Pediatric Resuscitation: Pearls and Pitfalls.

Challenges in pediatric resuscitation include infrequent occurrence, size-specific equipment, variable patient size, and anatomy. Preparation for the event is essential. Knowledge of airway positioning, interventions, available equipment, and initiation settings for mechanical ventilation build a strong foundation. In a peri-arrest patient, crystalloid, vasopressors, and blood products can optimize hemodynamics. In cardiac arrest, high-quality cardiopulmonary resuscitation (CPR), minimal interruptions, and adequate bag valve mask ventilation remains the mainstay of care. Recall critically-ill pediatric patients are at higher risk for hypoglycemia, hypothermia, accidental overdose, and non-accidental trauma. This article summarizes up-to-date evidence and experiential pearls and pitfalls for pediatric resuscitation.