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Editorial| Volume 184, 109706, March 2023

Life at all cost?! What life? What cost?

      Matsui and colleagues are to be congratulated for their study entitled ‘Application of Adult Prehospital Resuscitation Rules to Pediatric Out of Hospital Cardiac Arrest’.[Matsui et al Resuscitation 2023] As the title suggests, the authors applied adult basic and advanced life support (BLS and ALS) termination of resuscitation rules (TOR) to a large national database of pediatric out of hospital cardiac arrests (OHCA) episodes. The study’s findings suggest that properly applied BLS TOR predict death and poor neurological outcomes and may protect patients from survival with poor quality of life.

      Abbreviations:

      TOR (Termination of Resuscitation), BLS (Basic Life Support), ALS (Advanced Life Support), OHCA (Out of Hospital Cardiac Arrest), PCPC (Pediatric Cerebral Performance Category), THAPCA (Therapeutic Hypothermia After out of hospital Pediatric Cardiac Arrest), VABS (Vineland Adaptive Behavioral Scale)
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