OBJECTIVE: @entity4610 ( @entity4610 ) have been used successfully in many populations to improve survival for out-of-hospital @entity1167 . While @entity2224 and pulseless @entity1165 are more prevalent in adults, these @entity943 do occur in @entity1 . The Scientific Advisory Council of the American Red Cross reviewed the literature on the use of @entity4610 in @entity1 in order to make recommendations on use in the population. METHODS: The Cochrane library and PubMed were searched for studies that included @entity4610 in @entity1 , any external defibrillation in @entity1 , and simulation studies of algorithms used by @entity4610 on pediatric @entity943 . RESULTS: There were 4 studies on the accuracy of @entity4610 in recognizing pediatric @entity943 . Case reports (n = 2) demonstrated successful use of AED in @entity1 , and a retrospective review (n = 1) of pediatric pads for @entity4610 included @entity1 . Six studies addressed defibrillation dosages used. The algorithms used by @entity4610 had high sensitivity and specificity for pediatric @entity943 and very rarely recommended a shock inappropriately. The energy doses delivered by @entity4610 were high, although in the range that have been used in out-of-hospital arrest. In addition, there are data to suggest that 2 to 4 J/kg may not be effective defibrillation doses for many @entity1 . CONCLUSIONS: In the absence of prompt defibrillation for @entity2224 or pulseless @entity1165 , survival is unlikely. @entity4610 should be used in @entity1 with suspected @entity1167 , if a manual defibrillator with a trained rescuer is not immediately available. @entity4610 that attenuate the energy dose (eg, via application of pediatric pads) are recommended for @entity1 . If an AED with pediatric pads is not available, the AED with adult pads should be used.

The Use of Automated External Defibrillators in XXXX : A Report From the American Red Cross Scientific Advisory Council.

@entity1 :: ('9606', 'Species') :: ['children', 'infants'] @entity1165 :: ('MESH:D017180', 'Disease') :: ['ventricular tachycardia'] @entity4610 :: ('MESH:D009886', 'Disease') :: ['AEDs', 'Automated external defibrillators'] @entity2224 :: ('MESH:D014693', 'Disease') :: ['ventricular fibrillation'] @entity1167 :: ('MESH:D006323', 'Disease') :: ['cardiac arrest'] @entity943 :: ('MESH:D001145', 'Disease') :: ['arrhythmias']
@entity1 :: (9606,Species) :: ['Infants']
