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Record W4285041775 · doi:10.1542/peds.2021-056043

Guidance for Cardiopulmonary Resuscitation of Children With Suspected or Confirmed COVID-19

2022· article· en· W4285041775 on OpenAlexaff
Ryan W. Morgan, Dianne L. Atkins, Antony Hsu, Beena D. Kamath‐Rayne, Khalid Aziz, Robert A. Berg, Farhan Bhanji, Melissa Chan, Adam Cheng, Kathleen Chiotos, Allan de Caen, Jonathan P. Duff, Susan Fuchs, Benny L. Joyner, Monica E. Kleinman, Javier J. Lasa, Henry Lee, Rebecca E. Lehotzky, Arielle Lévy, Mary E. McBride, Garth Meckler, Vinay Nadkarni, Tia T. Raymond, Kathryn E. Roberts, Stephen M. Schexnayder, Robert M. Sutton, Mark A. Terry, Brian K Walsh, Carolyn M. Zelop, Comilla Sasson, Alexis Topjian

Bibliographic record

VenuePEDIATRICS · 2022
Typearticle
Languageen
FieldMedicine
TopicCardiac Arrest and Resuscitation
Canadian institutionsCentre Hospitalier Universitaire Sainte-JustineAlberta Children's HospitalBC Children's HospitalStollery Children's HospitalUniversity of British ColumbiaMcGill UniversityUniversity of CalgaryUniversité de MontréalUniversity of Alberta
Fundersnot available
KeywordsMedicineCardiopulmonary resuscitationPersonal protective equipmentResuscitationIntensive care medicineMedical emergencyNeonatal resuscitationHealth careEmergency medicineVentilation (architecture)Coronavirus disease 2019 (COVID-19)DiseaseInfectious disease (medical specialty)Internal medicine

Abstract

fetched live from OpenAlex

This article aims to provide guidance to health care workers for the provision of basic and advanced life support to children and neonates with suspected or confirmed coronavirus disease 2019 (COVID-19). It aligns with the 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular care while providing strategies for reducing risk of transmission of severe acute respiratory syndrome coronavirus 2 to health care providers. Patients with suspected or confirmed COVID-19 and cardiac arrest should receive chest compressions and defibrillation, when indicated, as soon as possible. Because of the importance of ventilation during pediatric and neonatal resuscitation, oxygenation and ventilation should be prioritized. All CPR events should therefore be considered aerosol-generating procedures. Thus, personal protective equipment (PPE) appropriate for aerosol-generating procedures (including N95 respirators or an equivalent) should be donned before resuscitation, and high-efficiency particulate air filters should be used. Any personnel without appropriate PPE should be immediately excused by providers wearing appropriate PPE. Neonatal resuscitation guidance is unchanged from standard algorithms, except for specific attention to infection prevention and control. In summary, health care personnel should continue to reduce the risk of severe acute respiratory syndrome coronavirus 2 transmission through vaccination and use of appropriate PPE during pediatric resuscitations. Health care organizations should ensure the availability and appropriate use of PPE. Because delays or withheld CPR increases the risk to patients for poor clinical outcomes, children and neonates with suspected or confirmed COVID-19 should receive prompt, high-quality CPR in accordance with evidence-based guidelines.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.015
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Other · Consensus signal: Other
Teacher disagreement score0.014
Threshold uncertainty score0.048

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0020.015
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.000
Science and technology studies0.0010.001
Scholarly communication0.0010.001
Open science0.0010.002
Research integrity0.0040.005
Insufficient payload (model declined to judge)0.0140.010

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.020
GPT teacher head0.294
Teacher spread0.274 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreOther

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations3
Published2022
Admission routes1
Has abstractyes

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