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Hoffmann, F.; Heimberg, E.; Schwindt, J.-C. and Heinzel, O. (2016): Erweiterte Maßnahmen der kardiopulmonalen Reanimation bei Kindern und Jugendlichen. Kommentierte Zusammenfassung der aktuellen Empfehlungen des European Resuscitation Council. In: Monatsschrift Kinderheilkunde, Vol. 164, No. 3: pp. 195-202

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The extended resuscitation measures include the administration of medications, heart rhythm analysis and defibrillation. Resuscitation situations in pediatrics are rare events and represent a high cognitive challenge and a significant emotional burden for all concerned;therefore, continuous training measures for learning and refreshing pediatric basic life support (BLS) and advanced life support (ALS) techniques is essential. For this purpose the European Resuscitation Council provides special child resuscitation courses (European pediatric life support, EPLS, http://www.erc.edu). So-called non-technical skills, such as communication, team leadership and task distribution within the team are becoming increasingly more important and should be integrated into training concepts. Team-oriented training concepts using state of the art patient simulators are becoming more widespread;however, in the guidelines there is no clear statement about an obligatory participation in training or the frequency of refresher courses. There is an increasing amount of evidence that acquired knowledge and also skills become lost even after only a few months;therefore, it is postulated that annual training refreshers are possibly not sufficient. The authors hope that the summary provided here will contribute to a greater acceptance and wider distribution of the current guidelines for life-saving measures in children.

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