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What is New in the 2015 PALS Update?

The past decade has seen a marked improvement in the survival to discharge rates from pediatric in-hospital cardiac arrest (IHCA). Rates of return of spontaneous circulation (ROSC) from IHCA has increased significantly from 39% to 77%, and survival to hospital discharge improved from 24% to 3643%, for the period from 2001 to 2013 [1]. However, the same survival benefit has not been reported for out-ofhospital cardiac arrest (OHCA); 8.3% survival to hospitaldischarge across all age-groups [2].