March 12, 2026 · Resuscitation · DOI: 10.1016/j.resuscitation.2026.111049

Decline in Rescue Breathing and Its Impact on Outcomes in Pediatric Out-of-Hospital Cardiac Arrest Due to Drowning: A Nationwide Study, 2012-2023

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The authors aimed to investigate the impact of declining rescue breathing practices on outcomes in pediatric out-of-hospital cardiac arrest (OHCA) due to drowning, particularly in the context of increasing adoption of compression-only CPR (CO-CPR). Their analysis of nationwide data revealed that CO-CPR was associated with higher 30-day mortality and worse neurological outcomes compared to rescue-breathing CPR (RB-CPR), especially in unwitnessed arrests. These findings highlight the critical role of rescue breathing in improving survival and neurological health in pediatric drowning cases.

Takafumi Obara, Tsuyoshi Nojima, Naomi Matsumoto, Kohei Tsukahara, Takashi Hongo, Tetsuya Yumoto, Takashi Yorifuji, Atsunori Nakao, Hiromichi Naito

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