prioritised over cardioversion.3938 (97.4)1 (2.6)0Positive
7Use of vasopressors (including epinephrine) at any time in paediatric TCA.4013 (32.5)11 (27.5)16 (40.0)N/A
8In blunt trauma, closed chest compressions should be performed when hypoxia is the likely cause of paediatric TCA.4037 (92.5)03 (7.5)Positive
9In paediatric TCA secondary to blunt trauma, chest compressions should be deprioritised in favour of performing other life-saving interventions.4040 (100)00Positive
10In paediatric TCA secondary to penetrating trauma, chest compressions should be deprioritised in favour of performing other life-saving interventions.4040 (100)00Positive
11In paediatric TCA where hypovolaemia is the likely cause, should we be performing chest compressions?4032 (80.0)5 (12.5)3 (7.5)Positive
12In paediatric TCA where hypovolaemia is the likely cause, should we be deprioritising chest compressions in favour of addressing other reversible causes?4140 (97.6)1 (2.4)0Positive
13In paediatric TCA consider performing bilateral thoracostomies.4038 (95.0)1 (2.5)1 (2.5)Positive
14In paediatric TCA secondary to blunt trauma consider the application of a pelvic binder.4039 (97.5)1 (2.5)0Positive
15In paediatric TCA secondary to blunt injury, thoracotomy for haemorrhage control should be considered.4014 (35.0)16 (40.0)10 (25.0)N/A
16Having achieved ROSC following paediatric TCA consider the use of vasopressors presurgery.4016 (40.0)9 (22.5)15 (37.5)N/A
17Having achieved ROSC following paediatric TCA secondary to TBI, consider the use of vasopressors.4131 (75.6)010 (24.4)Positive
18Consider the use of ETCO2 to guide the futility of continued resuscitation efforts.4133 (80.5)3 (7.3)5 (12.2)Positive
19Having achieved ROSC following paediatric TCA consider the use of vasopressors in those without TBI.409 (22.5)15 (37.5)16 (40.0)N/A
  • ETCO2, end tidal carbon dioxide; ROSC, return of spontaneous circulation; TBI, traumatic brain injury; TCA, traumatic cardiac arrest.