Early resuscitation of @entity1 with moderate-to-severe XXXX .

@entity1 @entity1545 @entity131 @entity519 @entity717 @entity551 @entity204 @entity130
OBJECTIVES: @entity131 is a leading cause of @entity204 and disability in @entity1 . Guidelines have been established to prevent secondary @entity1545 caused by @entity551 or @entity519 . The purpose of this study was to identify the prevalence, monitoring, and treatment of @entity551 and @entity519 during "early" (prehospital and emergency department) care and to evaluate their relationship to vital status and neurologic outcomes at hospital discharge. METHODS: This was a retrospective study of 299 @entity1 with moderate-to-severe @entity131 presenting to a level 1 pediatric @entity130 center. We recorded vital signs and medical provider response to @entity551 and/or @entity519 during all portions of early care. RESULTS: Blood pressure (31%) and oxygenation (34%) were not recorded during some portion of "early care." Documented @entity551 occurred in 118 @entity1 (39%). An attempt to treat documented @entity551 was made in 48% (57 of 118 @entity1 ). After adjusting for severity of illness, @entity1 who did not receive an attempt to treat @entity551 had an increased odds of @entity204 of 3.4 and were 3.7 times more likely to @entity717 compared with treated @entity551 @entity1 . Documented @entity519 occurred in 131 @entity1 (44%). An attempt to treat @entity519 was made in 92% (121 of 131 @entity1 ). Untreated @entity519 was not significantly associated with @entity204 or disability, except in the setting of @entity551 . CONCLUSIONS: @entity551 and @entity519 are common events in pediatric @entity131 . Approximately one third of @entity1 are not properly monitored in the early phases of their management. Attempts to treat @entity551 and @entity519 significantly improved outcomes.
